摘要
目的探索基于“整体衡动观”的申时循经拍打联合黄芪水内服改善气虚型肺癌癌因性疲乏(cancer-related fatigue,CRF)患者的效果,为气虚型CRF患者缓解疲乏提供新方法。方法选取2022年1月至12月在本院肿瘤科住院的100例气虚型原发性肺癌CRF患者作为研究对象,采用简单随机法将其分为对照组和观察组,每组各50例。对照组患者采用常规对症治疗及护理,观察组患者在对照组的基础上,接受10d基于“整体衡动观”申时循经拍打联合黄芪水内服。干预前后分别采用Piper疲乏修订量表(revised Piper fatigue scale,PFS-R)、中医证候积分和功能状态评分(Karnofsky performance status,KPS)对患者的疲乏情况、中医证候积分和体力状况进行评价。结果两组患者疲乏总分及行为、情感、感觉维度得分,中医证候积分,KPS评分干预前后差值比较,差异有统计学意义(均P<0.01),观察组干预前后改变值均高于对照组。结论基于“整体衡动观”的循经拍打联合黄芪水内服可改善气虚型肺癌CRF患者气虚症状,提高患者的功能状态,为气虚型肺癌CRF患者提供一种简单易行、安全有效的治疗方法。
Objective To investigate the effect of integrated treatment of Meridian Tapping and Huangqi Water Intake based on the concept of"Holistic Balance"for improving cancer-related fatigue(CRF)in Qi-deficiency type lung cancer patients,and to provide new methods for relieving fatigue in Qi-deficiency type CRF patients.Methods A total of 100 Qi-deficiency primary lung cancer CRF patients admitted to the oncology department of our hospital from January to December 2022 were selected as the research subjects and divided into a control group and an observation group using simple randomization,with 50 patients in each group.The control group received routine symptomatic treatment and care,while the observation group received 10 days of meridian tapping and huangqi water intake based on the concept of"Holistic Balance"in addition to the routine treatment.The revised piper fatigue scale(PFS-R),traditional Chinese medicine syndrome score,and Karnofsky performance status(KPS)were used to evaluate the fatigue status,TCM syndrome score,and physical condition of the patients before and after the intervention.Results The study found that the integrated treatment of meridian tapping and huangqi water intake based on the concept of"Holistic Balance"improved CRF and Qi-deficiency symptoms in lung cancer patients.The difference in the total fatigue score and the scores of the behavioral,emotional,and sensory dimensions,TCM syndrome score,and KPS score between the two groups before and after the intervention were statistically significant(all<0.01),and the change values in the observation group were higher than those in the control group.Conclusion The study suggests that integrated treatment of Meridian Tapping and Huangqi Water Intake based on the concept of"Holistic Balance"can provide a simple,safe,and effective treatment method for Qi-deficiency type lung cancer CRF patients,and improve their functional status.
作者
蔡姣芝
肖舒静
杨敏菲
成燕云
李娟
Cai Jiaozhi;Xiao Shujing;Yang Minfei;Cheng Yanyun;Li Juan(Department of Oncology,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou,510370,China)
出处
《现代临床护理》
2023年第4期47-52,共6页
Modern Clinical Nursing
基金
2020年度广东省中医院中医药科学技术研究专项基金
项目编号YN2020HL01。
关键词
原发性肺癌
癌因性疲乏
气虚证
黄芪
循经拍打操
primary lung cancer
cancer-related fatigue
Qi-deficiency syndrome
huangqi
meridian tapping
