中医适宜技术结合安宁疗护对终末期肿瘤患者负性情绪和生活质量的影响

摘要/Abstract

摘要： 目的探讨中医适宜技术结合安宁疗护对终末期肿瘤患者负性情绪和生活质量的影响。方法回顾性分析,选取2021年2月—2024年1月绥阳县中医医院收治的116例终末期恶性肿瘤患者作为研究对象,按不同护理方案分为对照组和观察组。对照组52例,采用安宁疗护;观察组64例,在对照组的基础上采用中医适宜技术。两组连续干预8周,对比两组生活质量、负性情绪变化、生命意义感。结果干预前两组负性情绪、生活质量及生命意义评分比较,差异无统计学意义（P>0.05）。干预8周后,两组负性情绪评分均低于干预前,生活质量及生命意义感评分均高于干预前,且观察组抑郁、焦虑、人际障碍、怀疑情绪评分均低于对照组,对生命的接受与适应、生活态度、自我控制、人际关系及生活目标评分均高于对照组,躯体、角色、认知及社会功能评分高于对照组,差异有统计学意义（P<0.05）。结论中医适宜技术结合安宁疗护可改善终末期肿瘤患者的负性情绪,使其重新获得生命意义感,提高其生活质量。

关键词: 中医适宜技术, 安宁疗护, 终末期肿瘤

Abstract: Objective To explore the impact of appropriate traditional Chinese medicine techniques combined with palliative care on negative emotions and quality of life in end-stage cancer patients. Methods A retrospective analysis was used. A total of 116 cases of terminal malignant tumour patients who were hospitalized in the oncology department of the hospital from February 2021 to January 2024 were selected as research subjects. Different nursing programmes were used to divide them into a control group and an observation group, with 52 cases in the control group adopting hospice care; 64 cases in the observation group adopting appropriate techniques of Chinese medicine on the basis of the control group; the two groups were intervened continuously for 8 weeks. Compare the quality of life, changes in negatire emotions, sense of life meaning of the two groups. Result Comparison of negative emotion, quality of life and meaning of life scores between the two groups before intervention, the difference was not statistically significant (P>0.05).After 8 weeks of intervention, the negative mood scores of both groups were lower than those before intervention, and the quality of life and sense of meaning of life were higher than those before intervention, and the depression, anxiety, interpersonal disorders, and scepticism of the observation group were lower than those of the control group, and the acceptance and adaptation to life, attitude to life, self-control, interpersonal relationships, and goals of life, and the scores of physical, role, cognitive, and social functioning were higher than those of the control group, with the differences being statistically significant (P<0.05). Conclusion The combination of appropriate traditional Chinese medicine techniques and palliative care can improve the negative emotions of end-stage cancer patients, help them gain the meaning of life, and improve their quality of life.

Key words: appropriate techniques for traditional Chinese medicine, palliative care, end stage tumors

中图分类号:

R473.73

张堂娟. 中医适宜技术结合安宁疗护对终末期肿瘤患者负性情绪和生活质量的影响[J]. 中华养生保健, 2025, 43(10): 140-143.

ZHANG Tang-juan. The Impact of Appropriate Traditional Chinese Medicine Techniques Combined with Palliative Care on Negative Emotions and Quality of Life in End-Stage Cancer Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(10): 140-143.

参考文献

[1] SIEGEL R L,GIAQUINTO A N,JEMAL A.Cancer statistics,2024[J].CA Cancer J Clin,2024,74(1):12-49.
[2] HE S,XIA C,LI H,et al.Cancer profiles in China and comparisons with the USA: a comprehensive analysis in the incidence,mortality,survival,staging,and attribution to risk factors[J].Sci China Life Sci,2024,67(1):122-131.
[3] 张晓杰,郭兴达,宋薇,等.安宁疗法对老年肿瘤晚期患者癌痛及生活质量的影响[J].中国老年学杂志,2023,43(23):5679-5682.
[4] 陈静,李瑞,那光玮,等.中医适宜技术联合心理干预对恶性肿瘤患者心理状态的影响[J].西部中医药,2020,33(4):134-136.
[5] 罗莎莉,隋海洋,侯公林.癌症患者心理压力量表的编制和测量学属性的研究[J].华中科技大学学报(医学版),2013,42(1):94-98.
[6] 夏浩志,汪洋,宋慧,等.癌症患者生命意义量表编制及信效度测评[J].中国实用护理杂志,2015,31(12):900-903.
[7] VAN ROIJ J,KIEFFER J M,VAN DE POLL-FRANSE L,et al.Assessing measurement invariance in the EORTC QLQ-C30[J].Qual Life Res,2022,31(3):889-901.
[8] 郭菲,杨福娜,张婷,等.人类适转理论指导下的安宁疗护对临终期肿瘤患者的影响[J].齐鲁护理杂志,2023,29(5):125-128.
[9] 温丽娜,李亚,宋芳.多学科协作诊疗式安宁疗护干预在终末期肿瘤患者中的应用[J].癌症进展,2023,21(6):683-685,696.
[10] 李野,唐玲,徐京巾,等.中医护理适宜技术缓解化疗相关恶心呕吐的最佳证据总结[J].中国实用护理杂志,2023,39(34):2681-2687.
[11] 肖娟,朱丽.中医护理技术联合协同护理模式对结直肠癌术后化疗患者的影响[J].护理实践与研究,2023,20(15):2334-2338.
[12] 徐雯,甄长萍,陈肖霞,等.中医适宜技术联合宁养照护在终末期肿瘤患者护理中的应用效果[J].中国肿瘤临床与康复,2022,29(5):573-576.
[13] 李亚,李艳,刘淑丹.中医特色护理联合安宁疗护在晚期癌症患者中的应用[J].齐鲁护理杂志,2023,29(9):91-93.
[14] 任娜,田梦白,卢羿同,等.肺癌术后患者生命意义感现状及其影响因素分析[J].中华现代护理杂志,2024,30(6):806-811.
[15] 王婷婷,段霞.妇科恶性肿瘤患者癌因性疲乏中医护理干预的证据总结[J].中华护理杂志,2023,58(17):2095-2102.