摘要
目的探讨中医情志干预联合微信平台在肺癌化疗患者中的应用效果。方法选择2017年5月-2019年2月在我院行化疗治疗的肺癌患者102例作为研究对象,采用随机数字法将其分为对照组和观察组,各51例。对照组给予常规护理,观察组在对照组基础上采用中医情志护理联合微信平台干预,干预4个周期后,比较2组自我感受负担、应激反应及治疗依从性。结果干预后,观察组社交性负担、情感性负担、发展受限负担、时间依赖负担、身体性负担评分及血清皮质醇(Cor)、去甲肾上腺素(NE)及血管紧张素II(AngII)水平均低于对照组(P<0.05);按时化疗、按指导饮食、并发症预防、康复锻炼、定期复查依从性均高于对照组(P<0.05)。结论中医情志干预联合微信平台用于肺癌化疗患者中能改善患者自我感受负担,降低应激反应,提高治疗依从性,值得推广应用。
Objective To explore the effect of traditional Chinese medicine(TCM)emotional intervention combined with WeChat platform in chemotherapy of lung cancer patients and its effect on stress response.Methods A total of 102 patients with lung cancer and treated between May 2017 and February 2019 were enrolled and randomly divided into a control group(n=51)and an observation group(n=51).The control group received routine nursing,while the observation group was given TCM emotional intervention based on the WeChat platform.After 4 cycles of chemotherapy,the patient′s nursing effect was evaluated,and the self-perceived burden,stress response and compliance were compared.Results After 4 cycles of chemotherapy,the average social burden,affective burden,developmental burden,time-dependent burden,and physical burden score,as well as the average level of serum cortisol,noradrenaline and angiotensin II of the observation group were significantly lower than those of the control group(P<0.05 for all).Moreover,the average revisiting,food,rehabilitation exercise and health education compliance of the observation group were significantly higher than those of the control group(P<0.05 for all).Conclusion TCM emotional intervention combined with WeChat platform can relieve patients′self-perceived burden and stress response,and improve nursing compliance of lung cancer patients undergoing the chemotherapy.Therefore,it is worthy of popularization and application.
作者
黄霞
王桂琴
HUANG Xia;WANG Guiqin(Ward 10 of the Inpatient Department,Rugao Hospital of Traditional Chinese Medicine,Nantong 226500,China)
出处
《中国临床护理》
2021年第1期40-43,共4页
Chinese Clinical Nursing
关键词
中医情志干预
微信平台
肺癌患者
护理
自我感受负担
应激反应
依从性
TCM emotional intervention
WeChat platform
Lung cancer patients
Nursing
Self-perceived burden
Stress response
Compliance
