中药溻渍联合情绪舒缓疗法与视觉艺术疗法对宫颈癌放疗患者心理、生活质量的影响及对放射性阴道炎的防治作用  

Value of Chinese medicine collapse stains combined with emotional relief intervention and visual art therapy in treating cervical cancer radiotherapy and its prevention role for radiation vaginitis

作　　者：刘琼[1] 吕欢欢 闫辉 袁香坤[1] 赵笑博 王晴雯 王玺 万红美 马忠金[1] LIU Qiong;LV Huanhuan;YAN Hui;YUAN Xiangkun;ZHAO Xiaobo;WANG Qingwen;WANG Xi;WAN Hongmei;MA Zhongjin(Second Department of Radiotherapy and Chemotherapy,Cangzhou Hospital of Integrated TCM-WMoHebei,Cangzhou,Hebei 061000)

机构地区：[1]河北省沧州中西医结合医院放化疗二科,河北沧州061000

出　　处：《河北中医》2024年第4期623-627,632,共6页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2020年度中医药类科研计划课题(编号:2020491)。

摘　　要：目的观察中药溻渍联合情绪舒缓疗法与视觉艺术疗法对宫颈癌放疗患者心理、生活质量的影响及对放射性阴道炎的防治作用。方法选择2020年2月至2021年10月收治的宫颈癌放疗患者120例为研究对象,按照随机数字表法分为2组,对照组60例予西医常规干预措施,治疗组60例在对照组的基础上加用中药溻渍联合情绪舒缓疗法与视觉艺术疗法干预。2组均干预治疗6个月。比较2组治疗前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、心理忍受程度评分、心理痛苦程度评分及简明健康状况量表(SF-36)(包括生理与精神健康2个领域的生理功能、生理职能、躯体疼痛、社会功能、活力、情感职能、精神健康及总体健康)评分变化情况,比较2组治疗期间放射性阴道炎发生率、发生时间及严重程度。结果与本组治疗前比较,2组治疗后SAS评分及SDS评分均降低(P<0.05),且治疗组治疗后SAS评分及SDS评分均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后心理忍受程度评分及心理痛苦程度评分均降低(P<0.05),且治疗组治疗后心理忍受程度评分及心理痛苦程度评分均低于对照组(P<0.05)。与本组治疗前比较,2组治疗后SF-36生理功能、生理职能、躯体疼痛、社会功能、活力、情感职能、精神健康及总体健康评分均升高(P<0.05),且治疗组治疗后SF-36各项评分均高于对照组(P<0.05)。治疗组放射性阴道炎发生率低于对照组(P<0.05),发生时间晚于对照组(P<0.05),严重程度轻于对照组(P<0.05)。结论中药溻渍联合情绪舒缓疗法与视觉艺术疗法在宫颈癌放疗患者中具有重要应用价值,可明显改善患者焦虑抑郁状态,改善心理状况,提高生活质量,减少和推迟放射性阴道炎的发生,减轻病情严重程度。Objective To study the value of Chinese medicine collapse stains combined with emotional relief intervention and visual art therapy(VAT)in cervical cancer radiotherapy and its prevention role for radiation vaginitis.Methods A total of 120 cases of cervical cancer radiotherapy visited in our hospital from February 2020 to October 2021 were randomly assigned into the treatment group(n=60)and the control group(n=60).All patients were managed by routine Western medicine,and those in the treatment group were additionally treated with Chinese medicine collapse stains combined with emotional relief intervention and VAT.Treated for 6 months,the aim was to compare Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),psychological tolerance score,psychological distress score,36-item Short Form Health Survey(SF-36)(including two domains of physical and mental health:physiological function,physiological role,bodily pain,social function,vitality,emotional function,mental health,general health)scores,the incidence,onset time and severity of radiation vaginitis.Results After treatment,the scores of SAS and SDS,and the scores of psychological tolerance and psychological distress in the two groups decreased significantly than those before treatment(all P<0.05),while,the each domain scores of SF-36 scale in the two groups increased significantly(all P<0.05).The improvements were more pronounced in the treatment group than those of the control group(all P<0.05).Conclusion Chinese medicine collapse stains combined with emotional relief intervention and VAT in treating cervical cancer radiotherapy has important application value,which can improve their anxiety-depression status,alleviate the psychological negative,improve the quality of life,thus reduce the disease severity by decreasing and delaying the occurrence of radiation vaginitis.

关 键 词：宫颈癌 放射疗法 阴道炎 中药溻渍 情绪释放 视觉艺术 

分 类 号：R711.74[医药卫生—妇产科学]