揿针治疗对肝癌介入患者睡眠质量与负性情绪的效果研究

摘要/Abstract

摘要： 目的探讨揿针治疗对肝癌介入治疗患者睡眠质量与负性情绪的影响。方法采用便利抽样法,选取2021年1月—2021年12月在上海中医药大学附属曙光医院行肝癌介入治疗的62例患者为研究对象,采用随机数表法分为试验组和对照组,每组31例。试验组采用揿针治疗联合健康宣教,对照组采用安慰剂治疗（无针体）联合健康宣教,干预2 d,比较两组睡眠情况及正性、负性情绪评分。结果两组患者一般资料比较,差异无统计学意义（P>0.05）。试验组干预后St.Mary's医院睡眠问卷总分高于对照组,差异有统计学意义（P<0.05）。两组上床入睡时间比较,差异无统计学意义（P>0.05）;试验组实际睡眠时间长于对照组,差异有统计学意义（P<0.05）。试验组负性情绪与对照组对比,差异有统计学意义（P=0.001）。负性情绪中害怕（P=0.031）、心神不宁（P<0.001）、心烦（P=0.001）、紧张（P<0.001）对比,差异有统计学意义。结论揿针操作较简单、便捷,对患者几乎无伤害,可缓解临床肝癌患者发生的睡眠障碍、负性情绪。

关键词: 揿针, 肝癌, 神门穴, 睡眠质量, 负性情绪

Abstract: Objective To investigate the effect of acupuncture on sleep quality and negative emotion in patients with hepatocellular carcinoma undergoing interventional therapy. Methods A total of 62 patients undergoing interventional therapy for liver cancer in a Grade-III hospital in Shanghai from January 2021 to December 2021 were selected by convenience sampling method, and were divided into test group and control group according to complete randomization, with 31 cases in each group. The experimental group was treated with press-needle therapy combined with health education, and the control group was treated with placebo treatment (no needle body) combined with health education. The intervention lasted for 2 days and was changed every day. The sleep conditions and positive and negative emotional scores of the two groups were compared. Results The general data of patients were compared, the difference is not statistically significant (P>0.05). The total score of sleep questionnaire in St. Mary's Hospital after intervention in test group was higher than control group, the difference is statistically significant (P<0.05), which was significant. The time of sleeping time wsa compared between the two groups, the difference is not statistically significant (P>0.05); the actual sleep time of test group was longer than that of control group, and the difference is statistically significant (P<0.05). There was significant difference in negative emotion between experimental group and control group (P=0.001). There were significant differences among fear (P=0.031), restlessness (P<0.001), upset (P=0.001) and tension (P<0.001). Conclusion The operation of acupuncture is simple and convenient, has almost no harm to patients, and can relieve sleep disorders and negative emotions in patients with clinical liver cancer.

Key words: acupuncture, liver neoplasm, shenmen point, sleep quality, negative emotion

中图分类号:

R657.3

王煜, 谢梦雪. 揿针治疗对肝癌介入患者睡眠质量与负性情绪的效果研究[J]. 中华养生保健, 2024, 42(7): 16-19.

WANG Yu, XIE Meng-xue. A Study on the Effect of Pressing Acupuncture Treatment on Sleep Quality and Negative Emotions in Interventional Patients with Liver Cancer[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(7): 16-19.

参考文献

[1] 陈敏山. 中国肿瘤整合诊治指南-肝癌(2022精简版)[J].中国肿瘤临床,2022,49(17):865-873.
[2] 孟令霞. 基于怒伤肝理论的心理应激对肝脏肿瘤的作用研究[D].济南:山东大学,2019.
[3] 张雅丽. 现代中西医护理操作技能[M].上海:复旦大学出版社,2013:72.
[4] 李霞青. 揿针疗法在剖宫产术后疼痛中的应用效果[J].实用临床医学,2023,24(3):54-56.
[5] 陆志芳,陆萍,黄寅,等.揿针穴位刺激对全身麻醉下腹腔镜胆囊切除术患者术后胃肠道功能的影响[J].世界复合医学,2023,9(4):145-148.
[6] 孙庆霞,蔡晖,韩晓玲,等.基于气机升降理论揿针防治胃肠道肿瘤腹腔镜术后恶心呕吐的临床观察[J].现代中西医结合杂志,2023,32(7):998-1001.
[7] 宋庆雨,王诚杰,董志浩,等.针刺联合耳穴揿针治疗失眠有效性与安全性的meta分析[J].按摩与康复医学,2023,14(8):91-96.
[8] 董施秋,高潇,乔文琪,等.盘摇针法结合揿针治疗2型糖尿病后抑郁焦虑状态临床研究[J].针灸临床杂志,2023,39(6):26-29.
[9] 国家卫生健康委办公厅.原发性肝癌诊疗指南(2022年版)[J].临床肝胆病杂志,2022,38(2):288-303.
[10] ELLIS B W, JOHNS M W, LANCASTER R, et al.The St. Mary’s Hospital sleep questionnaire: a study of reliability[J]. Sleep,1980,4(1):93-97.
[11] LEIGH T J, BIRD H A, HINDMARCH I, et al.Factor analysis of the St. Mary’s Hospital Sleep Questionnaire[J]. Sleep,1988,11(5):448-453.
[12] 彭燕. ICU 患者焦虑、抑郁、睡眠状况与 APACHEⅡ评分的相关性研究[D].蚌埠:蚌埠医学院,2011.
[13] WATSON D, CLARK L A, TELLEGEN A.Development and valid ation of brief measures of positive and negative affect: the PANAS scales[J]. Journal of Personality and Social Psychology,1988,54(6):1063-1070.
[14] 郑泓,李玲艳,李诗晨,等.中文版正性负性情绪量表在乳腺癌患者中的信度和效度[J].中国临床心理学杂志,2016,24(4):671-674,670.
[15] 李玉林. 神门穴古代临床应用研究[D].济南:山东中医药大学,2014.
[16] 苏静玫. 手少阴心经神门穴古今应用探讨[D].广州:广州中医药大学,2014.
[17] YUAN J, CHEN Y, YU P, et al.Effect of magnetic stimulation of Shenmen point on cognitive function of chronic insomnia: A randomized controlled clinical trial[J]. Medicine,2020,99(51):e23807.
[18] 杨宇良. 神门穴治疗失眠的机理探讨[J].世界最新医学信息文摘,2017,17(86):63-64.
[19] 宗飞. 护士群体怒表达方式与睡眠质量疲劳状况的相关性调查[D].济南:山东中医药大学,2009.
[20] 孙英霞. 情志致病方式与伤脏规律研究[D].济南:山东中医药大学,2009.
[21] 陈理建,梁慧英,蔡妙国等.自控镇痛泵联合微信管理平台对癌症晚期患者生活质量的影响[J].中国现代医生,2018,14(3):80-83.
[22] 靳文剑. 原发性肝癌预后相关的免疫病理学和临床因素分析[D].南昌:南昌大学,2017.
[23] 李玉,李丽,王国权,等.癌症护理研究现状及趋势[J].解放军护理杂志,2016,33(4):46-50.
[24] 孙晓玲. miRNA在肝细胞癌的研究进展[J].肝脏,2017,22(12):1151-1153.