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中医情志干预对食管癌放疗患者自护能力和生活质量的影响OA

Effect of emotional intervention of traditional Chinese medicine on self care ability and quality of life of patients with esophageal cancer after radiotherapy

中文摘要英文摘要

目的:探究中医情志干预对食管癌放疗患者自护能力和生活质量的影响.方法:选取2020年5月-2022年5月某院收治的80例食管癌放疗患者,随机分为对照组和观察组,各40例,对照组给予常规干预,观察组在对照组基础上给予中医情志干预.比较两组心理状态[焦虑自评量表(SAS)和抑郁自量表(SDS)]、希望水平[中文版Herth希望量表(HHI)]、癌因性疲乏[Piper疲乏修订自评量表(RPFS)]、自护能力[自护能力测定量表(ES-CA)]及生活质量[癌症患者生活质量测定量表(EORTC QLQ-C30)].结果:干预后,与对照组相比,观察组SAS评分和SDS评分均明显较低(t=-4.837,-4.004;P<0.001),HHI各维度评分均明显较高(t=5.050,6.441,5.260;P<0.001),RPFS各维度评分均明显较低(t=-4.622,-5.683,-4.949,-5.013;P<0.001),ESCA各维度评分均明显较高(t=5.862,5.170,7.120,5.546;P<0.001),EORTC QLQ-C30 各维度评分均明显较高(t=7.358,6.468,4.133,4.813,6.615;P<0.001).结论:中医情志干预可明显改善食管癌放疗患者的心理状态,增强希望水平,减轻癌因性疲乏,提高自护能力,提升生活质量.

Objective:To explore the influence of emotional intervention of Traditional Chinese Medicine(TCM)on self-care ability and quality of life of patients with esophageal cancer undergoing radiotherapy.Methods:A total of 80 patients with esophageal cancer undergoing radiotherapy in our hospital from May 2020 to May 2022 were ran-domly divided into the control group and the observation group,with 40 patients in each group.The control group was given routine intervention,and the observation group was given emotional intervention of traditional Chinese medicine on the basis of the control group.The psychological status(SAS and SDS),hope level[Chinese version of Herth Hope Scale(HHI)],cancer-related fatigue[(Piper Fatigue Revised Self Rating Scale(RPFS)],self-care a-bility(ESCA)and quality of life(EORTC QLQ-C30)were compared between the two groups.Results:After inter-vention,SAS scores and SDS scores in the observation group were significantly lower than those in the control group(t=-4.837,-4.004;P<0.001),HHI scores in all dimensions were significantly higher(t=5.050,6.441,5.260;P<0.001),RPFS scores in all dimensions were significantly lower(t=-4.622,-5.683,-4.949,-5.013;P<0.001),ESC A scores in all dimensions were significantly higher(t=5.862,5.170,7.120,5.546;P<0.001),EORTC QLQ-C30 scores in all dimensions were significantly higher(t=7.358,6.468,4.133,4.813,6.615;P<0.001).Conclusion:Emo-tional intervention of traditional Chinese medicine can significantly improve the psychological status of patients with esophageal cancer undergoing radiotherapy,enhance the level of hope,reduce cancer-related fatigue,improve the a-bility of self-care,and improve the quality of life.

徐海丽;刘杨

南阳医专第一附属医院中医科 473000河南省肿瘤医院放射科

基础医学

中医情志干预食管癌放疗自护能力生活质量

Traditional Chinese medicineemotional interventionEsophageal cancerRadiotherapySelf care abilityQuality of life

《中国健康心理学杂志》 2024 (004)

531-536 / 6

河南省科技攻关计划项目(编号:212102310117)

10.13342/j.cnki.cjhp.2024.04.010

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