摘要
目的 探究芳香疗法联合穴位贴敷在晚期乳腺癌癌性疼痛患者中干预效果。方法 选择2020年3月~2022年3月我院收治的60例晚期乳腺癌癌性疼痛患者，随机分为两组各30例，对照组予以常规护理干预，观察组在此基础上予以芳香疗法联合穴位贴敷干预，比较两组疼痛评分（VAS）、正性负性情绪量表评分（PANAS）、生活质量核心问卷（QLQ-C30）、匹兹堡睡眠质量评分（PSQI）。结果 干预后2组VAS评分、NA评分、PSQI评分均较干预前明显降低（P＜0.05），PA评分均较干预前明显提高（P＜0.05），且观察组均显著优于同期对照组（P＜0.05）。干预后2组症状领域评分、单一症状因子评分较干预前明显降低（P＜0.05），整体生活质量评分、功能领域评分较干预前明显提高（P＜0.05），且观察组QLQ-C30量表各维度评分均显著优于同期对照组（P＜0.05）。结论 芳香疗法联合穴位贴敷应用于晚期乳腺癌癌性疼痛干预中，可减轻疼痛程度，调节心理状态，改善睡眠和生活质量。
关键词： 芳香疗法；穴位贴敷；晚期乳腺癌；癌性疼痛
Abstract
Objective To explore the intervention effect of aromatherapy combined with acupressure in patients with advanced breast cancer cancer pain. Methods 60 patients with advanced breast cancer cancer pain admitted to our hospital from March 2020 to March 2022 were randomly divided into two groups of 30 patients each, the control group was given conventional nursing intervention, and the observation group was given aromatherapy combined with acupressure intervention on the basis of this intervention, and the two groups were compared in terms of pain scores (VAS), scores on the Positive and Negative Emotions Scale (PANAS), the Quality of Life Questionnaire (QLQ- C30), and the Pittsburgh Sleep Quality Index (PSQI). C30), Pittsburgh Sleep Quality Index (PSQI). Results The VAS scores, NA scores, and PSQI scores of the 2 groups were significantly lower (P < 0.05) and the PA scores were significantly higher (P < 0.05) after the intervention compared with the pre-intervention period, and all of them in the observation group were significantly better than those in the control group during the same period (P < 0.05). After the intervention, the symptom domain scores and single symptom factor scores of the 2 groups were significantly lower than those before the intervention (P < 0.05), and the overall quality of life scores and functional domain scores were significantly higher than those before the intervention (P < 0.05), and the scores of all dimensions of the QLQ-C30 scale of the observation group were significantly better than those of the control group in the same period (P < 0.05). Conclusion Aromatherapy combined with acupressure applied in cancer pain intervention for advanced breast cancer can reduce the degree of pain, regulate the psychological state, and improve sleep and quality of life.
Key words： Aromatherapy; Acupressure; Advanced Breast Cancer; Cancer Pain
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