中西医结合模式在提高癌症复发患者睡眠质量中的护理体会  

Intervention with Integrated Traditional Chinese and Western Medicine Mode in Improving Sleep Quality of Patients with Cancer Recurrence

作　　者：曹春燕[1] 林敉祥 梁洁[1] 彭素清 CAO Chun-Yan;LIN Mi-Xiang;LIANG Jie;PENG Su-Qing(The Second People's Hospital of Shantou,Shantou 505011 Guangdong,China)

机构地区：[1]广东省汕头市第二人民医院,广东汕头505011

出　　处：《广州中医药大学学报》2022年第1期78-82,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省汕头市科技计划项目(编号:190313215265609)。

摘　　要：【目的】探讨中西医结合模式在提高癌症复发患者睡眠质量中的应用效果。【方法】将60例癌症复发伴睡眠障碍患者随机分为观察组和对照组,每组各30例。对照组采用传统方式进行干预,观察组采用中西医结合模式进行干预,即在传统方式的基础上,联合中医辨证治疗和辨时治疗进行干预,以21 d为1个疗程,共治疗1~2个疗程。观察2组患者干预前后匹兹堡睡眠质量指数量表(PSQI)评分和欧洲癌症治疗研究组织生活质量测定量表(EORCT QLQ-C30)评分的变化情况,评价2组患者的干预疗效。【结果】(1)疗效方面:经1~2个疗程后,观察组的总有效率为96.67%(29/30),对照组为83.33%(25/30),组间比较,观察组的睡眠改善疗效明显优于对照组(P<0.01)。(2)PSQI评分方面:干预后,2组患者除安眠药物评分差异无统计学意义(P>0.05)外,PSQI量表的其他各维度评分及其总分均较干预前明显降低(P<0.01),且观察组的入睡时间、睡眠质量、安眠药物、日间功能障碍评分及其总评分均明显低于对照组(P<0.01),而2组的睡眠时间、睡眠效率、睡眠障碍评分干预前后比较,差异均无统计学意义(P>0.05)。(3)EORCT QLQ-C30评分方面:干预后,观察组患者EORCT QLQ-C30量表的角色功能、躯体功能、情绪功能、认知功能、社会功能和总体健康评分均较治疗前改善(P<0.05或P<0.01),而对照组患者EORCT QLQ-C30量表的各维度评分干预前后比较,差异均无统计学意义(P>0.05);组间比较,观察组对EORCT QLQ-C30量表各维度评分的改善作用均明显优于对照组(P<0.05或P<0.01)。【结论】中西医结合模式能有效提高癌症复发患者睡眠质量和生活质量。Objective To investigate the effect of integrated traditional Chinese and western medicine mode on improving sleep quality of patients with cancer recurrence. Methods Sixty patients with cancer recurrence accompanied by sleep disorder were randomly divided into the observation group and the control group, with30 cases in each group. The control group was intervened with the traditional nursing way,and the observation group was intervened with the integrated traditional Chinese and western medicine nursing mode,i.e. the ways of traditional intervention way combined with syndrome differentiation and treatment and time differentiation observation. A total of 21 days constituted a course of treatment and the treatment lasted for one to 2 courses.The changes of Pittsburgh sleep quality index(PSQI)scores and the scores of core quality life questionnaire developed by European Organization for Research and Treatment of Cancer(EORCT QLQ-C30)were observed before and after intervention. After treatment,the efficacy of intervention was evaluated in the two groups. Results(1)Therapeutic effect:after one to 2 courses of treatment,the total effective rate of the observation group was96.67%(29/30),and that of the control group was 83.33%(25/30). The intergroup comparison showed that the sleep improvement effect in the observation group was significantly superior to that in the control group(P<0.01).(2)PSQI scores:after intervention,only the scores of the dimension of hypnotic medication in the two groups did not differ from those before intervention(P>0.05),and the scores of other dimensions of PSQI scale as wells the total scores were significantly decreased compared with those before intervention(P<0.01). The scores of time for falling asleep, sleep quality, hypnotic medication, and daytime dysfunction as well as the total scores in the observation group were significantly lower than those in the control group(P<0.01). There were no significant differences in the scores of sleep time,sleep efficiency and sleep disorder between

关 键 词：中西医结合模式 癌症复发患者 睡眠质量 生活质量 护理 

分 类 号：R248.9[医药卫生—中医临床基础]