情志调理联合八段锦对肝癌化疗患者的影响  

Effect of Emotional Conditioning Combined with Baduanjin in Patients with Liver Cancer Treated with Chemotherapy

作　　者：肖静 王静 牛颖 XIAO Jing;WANG Jing;NIU Ying(Oncology Department,Henan Provincial Hospital of Traditional Chinese Medicine(the Second Affiliated Hospital of Henan University of Traditional Chinese medicine),Zhengzhou 450002,China)

机构地区：[1]河南省中医院(河南中医药大学第二附属医院)肿瘤科,河南郑州450002

出　　处：《河南医学研究》2023年第15期2850-2854,共5页Henan Medical Research

摘　　要：目的观察情志调理联合八段锦对肝癌化疗患者的影响。方法选取2020年3月至2022年2月在河南省中医院接受化疗的86例肝癌患者,按照随机数字表法分为对照组(43例)和研究组(43例)。对照组接受情志调理,研究组在对照组基础上接受八段锦。对比两组干预前后癌因性疲乏程度[Piper疲乏修订量表(PFS-R)评分]、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)评分]、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)评分]及生活质量[生命质量测定量表(QLQ-C30)评分]。结果干预后与对照组比较,研究组感知、情感、行为/严重程度、认知/情绪评分低(P<0.05),SDS评分、SAS评分低(P<0.05),日间功能、睡眠质量、催眠药物、入睡时间、睡眠障碍、睡眠效率、睡眠时间评分低(P<0.05);干预后与对照组比较,研究组QLQ-C30评分高(P<0.05)。结论情志调理联合八段锦应用于肝癌化疗患者中,能减轻癌因性疲乏程度,缓解患者焦虑、抑郁情绪,提升睡眠质量和生活质量。Objective To observe the effect of emotional conditioning combined with Baduanjin in patients with liver cancer undergoing chemotherapy.Methods A total of 86 patients with liver cancer who received chemotherapy in Henan Provincial Hospital of Traditional Chinese Medicine from March 2020 to February 2022 were selected and randomly divided into control group(43 cases)and study group(43 cases)according to the method of random number table.The control group recieved emotional conditioning,and the study group recieved Baduanjin on the basis of the control group.The degree of cancer-related fatigue[Piper fatigue scale-revised(PFS-R)score],psychological state[self-rating depression scale(SDS),self-rating anxiety scale(SAS)score],sleep quality[Pittsburgh sleep quality index(PSQI)score]and quality of life[quality of life questionnaire-C30(QLQ-C30)score]were compared before and after intervention.Results Compared with the control group,the scores of perception,emotion,behavior/severity and cognition/emotion in the study group were lower(P<0.05),the SDS score and SAS score of the study group were lower(P<0.05),the scores of daytime function,sleep quality,hypnotic drugs,sleep time,sleep disorder,sleep efficiency and sleep time in the study group were lower than those in the control group(P<0.05).After intervention,the QLQ-C30 score of the study group was higher than that of the control group(P<0.05).Conclusion Emotional conditioning combined with Baduanjin can reduce the degree of cancer-related fatigue,relieve anxiety and depression,and improve the quality of sleep and life in patients with liver cancer undergoing chemotherapy.

关 键 词：肝癌 化疗 癌因性疲乏 情志调理 八段锦 

分 类 号：R473.5[医药卫生—护理学]