耳穴压丸联合心理干预对直肠癌化疗患者心理状态及生命质量的影响  

Effect of ear acupoint pressure pills combined with psychological intervention on psychological status and quality of life of patients with rectal cancer undergoing chemotherapy

作　　者：贾冬梅[1] 罗方[1] 涂荣华 胡建[1] Jia Dongmei;Luo Fang;Tu Ronghua;Hu Jian(Department of Gastroenterology,Mianyang Central Hospital,Sichuan Province,Mianyang 621000,China;Department of Cardiology,Mianyang Central Hospital,Sichuan Province,Mianyang 621000,China)

机构地区：[1]四川省绵阳市中心医院消化内科,621000 [2]四川省绵阳市中心医院心内科,621000

出　　处：《中国实用护理杂志》2021年第28期2215-2220,共6页Chinese Journal of Practical Nursing

摘　　要：目的探究耳穴压丸联合心理干预对直肠癌化疗患者心理状态及生命质量的影响,为直肠癌化疗患者提供参考。方法选择2017年8月至2019年10月在四川省绵阳市中心医院接受化疗的220例直肠癌患者作为研究对象。采用随机数字表法将其分为观察组和对照组各110例。观察组给予耳穴压丸和心理干预,对照组仅给予心理干预。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价心理状态;采用欧洲癌症研究治疗组织(EORTC)的生命质量核心问卷(QLQ-C30)评价生命质量。结果2组干预前SAS、SDS及生命质量评分比较差异无统计学意义(P>0.05)。观察组干预后SAS和SDS评分分别为(46.47±4.00)、(46.33±3.17)分,均低于对照组的(52.87±4.02)、(51.03±4.18)分,差异均有统计学意义(t值为11.836、9.396,P<0.05)。观察组干预后躯体功能、生理功能、心理功能和社会功能评分分别为(61.38±7.46)、(65.28±7.04)、(62.20±8.15)、(75.21±9.05)分,均高于对照组的(56.41±6.01)、(57.25±4.31)、(57.26±7.94)、(64.82±8.40)分,差异均有统计学意义(t值为4.554~10.203,P<0.05)。结论耳穴压丸联合心理干预可改善直肠癌化疗患者心理状态及生命质量,提高治疗依从性。Objective To explore the effect of ear acupoint pressure pills combined with psychological intervention on the psychological status and quality of life of patients with rectal cancer undergoing chemotherapy,provide the reference for patients with rectal cancer undergoing chemotherapy.Methods A total of 220 patients with rectal cancer who received chemotherapy in Mianyang Central Hospital from August 2017 to October 2019 were selected as the research subjects.Random number table method was used to divide 220 patients with rectal cancer into observation group(110 cases)and control group(110 cases).Observation group was given ear acupoint pressure pills and psychological intervention,while control group was given psychological intervention only.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to evaluate mental state;the European Cancer Research and Treatment Organization(EORTC)Quality of Life Questionnaire-Core 30(QLQ-C30)was used to evaluate the quality of life.Results There was no significant difference in the score of SAS,SDS and quality of life before intervention between the two groups(P>0.05).The SAS and SDS scores of the observation group after intervention were 46.47±4.00 and 46.33±3.17,which were lower than the control group(52.87±4.02,51.03±4.18),and the differences were statistically significant(t values were 11.836,9.396,P<0.05).After intervention,the scores of physical function,physiological function,psychological function and social function in the observation group were 61.38±7.46,65.28±7.04,62.20±8.15 and 75.21±9.05,respectively,which were all higher than those in the control group(56.41±6.01,57.25±4.31,57.26±7.94 and 64.82±8.40),and the differences were statistically significant(t values were 4.554-10.203,P<0.05).Conclusions Ear acupoint pressure pills combined with psychological intervention can improve the psychological status and quality of life of patients with rectal cancer treated with chemotherapy and improve treatment compliance.

关 键 词：直肠肿瘤 心理状态 生活质量 治疗依从性 

分 类 号：R248.9[医药卫生—中医临床基础]