耳穴贴压联合正念减压疗法对胃癌化疗患者焦虑的影响研究  

Effect of auricular point sticking combined with mindfulness decompression therapy on anxiety level in patients with gastric cancer undergoing chemotherapy

作　　者：吴菁 席从林 丁颖 严素华 戴玲玲 王利青 雍红梅[2] WU Jing;XI Conglin;DING Ying;YAN Suhua;DAI Lingling;WANG Liqing;YONG Hongmei(Department of Oncology,Huai'an Second People's Hospital,Huai'an,Jiangsu 223300;Department of Traditional Chinese Medicine Oncology,Huai'an Second People's Hospital,Huai'an,Jiangsu 223300)

机构地区：[1]江苏省淮安市第二人民医院肿瘤内科,江苏淮安223300 [2]江苏省淮安市第二人民医院中医肿瘤科,江苏淮安223300

出　　处：《河北中医》2023年第5期796-799,共4页Hebei Journal of Traditional Chinese Medicine

基　　金：2021年淮安市科技计划项目(编号:HAB202112)。

摘　　要：目的观察耳穴贴压联合正念减压疗法对胃癌化疗患者焦虑水平的影响。方法将86例胃癌化疗患者按照随机数字表法分为2组,对照组43例行正念减压疗法干预,观察组43例在对照组基础上联合耳穴贴压干预。2组均干预4周。比较2组干预前后焦虑自评量表(SAS)评分、Herth希望水平量表(HHI)评分、医学应对方式问卷(MCMQ)评分、化疗相关不良反应发生情况及生活质量调查问卷(QLQ-STO22)评分。结果2组干预后SAS评分均较本组治疗前降低(P<0.05),HHI评分均升高(P<0.05),且观察组干预后SAS评分低于对照组(P<0.05),HHI评分高于对照组(P<0.05)。2组干预后MCMQ各项评分均改善(P<0.05),且观察组干预后各项评分改善均优于对照组(P<0.05)。观察组Ⅲ度以上化疗相关不良反应的发生率低于对照组(P<0.05)。2组干预后QLQ-STO22各项评分均较本组治疗前降低,且观察组干预后均低于对照组(P<0.05)。结论耳穴贴压联合正念减压疗法可有效降低胃癌化疗患者焦虑水平,提升希望水平,并改善其应对方式,降低化疗不良反应发生率,进一步提升其生活质量。Objective To investigate the effect of auricular point sticking(APS)combined with mindfulness decompression therapy on anxiety level in patients with gastric cancer(GC)undergoing chemotherapy.Methods A total of 86 GC patients were randomly assigned into the observation group(n=43)and the control group(n=43).All patients were managed by mindfulness decompression therapy,and those in the observation group were additionally treated with APS.The intervention lasted for 4 weeks,the aim was to compare Self-rating Anxiety Scale(SAS),Herth Hope Index(HHI),Medical Coping Modes Questionnaire(MCMQ),chemotherapy-related adverse reactions,Quality of Life Questionnaire-Stomach(QLQ-STO22).Results After the intervention,reduced SAS score and elevated HHI score were found in groups(P<0.05),and the different was significant between groups for the above indexes(P<0.05).MCMQ scores in groups were improved(P<0.05),improvement of which in the observation group were significantly better(P<0.05).The incidence of above gradeⅢchemotherapy-related adverse reactions was lower in the observation group than in the control group(P<0.05).QLQ-STO22 scores in groups were decreased,which decreased in the observation group compared with the control group(P<0.05).Conclusion For GC patients,APS combined with mindfulness decompression therapy can effectively reduce anxiety,enhance the level of hope,improve coping style,reduce the incidence of chemotherapy-related adverse reactions,and further improve quality of life.

关 键 词：焦虑 胃癌 化疗 耳穴贴压疗法 正念 

分 类 号：R749.72[医药卫生—神经病学与精神病学]