湖南中医药大学学报2025，Vol.45Issue(5)：877-882,6.DOI:10.3969/j.issn.1674-070X.2025.05.013
穴位贴敷联合情志护理对肺癌化疗后癌因性疲乏患者的临床效果
Clinical effects of acupoint application combined with emotional nursing on cancer-related fatigue in patients with lung cancer after chemotherapy
摘要
Abstract
Objective To observe the clinical effects of acupoint application combined with emotional nursing on cancer-related fatigue(CRF)in patients with lung cancer after chemotherapy.Methods A total of 80 patients with cancer-related fatigue(CRF)following lung cancer chemotherapy,admitted to the Second People's Hospital of Hunan Province from April 2023 to April 2024,were enrolled as study subjects.They were divided into a control group(n=40)and an observation group(n=40)using the random number table method.During chemotherapy,both groups were treated with glutamine and Yangzheng Mixture.The control group underwent routine nursing intervention,while the observation group received acupoint application combined with emotional nursing intervention in addition to routine nursing intervention.The psychological states[including Self-Rating Depression Scale(SDS)scores,Self-Rating Anxiety Scale(SAS)scores,Connor-Davidson Resilience Scale(CD-RISC)scores],Cancer Fatigue Scale(CFS)scores,Pittsburgh Sleep Quality Index(PSQI)scores,and Functional Assessment of Cancer Therapy-Lung(FACT-L)scores was compared between the two groups before the intervention and 4 weeks after the intervention.Results After the intervention,the two groups showed decreased SDS and SAS scores(P＜0.05)and increased CD-RISC scores(P＜0.05)compared to those before the intervention;besides,the observation group exhibited lower SDS and SAS scores(P＜0.05)and higher CD-RISC scores(P＜0.05)compared to those in the control group.After the intervention,the CFS scores and all the PSQI subscale scores were lower than those before the intervention(P＜0.05),with the observation group demonstrating even lower scores than the control group(P＜0.05).Furthermore,all subscale scores of the FACT-L improved in both groups post-intervention(P＜0.05),with the observation group achieving higher scores than the control group(P＜0.05).Conclusion The implementation of acupoint application combined with emotional nursing in patients with CRF after lung cancer chemotherapy effectively alleviates patients' negative emotions,reduces the severity of post-chemotherapy CRF,enhances psychological resilience,and positively improves sleep quality and quality of life,demonstrating superior efficacy compared to routine nursing care.关键词
肺癌/化疗/癌因性疲乏/心理状态/穴位贴敷/情志护理Key words
lung cancer/chemotherapy/cancer-related fatigue/psychological states/acupoint application/emotional nursing分类
中医学引用本文复制引用
穆亚南,张海燕,虞建英,伍甜甜,卢桂兰,朱娥,李丹..穴位贴敷联合情志护理对肺癌化疗后癌因性疲乏患者的临床效果[J].湖南中医药大学学报,2025,45(5):877-882,6.基金项目
湖南省卫生健康委员会课题(D202314057443,R2023071). （D202314057443,R2023071）
