穴位贴敷联合情志护理干预乳腺癌化疗患者效果研究
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R244;R248

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Study on Effect of Point Application Combined with Emotional Nursing Intervening Patients After Chemotherapy for Breast Cancer
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    摘要:

    目的:探究穴位贴敷联合情志护理对乳腺癌化疗患者胃肠道功能及负性情绪的影响。方法:选取130 例乳腺浸润性导管癌患者,按随机数字表法将其分成2 组,对照组65 例采用常规治疗及护理干预,观察组65 例采用穴位贴敷联合情志护理。检测2 组治疗前后血清乙酰胆碱酯酶(AChE) 活性、血浆抑制素、胃泌素、胃动素水平,比较焦虑自评量表(SAS)、抑郁自评量表(SDS) 评分及胃肠道反应。结果:2 组护理前AChE 活性、抑制素、胃泌素、胃动素水平及SAS、SDS 评分比较,差异无统计学意义(P>0.05)。护理后,观察组AChE 活性、抑制素与对照组护理后相比更高,而胃泌素、胃动素与对照组护理后相比更低,差异有统计学意义(P<0.05);观察组SAS、SDS 评分较对照组护理后低,差异有统计学意义(P<0.05)。化疗第1 个疗程住院期间,观察组患者胃肠道反应轻于对照组,差异有统计学意义(P<0.05)。结论:穴位贴敷联合情志护理用于乳腺癌患者化疗后效果显著,可明显提高其胃肠道功能,有效改善患者的焦虑、抑郁情绪。

    Abstract:

    Abstract:Objective:To investigate the effect of point application combined with emotional nursing on gastrointestinal function and negative emotion in patients after chemotherapy for breast cancer. Methods:A total of 130 cases of patients with breast invasive ductal carcinoma were selected and divided into two groups according to the random number table method, 65 cases in each group. The control group was given routine treatment and nursing intervention, and the observation group was treated with point application combined with emotional nursing. Before and after treatment, the activity of acetylcholinesterase(AChE) in serum,the levels of inhibin,gastrin and motilin in the two groups were detected; the scores of Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS) as well as gastrointestinal reactions were compared. Results:Before nursing,there was no significant difference in the comparisons of the AChE activity,the levels of inhibin, gastrin and motilinas as well as the scores of SAS and SDS between the two groups(P>0.05). After nursing, AChE activity and inhibin in the observation group were significantly increased when compared with those in the control group,and gastrin and motilin were decreased,the difference being significant(P<0.05). The scores of SAS and SDS in the observation group were lower than those in the control group, the difference being significant(P<0.05). During the first course of chemotherapy in the hospitalization period,the gastrointestinal reaction in the observation group was significantly more mild than that in the control group, the difference being significant(P<0.05). Conclusion: The therapy of point application combined with emotional nursing has significant effect on patients after chemotherapy for breast cancer,which can significantly enhance the gastrointestinal function as well as effectively improve the anxiety and depression of patients.

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张云玲,叶春丽,毛爱钰.穴位贴敷联合情志护理干预乳腺癌化疗患者效果研究[J].新中医,2020,52(15):173-176

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  • 在线发布日期: 2020-08-08
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