中药溻渍联合情绪舒缓疗法与视觉艺术疗法对宫颈癌放疗患者心理、生活质量的影响及对放射性阴道炎的防治作用
Value of Chinese medicine collapse stains combined with emotional relief intervention and visual art therapy in treating cervical cancer radiotherapy and its prevention role for radiation vaginitis
刘琼 1吕欢欢 1闫辉 1袁香坤 1赵笑博 1王晴雯 1王玺 1万红美 1马忠金1
作者信息
- 1. 河北省沧州中西医结合医院放化疗二科,河北 沧州 061000
- 折叠
摘要
目的 观察中药溻渍联合情绪舒缓疗法与视觉艺术疗法对宫颈癌放疗患者心理、生活质量的影响及对放射性阴道炎的防治作用.方法 选择2020 年2 月至2021 年10 月收治的宫颈癌放疗患者120 例为研究对象,按照随机数字表法分为2 组,对照组60 例予西医常规干预措施,治疗组60 例在对照组的基础上加用中药溻渍联合情绪舒缓疗法与视觉艺术疗法干预.2 组均干预治疗6 个月.比较 2 组治疗前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、心理忍受程度评分、心理痛苦程度评分及简明健康状况量表(SF-36)(包括生理与精神健康 2 个领域的生理功能、生理职能、躯体疼痛、社会功能、活力、情感职能、精神健康及总体健康)评分变化情况,比较2 组治疗期间放射性阴道炎发生率、发生时间及严重程度.结果 与本组治疗前比较,2 组治疗后SAS评分及SDS评分均降低(P<0.05),且治疗组治疗后SAS评分及SDS评分均低于对照组(P<0.05).与本组治疗前比较,2 组治疗后心理忍受程度评分及心理痛苦程度评分均降低(P<0.05),且治疗组治疗后心理忍受程度评分及心理痛苦程度评分均低于对照组(P<0.05).与本组治疗前比较,2 组治疗后SF-36 生理功能、生理职能、躯体疼痛、社会功能、活力、情感职能、精神健康及总体健康评分均升高(P<0.05),且治疗组治疗后SF-36 各项评分均高于对照组(P<0.05).治疗组放射性阴道炎发生率低于对照组(P<0.05),发生时间晚于对照组(P<0.05),严重程度轻于对照组(P<0.05).结论 中药溻渍联合情绪舒缓疗法与视觉艺术疗法在宫颈癌放疗患者中具有重要应用价值,可明显改善患者焦虑抑郁状态,改善心理状况,提高生活质量,减少和推迟放射性阴道炎的发生,减轻病情严重程度.
Abstract
Objective To study the value of Chinese medicine collapse stains combined with emotional relief interven-tion and visual art therapy(VAT)in cervical cancer radiotherapy and its prevention role for radiation vaginitis.Methods A to-tal of 120 cases of cervical cancer radiotherapy visited in our hospital from February 2020 to October 2021 were randomly assigned into the treatment group(n =60)and the control group(n =60).All patients were managed by routine Western medicine,and those in the treatment group were additionally treated with Chinese medicine collapse stains combined with emotional relief inter-vention and VAT.Treated for 6 months,the aim was to compare Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),psychological tolerance score,psychological distress score,36-item Short Form Health Survey(SF-36)(inclu-ding two domains of physical and mental health:physiological function,physiological role,bodily pain,social function,vitality,emotional function,mental health,general health)scores,the incidence,onset time and severity of radiation vaginitis.Results After treatment,the scores of SAS and SDS,and the scores of psychological tolerance and psychological distress in the two groups decreased significantly than those before treatment(all P<0.05),while,the each domain scores of SF-36 scale in the two groups increased significantly(all P<0.05).The improvements were more pronounced in the treatment group than those of the control group(all P<0.05).Conclusion Chinese medicine collapse stains combined with emotional relief interven-tion and VAT in treating cervical cancer radiotherapy has important application value,which can improve their anxiety-depression status,alleviate the psychological negative,improve the quality of life,thus reduce the disease severity by decreasing and delaying the occurrence of radiation vaginitis.
关键词
宫颈癌/放射疗法/阴道炎/中药溻渍/情绪释放/视觉艺术Key words
Cervical cancer/Radiotherapy/Vaginitis/Chinese medicine collapse stains/Emotional release/Visual art引用本文复制引用
基金项目
河北省中医药局中医药类科研计划(2020)(2020491)
出版年
2024
国家科技期刊平台
NSTL
万方数据