芳香疗法在口腔癌患者围手术期症状群管理中的应用效果  

Effects of aromatherapy in the management of symptom clusters of patients with oral cancer during perioperative period

作　　者：邹聚芬 毕小琴[2] 白露 卢倩 郭柳媚 郑莹 Zou Jufen;Bi Xiaoqin;Bai Lu;Lu Qian;Guo Liumei;Zheng Ying(West China School of Nursing,Sichuan University&Nursing Department,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西护理学院/四川大学华西口腔医院护理部,成都610041 [2]口腔疾病研究国家重点实验室/国家口腔疾病临床医学研究中心/四川大学华西口腔医院护理部,成都610041

出　　处：《中华现代护理杂志》2023年第14期1921-1927,共7页Chinese Journal of Modern Nursing

基　　金：中华医学会护理科研发展项目(CMAPH-NRD2021002)。

摘　　要：目的探讨芳香疗法在口腔癌患者围手术期不同时间点症状群管理中的应用效果。方法第1阶段研究,采用便利抽样法,选取2021年9—12月四川大学华西口腔医院收治的132例口腔癌患者为研究对象,采用探索性因子分析提取症状群。第2阶段研究,采用便利抽样法,选取2022年1—3月四川大学华西口腔医院收治的45例口腔癌患者为观察组,根据巢式病例对照研究匹配原则,以年龄、性别等信息作为匹配条件,将第1阶段研究的132例口腔癌患者匹配为对照组。对照组采用常规护理方法,观察组在对照组基础上采用芳香疗法,比较两组患者入院时、术前1 d、术后1 d、术后3 d、术后7 d、术后30 d症状群严重程度的变化。结果口腔癌患者围手术期存在7个相关症状群,分别为休息活动、胃肠活动、精神心理、口腔运动功能、口腔分泌功能、呼吸功能、神经感觉相关症状群。混合效应模型分析结果显示,两组口腔癌患者胃肠活动、精神心理、口腔运动功能相关症状群严重程度比较存在组间、时间与交互效应,差异均有统计学意义(P<0.05);休息活动、呼吸功能相关症状群严重程度比较存在组间效应与时间效应,差异均有统计学意义(P<0.05);口腔分泌功能和神经感觉相关症状群严重程度比较存在时间效应,差异有统计学意义(P<0.05),但组间比较差异无统计学意义(P>0.05)。结论芳香疗法能够改善口腔癌患者休息活动、精神心理、口腔运动功能相关症状群。临床护理人员可应用芳香疗法对口腔癌患者围手术期的相关症状群进行积极干预。Objective To explore the effect of aromatherapy in the management of symptom clusters of oral cancer patients at different time points during perioperative period.Methods In the first phase of the study,132 patients with oral cancer who were admitted to the West China Hospital of Stomatology of Sichuan University from September to December 2021 were selected as the subjects by the convenient sampling,and the symptom cluster was extracted by exploratory factor analysis.In the second phase of the study,45 patients with oral cancer admitted to the West China Hospital of Stomatology of Sichuan University from January to March 2022 were selected as the observation group by convenient sampling.According to the matching principle of nested case-control study,132 patients with oral cancer in the first phase of the study were matched as the control group with age,sex and other information as the matching conditions.The control group was treated with routine nursing,while the observation group was treated with aromatherapy on the basis of the control group.The severity of symptom cluster at admission,one day before operation,one day after operation,three days after operation,7 days after operation and 30 days after operation were compared between the two groups.Results There were 7 symptom clusters in patients with oral cancer during the perioperative period,which were rest activity,gastrointestinal activity,mental psychology,oral motor function,oral secretory function,respiratory function and neurosensory function.The mixed effect model analysis showed that there were inter-group,time and interaction effects between the two groups of patients with oral cancer in terms of the severity of gastrointestinal activity,mental psychology,and oral motor function,and the differences were statistical differences(P<0.05).There were inter-group effects and time effects in the severity of rest activity and respiratory function,and the differences were statistically significant(P<0.05).There were time effects in the severity of oral sec

关 键 词：口腔肿瘤 芳香疗法 围手术期 症状群 

分 类 号：R473.73[医药卫生—护理学]