摘要
目的:观察中医情志护理对乳腺癌放疗患者负性情绪及应激反应的影响。方法:选取200例乳腺癌放疗患者,按随机数字表法分为观察组和对照组,每组100例。对照组给予常规护理,观察组在对照组基础上给予中医情志护理。2组均连续护理8周。比较2组护理前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及血浆促肾上腺皮质激素(ACTH)、皮质醇(Cor)水平,评价2组护理效果。结果:护理后,2组SAS、SDS评分均较护理前降低(P<0.05),观察组SAS、SDS评分均低于对照组(P<0.05)。护理后,2组ACTH水平均较护理前降低(P<0.05),观察组ACTH水平低于对照组(P<0.05);2组Cor水平均较护理前升高(P<0.05),观察组Cor水平低于对照组(P<0.05)。经秩和检验,观察组护理效果优于对照组(Z=3.594,P<0.05)。结论:中医情志护理干预乳腺癌放疗患者,可改善其负性情绪,减轻应激反应,护理效果较好。
Objective:To observe the effect of Chinese medicine emotional nursing on negative emotion and stress response of patients undergoing radiotherapy for breast cancer.Methods:A total of 200 cases of patients undergoing radiotherapy for breast cancer were selected and divided into the observation group and the control group according to the random number table method,100 cases in each group.The control group was given routine nursing,and the observation group was additionally given Chinese medicine emotional nursing based on the nursing of the control group.Both groups were nursed for eight weeks.Before and after nursing,the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)as well as the levels of adrenocorticotropic hormone(ACTH)and cortisol(COR)in plasma in the two groups were compared.The nursing effect in the two groups was evaluated.Results:After nursing,the scores of SAS and SDS in the two groups were decreased when compared with those before nursing(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).After nursing,ACTH levels in the two groups were decreased when compared with those before nursing(P<0.05),and the level in the observation group was lower than that in the control group(P<0.05).COR levels in the two groups were increased when compared with those before nursing(P<0.05),and the level in the observation group was lower than that in the control group(P<0.05).The nursing effect in the observation group was better than that in the control group(Z=3.594,P<0.05).Conclusion:The application of Chinese medicine emotional nursing for patients undergoing radiotherapy for breast cancer can improve their negative emotion and reduce stress response,with good nursing effect.
出处
《新中医》
CAS
2021年第8期139-141,共3页
New Chinese Medicine
关键词
乳腺癌
放疗
中医情志护理
焦虑
抑郁
促肾上腺皮质激素
皮质醇
Breast cancer
Radiotherapy
Chinese medicine emotional nursing
Anxiety
Depression
Adrenocorticotropic hormone
Cortisol
