CAJ | 학술논문

目的：研究中医延续护理在消化道肿瘤随访中的应用价值。方法将2010年9月-2013年1月64例接受过诊治的中晚期消化道肿瘤患者随机分成对照组和研究组，其中对照组31例，研究组33例。对照组行常规随访，研究组行常规随访＋中医延续护理（耳穴磁珠贴压＋中药足浴＋足底反射区按摩＋十全大补汤口服）。随访前和随访4周后评价两组睡眠质量、疼痛强度、胃纳及癌因性疲乏（CRF）程度等。结果随访前匹兹堡睡眠质量指数对照组为（10．39±3．84），研究组为（10．15±3．73）；疼痛数字评分对照组为（2．26±1．03），研究组为（2．21±1．05）；CRF评分对照组为轻度8例、中度20例、重度3例，研究组为轻度10例、中度21例、重度2例。3个指标在两组间的差异均无统计学意义（P＞0．05）。随访4周后匹兹堡睡眠质量指数对照组为（10．10±3．35），研究组为（8．48±2．50），差异有统计学意义（t＝2．170，P＜0．05）；疼痛数字评分对照组为（2．19±0．83），研究组为（1．76±0．75），差异有统计学意义（t＝2．201，P＜0．05）；CRF评分对照组为轻度11例、中度16例、重度4例，研究组为轻度20例、中度13例、重度0例，差异有统计学意义（ Z＝-2．330， P＜0．05）。结论中医延续护理在中晚期消化道肿瘤随访中具有改善症状的作用。
목적：연구중의연속호리재소화도종류수방중적응용개치。방법장2010년9월-2013년1월64례접수과진치적중만기소화도종류환자수궤분성대조조화연구조，기중대조조31례，연구조33례。대조조행상규수방，연구조행상규수방＋중의연속호리（이혈자주첩압＋중약족욕＋족저반사구안마＋십전대보탕구복）。수방전화수방4주후평개량조수면질량、동통강도、위납급암인성피핍（CRF）정도등。결과수방전필자보수면질량지수대조조위（10．39±3．84），연구조위（10．15±3．73）；동통수자평분대조조위（2．26±1．03），연구조위（2．21±1．05）；CRF평분대조조위경도8례、중도20례、중도3례，연구조위경도10례、중도21례、중도2례。3개지표재량조간적차이균무통계학의의（P＞0．05）。수방4주후필자보수면질량지수대조조위（10．10±3．35），연구조위（8．48±2．50），차이유통계학의의（t＝2．170，P＜0．05）；동통수자평분대조조위（2．19±0．83），연구조위（1．76±0．75），차이유통계학의의（t＝2．201，P＜0．05）；CRF평분대조조위경도11례、중도16례、중도4례，연구조위경도20례、중도13례、중도0례，차이유통계학의의（ Z＝-2．330， P＜0．05）。결론중의연속호리재중만기소화도종류수방중구유개선증상적작용。
Objective To study the application value of traditional Chinese medical continuing nursing care in follow-up of patients with gastrointestinal carcinoma .Methods Sixty-four patients with advanced gastrointestinal carcinoma from September 2010 to January 2013 were randomly divided into the control group (n=31) and the experimental group (n =33).The control group received the routine follow-up, while the experimental group received routine follow-up plus traditional Chinese medical continuing nursing care including pressing the auricular point by magnetic beads , foot bath in the traditional Chinese medicine , massage at the plantar reflex zone and oral shiquandabu decoction .The quality of sleep , the intensity of pain , appetite and cancer-related fatigue ( CRF ) were evaluated before and four weeks after the follow-up in two groups. Results Before the follow-up, Pittsburgh sleep quality index (PSQI) was (10.39 ±3.84) in the control group, and (10.15 ±3.73) in the experimental group; the score of pain numerical rating scale was (2.26 ± 1.03) in the control group, and (2.21 ±1.05) in the experimental group;the cases of the mild, moderate and severe according to CRF score were respectively 8, 20, 3 cases in the control group , and respectively 10, 21, 2 cases in the experimental group , and the differences in the three indexes between two groups were not statistically significant (P>0.05).Four weeks after the follow-up, PSQI was (10.10 ±3.35) in the control group, and (8.48 ±2.50) in the experimental group, and the difference was statistically significant (t =2.170,P<0.05);the score of pain numerical rating scale was (2.19 ±0.83) in the control group, and (1.76 ±0.75) in the experimental group, and the difference was statistically significant (t =2.201,P <0.05);the cases of the mild, moderate and severe according to CRF score were respectively 11, 16, 4 cases in the control group , and respectively 20, 13, 0 cases in the experimental group , and the difference was statistically significant (Z =-2.330,P <0.05).Conclusions The traditional Chinese medical continuing nursing care can improve the symptoms in the follow-up of patients with advanced gastrointestinal carcinoma .