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丁佳慧1 解敏君1▲ 汤佳静2 郑 双1.人文关怀结合中医特色护理对晚期肝癌患者癌痛、心理应激、睡眠质量的影响[J].中国现代医生,2021,59(30):164-167+171
人文关怀结合中医特色护理对晚期肝癌患者癌痛、心理应激、睡眠质量的影响
Humanistic care combined with traditional Chinese medicine-based nursing on cancer-related pain,psychological stress and sleep quality of patients with advanced liver cancer
  
DOI:
中文关键词:  晚期肝癌  癌痛  心理应激  睡眠质量  中医特色护理  人文关怀
英文关键词:Advanced liver cancer  Cancer-related pain  Psychological stress  Sleep quality  Traditional Chinese medicine-based nursing  Humanistic care
基金项目:浙江省医药卫生科技计划项目(2018KY896)
作者单位
丁佳慧1 解敏君1▲ 汤佳静2 郑 双1 1.浙江省台州市第一人民医院普外科浙江台州 3180202.浙江省台州市第一人民医院血液肿瘤内科浙江台州 318020 
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中文摘要:
      目的 探讨人文关怀结合中医特色护理对晚期肝癌患者癌痛、心理应激、睡眠质量的影响。方法 选取2018年2 月至2020 年3 月本院96 例晚期肝癌患者,随机分为A、B、C 三组,每组各32 例。A 组给予人文关怀结合中医特色护理,B组给予中医特色护理,C 组给予常规护理干预,比较三组患者不适症状、癌痛、心理应激、应对方式、睡眠质量。结果 A 组头晕乏力、睡眠困难、食欲减退症状发生率分别为15.63%、15.63%、9.38%,B 组为15.63%、18.75%、12.50%,均低于C 组的43.75%、46.88%、34.38%(P<0.05);A 组与B 组干预后癌痛情况改善优于C 组(P<0.05);A 组干预后SAS、SDS 评分低于B 组,B 组低于C 组(P<0.05);A 组干预后面对维度评分高于B 组,B 组高于C 组,回避、屈服维度评分低于B 组,B 组低于C 组(P<0.05);A 组患者干预后睡眠质量、入睡时间、睡眠障碍、睡眠时间、睡眠效率、催眠药物、日间功能评分低于B 组,B 组低于C 组(P<0.05)。结论 人文关怀结合中医特色护理可有效改善晚期肝癌患者不适症状,减轻患者癌痛和心理应激,加强积极应对疾病的心理,提高睡眠质量。
英文摘要:
      Objective To explore the effect of humanistic care combined with traditional Chinese medicine(TCM)-based nursing on cancer-related pain(CRP),psychological stress and sleep quality in patients with advanced liver cancer.Methods Ninety-six patients with advanced liver cancer in our hospital from February 2018 to March 2020 were selected and they were randomly divided into three groups,A,B,and C,with 32 patients in each group.Group A was given humane care combined with TCM-based care,group B was given TCM-based nursing care and group C was given conventional nursing intervention.The discomfort symptoms,CRP,psychological stress,coping styles,and sleep quality were compared among three groups.Results The incidence of dizziness and fatigue,sleep difficulty,and loss of appetite in group A were 15.63%,15.63%,and 9.38%,respectively,and those of group B were 15.63%,18.75%,and 12.50%,respectively,which were lower than those in group C(43.75%,46.88%,and 34.38%)(P<0.05).The improvement of CRP in group A and B after intervention was better than that in group C(P<0.05).After intervention in group A,SAS and SDS scores were lower than group B,and those of group B were lower than group C(P<0.05).After intervention,the score of facing dimension in group A was higher than that in group B,and that in group B was higher than that in group C,while the score of avoidance and yield in group A was lower than that in group B,and those of group B were lower than group C(P<0.05).The scores of sleep quality,time falling asleep,sleep disorder,sleep duration,sleep efficiency,hypnotic drugs,and daytime function of group A were lower than group B,and those of group B were lower than group C(P<0.05).Conclusion Humanistic care combined with TCM-based nursing can effectively relieve the uncomfortable symptoms,reduce CRP and psychological stress,strengthen the psychology to actively deal with diseases,and improve the quality of sleep of patients with advanced liver cancer.
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