揿针疗法联合舒适干预模式对胃肠道肿瘤化疗恶心呕吐的应用效果  

The Application Effect of Acupressure Combined with Comfort Intervention Model on Chemotherapy-induced Nausea and Vomiting in Gastrointestinal Cancer

作　　者：阮淑芳[1] 张志娟 袁兰[1] 周佳[1] RUAN Shufang;ZHANG Zhijuan;YUAN Lan;ZHOU Jia(First Ward of Digestive Oncology,Jiangxi Provincial Cancer Hospital,Nanchang 330029,China;不详)

机构地区：[1]江西省肿瘤医院消化肿瘤内科一病区,江西南昌330029

出　　处：《中国医学创新》2024年第30期96-100,共5页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(20203556)。

摘　　要：目的:探讨揿针疗法联合舒适干预模式对胃肠道肿瘤化疗恶心呕吐的应用效果。方法:本研究于2020年3月—2022年3月进行,共纳入江西省肿瘤医院120例接受化疗的胃肠道肿瘤患者。通过随机数字表法分为对照组(n=60)和试验组(n=60)。对照组接受常规护理,试验组接受揿针疗法联合舒适干预模式。比较两组恶心呕吐改善情况、功能状态[卡式功能状态量表(KPS)评分]、疲乏状况(中文版Piper疲乏评估量表)、依从性情况及生活质量[欧洲癌症研究与治疗组织生命质量问卷(EORTC-QLQ-C30)]的变化。结果:试验组的恶心呕吐改善率高于对照组(P<0.05);干预后,试验组的KPS评分高于对照组、Piper疲劳评估量表评分低于对照组(P<0.05);试验组总依从率高于对照组(P<0.05);干预后,试验组EORTC-QLQ-C30各维度评分均高于对照组(P<0.05)。结论:揿针疗法联合舒适干预模式能有效改善胃肠道肿瘤化疗患者的恶心呕吐症状,提升功能状态,减轻疲乏状况,增强患者的依从性,以及显著提高生命质量。Objective:To explore the application effect of acupressure combined with comfort intervention model on chemotherapy-induced nausea and vomiting in gastrointestinal cancer.Method:The study was conducted from March 2020 to March 2022 and included 120 patients with gastrointestinal cancer receiving chemotherapy in Jiangxi Provincial Cancer Hospital.They were divided into control group(n=60)and experimental group(n=60)by random number table method.The control group received standard care,while the experimental group received acupressure combined with a comfort intervention model.The improvement of nausea and vomiting,functional status(KPS score),fatigue status(Chinese version of the Piper fatigue scale),compliance and quality of life[European organization for research and treatment of cancer quality of life questionnaire(EORTC-QLQ-C30)]were compared between the two groups.Result:The improvement rate of nausea and vomiting in experimental group was higher than that in control group(P<0.05).After intervention,the score of KPS in experimental group was higher than that in control group,the score of Piper fatigue assessment scale in experimental group was lower than that in control group(P<0.05).The total compliance rate of experimental group was higher than that of control group(P<0.05).After intervention,EORTC-QLQ-C30 scores in each dimension in experimental group were higher than those in control group(P<0.05).Conclusion:Acupressure combined with comfort intervention model can effectively improve the symptoms of nausea and vomiting in patients undergoing chemotherapy for gastrointestinal cancer,enhance functional status,alleviate fatigue,increase patient compliance,and significantly improve quality of life.

关 键 词：胃肠道肿瘤 化疗 恶心呕吐 揿针疗法 舒适干预模式 

分 类 号：R473.73[医药卫生—护理学]