中西医结合护理 (Jul 2023)
Application of Traditional Chinese Medicine nursing technology for elderly patients with advanced cancer (中医护理在老年晚期恶性肿瘤患者中的应用效果观察)
Abstract
Objective To analyzed the application value of Traditional Chinese Medicine (TCM) characteristic nursing for elderly patients with advanced cancer. Methods Seventy-two elderly patients with advanced malignant tumor who were treated in the hospital between January 2020 and June 2021 were selected as the research objects and divided into control group (n=36) and study group (n=36) according to the random number table method. The control group received routing nursing, while the study group was given TCM nursing techniques based on routing nursing. The pain degree, mental states, sleep quality and quality of life during treatment were measured. Results Scores of Visual Analogue Scale (VAS) of pain, Self-rating Anxiety Scale(SAS)and Self-Rating Depression Scale (SDS) were decreased in both two groups after intervention, and scores of VAS, SAS and SDS in the study group were lower than those in the control group (P＜0. 01). The Pittsburgh sleep quality index (PSQI) score was decreased in both two groups after intervention, and PSQI score in the study group was lower than those in the control group (P＜0. 01). Subscale scores of European Organization for Research and Treatment of Cancer (EORTC) core QOQ-C30 (EORTC QLQ-C30) were increased in both two groups after intervention, and subscale scores in the study group were higher than those in the control group (P＜0. 01). Conclusion Elderly patients with advanced malignant tumor suffer from physical and psychological distress. Application of TCM nursing is helpful to relieve the cancer-related pain and negative emotions and improve the sleep quality and quality of life among elderly patients with advanced cancer. (目的 探讨中医特色护理方法在老年晚期恶性肿瘤患者中的应用效果。方法 选取2020年1月—2021年6月医院收治的老年晚期恶性肿瘤患者72例为研究对象, 采用随机数字表法分为对照组(n=36)和研究组(n=36)。治疗期间, 对照组接受常规护理干预, 观察组在对照组基础上增加中医护理干预。观察和评估护理干预对方患者疼痛、情绪状态、睡眠质量以及生活质量的影响。结果 干预后, 两组疼痛视觉模拟评分量表(VAS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均较干预前下降, 且研究组患者VAS、SAS和SDS量表评分改善优于对照组, 差异有统计学意义(P＜0. 01)。两组匹兹堡睡眠质量指数(PSQI)评分较干预前下降, 且观察组PSQI量表评分低于对照组, 差异有统计学意义(P＜0. 01)。两组欧洲癌症研究与治疗组织生活质量核心30量表(EORTC QLQ-C30)量表维度评分较干预前上升, 且观察组EORTC QLQ-C30量表评分改善幅度优于对照组, 差异有统计学意义(P＜0. 01)。结论 老年恶性肿瘤晚期患者饱受躯体和心理痛苦, 治疗期间给予中医护理进行干预, 有助于缓解疼痛和不良情绪, 改善睡眠和生活质量。)
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