摘要
目的 探讨晚期非小细胞肺癌(NSCLC)患者接受穴位敷贴联合康复护理对其疼痛程度、生活质量的影响。方法 选取2021年1月—2023年12月上海中医药大学附属龙华医院收治的78例晚期NSCLC患者为研究对象,按随机数表法将其分为对照组和观察组,各39例。对照组采用常规护理干预,观察组在对照组基础上采用穴位敷贴联合康复护理干预。比较两组的疼痛程度、生活质量、睡眠质量、免疫功能及胃肠道不适反应发生情况。结果 干预后,两组疼痛视觉模拟评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组卡氏功能状态量表评分高于对照组,匹兹堡睡眠质量指数评分低于对照组,组间差异有统计学意义(P<0.05);两组CD4+T淋巴细胞、自然杀伤细胞水平均高于干预前,且观察组均高于对照组,差异有统计学意义(P<0.05)。观察组胃肠道不适反应发生率为2.56%,低于对照组的20.51%,差异有统计学意义(P<0.05)。结论 晚期NSCLC患者接受穴位敷贴联合康复护理干预,具有减轻疼痛感、改善睡眠质量、提高生活质量的优势,同时还可增其强免疫功能,降低胃肠不适症状发生风险。
Objective To explore the effects of acupoint application combined with rehabilitation nursing on pain degree and quality of life in patients with advanced non-small cell lung cancer(NSCLC).Methods A total of 78 patients with advanced NSCLC admitted to Longhua Hospital,Shanghai University of Traditional Chinese Medicine from January 2021 to December 2023 were selected as the research subjects,divide them into a control group and an observation group using a random number table method,with 39 cases in each group.The control group received routine nursing intervention,while the observation group received acupoint application combined with rehabilitation nursing intervention on the basis of the control group.Pain degree,quality of life,sleep quality,immune function and gastrointestinal discomfort were compared between the two groups.Results After intervention,the pain Visual Analogue Scale scores of both groups were lower than those before intervention,and the observation group was lower than that in the control group,the differences was statistically significant(P<0.05);the Karnofsky Performance Scale score of the observation group was higher than that of the control group,Pittsburgh Sleep Quality Index score lower than that of the control group,the differences between the groups were statistically significant(P<0.05);the levels of CD4+T lymphocytes and natural killer cells in both groups were higher than those before intervention,and the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of gastrointestinal discomfort in the observation group was 2.56%,which was lower than 20.51% in the control group,the differences was statistically significant(P <0.05).Conclusion Advanced NSCLC patients receiving acupoint application combined with rehabilitation nursing intervention have the advantages of reducing pain,improving sleep quality,and enhancing quality of life.At the same time,it can also enhance their strong immune function and reduce the risk of gastrointestinal discomfort symptoms.
作者
杨正芳
YANG Zhengfang(Department of Oncology Three,Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)
出处
《反射疗法与康复医学》
2024年第19期16-19,共4页
Reflexology And Rehabilitation Medicine
关键词
晚期非小细胞肺癌
穴位敷贴
康复护理
疼痛
生活质量
免疫功能
Advanced non-small cell lung cancer
Acupoint application
Rehabilitation nursing
Pain
Quality of life
Immune function
