耳部刮痧配合正念疗法对晚期肺癌患者肿瘤相关性失眠的临床疗效

The clinical effect of ear scraping combined with mindfulness therapy on tumor related insomnia in advanced lung cancer patients

关键词:  耳部刮痧  正念疗法  肺癌  失眠

Key words:  ear scraping  mindfulness therapy  lung cancer  insomnia

摘要:

[目的] 探讨耳部刮痧配合正念疗法对住院的晚期肺癌患者睡眠障碍的影响。[方法]选取2023年1月—2024年1月在天津中医药大学第一附属医院诊治的具有睡眠障碍的肺癌晚期患者128例，随机分为安宁疗护组、耳部刮痧组、正念疗法组、联合组4组，每组32例。分别采取安宁疗护护理、安宁疗护+耳部刮痧、安宁疗护+正念疗法、安宁疗护+耳部刮痧+正念疗法干预。4组患者在第0周和第4周周末测量匹兹堡睡眠质量指数（PSQI）量表、生活质量测定量表（EORTC QLQC-30），并比较临床疗效有效率。[结果] 干预4周后4组患者PSQI 评分均下降（P<0.05），且EORTC QLQ-C30评分升高（P<0.05），且耳穴刮痧组PSQI评分低于正念疗法组（P<0.05），正念疗法组EORTC QLQ-C30评分高于耳穴刮痧组；联合组改善效果最佳，PSQI 评分低于其他3组（P<0.05），且EORTC QLQ-C30评分高于其他3组（P<0.05），且联合组有效率显著高于耳部刮痧组与正念疗法组。[结论]耳部刮痧配合正念疗法能有效改善晚期肺癌患者肿瘤相关性失眠症状，从身、心两方面提高患者整体生活质量。

Abstract:

[Objective] To explore the effect of ear scraping combined with mindfulness therapy on sleep disorders in hospitalized patients with advanced lung cancer. [Methods] A total of 128 advanced lung cancer patients with sleep disorders who were treated at the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine from January 2023 to January 2024 were randomly divided into four groups：hospice care group，ear scraping group，mindfulness therapy group，and combination group，with 32 cases in each group. Interventions included palliative care，palliative care with ear scraping，palliative care with mindfulness therapy，and palliative care with ear scraping and mindfulness therapy. The Pittsburgh Sleep Quality Index（PSQI） and Quality of Life Inventory（EORTC QLQC-30） were measured in four groups at the weekend of week 0 and week 4，and the clinical efficacy rate was calculated. [Results] After 4 weeks of intervention，the PSQI scores of all 4 groups of patients decreased（P<0.05），and the EORTC QLQ-C30 score increased（P<0.05）. The PSQI score of the ear scraping group was lower than that of the mindfulness therapy group（P<0.05），and the EORTC QLQ-C30 score of the mindfulness therapy group was higher than that of the ear scraping group；the combination group had the best improvement effect，with a lower PSQI score than the other three groups（P<0.05），and a higher EORTC QLQ-C30 score than the other three groups（P<0.05）. The effective rate of the combination group was significantly higher than that of the ear scraping group and the mindfulness therapy group. [Conclusion] Ear scraping combined with mindfulness therapy can effectively improve tumor related insomnia symptoms in advanced lung cancer patients，and improve the overall quality of life of patients from both physical and mental aspects.