摘要
目的:中药热奄包外敷联合四肢熏洗在防治肿瘤患者化疗所致不良反应中的应用效果。方法:采用随机数字表抽样,选取在我科接受化疗的120例肿瘤患者作为研究对象,随机分为观察组和对照组各60例。对照组接受肿瘤患者常规护理干预,观察组在对照组基础上采用基于子午流注理论中药热奄包外敷联合四肢熏洗的干预方案;比较两组患者干预后恶心、呕吐临床疗效,干预前后腹胀便秘情况、睡眠质量评分,患者出院时住院满意度。结果:干预后,观察组恶心、呕吐改善总有效率高于对照组,差异有统计学意义(P<0.05);两组腹胀评分、排便时间评分、排便顺畅度评分、便后不尽感评分、睡眠质量评分均低于干预前,且观察组评分低于对照组,差异均有统计学意义(P<0.05);观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论:基于子午流注理论中药热奄包外敷联合四肢熏洗可有效减轻肿瘤患者化疗所致胃肠道不良反应,并促进患者睡眠质量改善,有利于住院满意度提升,具有较高的临床应用价值。
Objective:To explore the application effects of external application of traditional Chinese medicine hot package combined with limb fumigation based on Midnight-noon Ebb-flow Theory on prevention and treatment of chemotherapy-induced adverse reactions for patients with tumors.Methods:120 tumor patients receiving chemotherapy were selected as research objects by the random number table sampling,and randomly divided into an observation group and a controlled group,60 cases in each group.The controlled group received routine nursing intervention for patients with tumors,and the observation group adopted the intervention regimen of external application of traditional Chinese medicine hot package combined with limb fumigation based on Midnight-noon Ebb-flow Theory on the basis of intervention in the controlled group.The clinical efficacy of nausea and vomiting after intervention was compared between the two groups.The scores of abdominal distension and constipation and sleep quality of the two groups of patients were compared before and after intervention.The nursing satisfaction was evaluated in the two groups of patients at discharge.Results:After intervention,the total effective rate of improvement of nausea and vomiting in the observation group was higher than that in the controlled group(P<0.05).The scores of abdominal distension,defecation time,defecation smoothness,post-defecation insufficiency and sleep quality in the two groups were lower than those before intervention,and the scores of the observation group were lower than those of the controlled group(P<0.05).The total nursing satisfaction was higher in the observation group than that in the controlled group(P<0.05).Conclusion:Based on Midnight-noon Ebb-flow Theory,external application of traditional Chinese medicine hot package combined with limb fumigation can effectively reduce the gastrointestinal adverse reactions caused by chemotherapy,promote the improvement of sleep quality and help to improve the hospital satisfaction of patients with tumors,with high clinical application value.
作者
刘春英
刘慧玲
刘春燕
LIU Chunying;LIU Huiling;LIU Chunyan(West China School of Nursing,Sichuan University/Department of Integrative Medicine,West China Hospital,Sichuan University,Chengdu Sichuan 610041,China)
出处
《四川中医》
2022年第8期193-197,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川大学华西护理学科发展专项基金(编号:HXHL20038)
关键词
肿瘤
化疗
胃肠道反应
中药热奄包
子午流注理论
熏洗
睡眠质量
住院满意度
Tumors
Chemotherapy
Gastrointestinal reactions
Traditional Chinese medicine hot package
Midnight-noon Ebb-flow Theory
Fumigation
Sleep quality
Hospital satisfaction
作者简介
通讯作者:刘慧玲,E-mail:X51519@126.com。
