摘要
目的探讨正念癌症康复训练(MBCR)联合耳穴贴压对行化学治疗(简称“化疗”)的肠癌患者胃肠道不良反应的影响。方法以北京中西医结合医院于2020年1月至2021年10月期间收治的98例行化疗的肠癌患者为研究对象,按随机数字表法分为对照组和观察组,各49例。对照组患者接受常规化疗护理,观察组接受MBCR联合耳穴贴压。对比2组的癌因性疲乏、胃肠激素水平和胃肠道不良反应。结果干预4周和8周后,2组的癌症疲乏量表(CFS)各维度得分均比干预前下降,在干预8周的评分均比干预4周更低;观察组均比同期对照组低,对比均存在统计学差异(P均<0.05)。观察组在干预4周和8周后的促胃液素和胃动素水平均比干预前下降,在干预8周的胃动素水平比干预4周更低;对照组在干预8周的促胃液素和胃动素水平均比干预前更低,在干预8周的胃动素水平比干预4周更低;观察组在干预8周后的促胃液素和胃动素水平均比对照组更高,对比均存在统计学差异(P均<0.05)。观察组的胃肠道不良反应发生率均低于对照组(P均<0.05)。结论MBCR联合耳穴贴压能缓解行化疗肠癌患者的癌因性疲乏,有助于调节胃肠激素水平和减少胃肠道不良反应的发生。
Objective To explore the effect of mindfulness-based cancer recovery(MBCR)combined with auricular plaster therapy on the gastrointestinal adverse reactions of intestinal cancer patients undergoing chemotherapy.Methods Ninety-eight intestinal cancer patients who underwent chemotherapy at Beijing Hospital of Integrated Traditional Chinese and Western Medicine from January 2020 to October 2021 were recruited.They were divided into a control group and an observation group through random number table method,with 49 cases in each group.The patients in the control group received routine chemotherapy nursing,while the patients in the observation group received MBCR combined with auricular plaster therapy.The cancer fatigue,gastrointestinal hormone levels,and gastrointestinal adverse reactions of the two groups were compared.Results After 4 and 8 weeks of intervention,the scores of all dimensions of the Cancer Fatigue Scale(CFS)in the two groups decreased when compared with those before intervention,and the scores after 8 weeks of intervention were lower than those after 4 weeks of intervention.The observation group had lower scores than the control group on the corresponding period(all P<0.05).Compared with those before intervention,the gastrin and motilin levels in the observation group decreased after 4 and 8 weeks of intervention,and the motilin level was lower after 8 weeks of intervention than after 4 weeks of intervention.Compared with those before intervention,the gastrin and motilin levels in the control group decreased after 8 weeks of intervention,and the motilin level was lower after 8 weeks of intervention than after 4 weeks of intervention.After 8 weeks of intervention,the observation group had higher gastrin and motilin levels than the control group(all P<0.05).The incidences of gastrointestinal adverse reactions in the observation group were lower than those in the control group(all P<0.05).Conclusion MBCR combined with auricular plaster therapy can alleviate the cancer fatigue of intestinal cancer patient
作者
武一彦
刘昱
郭秋月
WU Yiyan;LIU Yu;GUO Qiuyue(Beijing Hospital of Integrated Traditional Chinese and Western Medicine,Beijing,100039,China)
出处
《中西医结合护理（中英文）》
2023年第2期49-52,共4页
Journal of Clinical Nursing in Practice
关键词
肠癌
化学治疗
正念癌症康复训练
耳穴贴压
胃肠激素
intestinal cancer
chemotherapy
mindfulness-based cancer recovery
auricular plaster therapy
gastrointestinal hormone
