放松训练联合意象引导音频对淋巴瘤化疗患者影响的研究

doi:10.3761/j.issn.0254-1769.2022.15.002

摘要/Abstract

摘要：

目的探讨放松训练联合意象引导音频干预对淋巴瘤化疗患者恶心呕吐、焦虑水平及生命质量的影响。方法采用方便抽样法,选取2020年6月—12月在天津市某三级甲等肿瘤专科医院住院的淋巴瘤初治患者100例作为研究对象,通过随机数字表法将其随机分为试验组和对照组,每组50例。试验组在化疗常规护理基础上接受放松训练联合意象引导音频干预,对照组接受化疗常规护理,包括化疗宣教、准确执行标准化止吐方案以及化疗间歇期线上随访。两组分别于化疗前24 h,第1、3、6周期化疗后24 h、7 d、14 d,采用中文版恶心呕吐干呕症状评估量表（Index of Nausea and Vomiting and Retching,INVR）、焦虑自评量表（Self-Rating Anxiety Scale,SAS）、癌症患者生命质量测定量表（The Functional Assessment of Cancer Therapy-General,FACT-G）进行评定。结果试验组第1、3、6周期化疗后24 h、7 d、14 d,INVR评分、SAS评分均低于对照组,FACT-G总分均高于对照组,差异有统计学意义（P<0.05）。重复测量方差分析结果显示,INVR评分、SAS评分、FACT-G总分的时间效应、组间效应及交互效应均有统计学意义（P<0.05）。结论放松训练联合意象引导音频干预能有效缓解淋巴瘤化疗患者恶心呕吐及干呕症状,减轻其焦虑水平,提高其生命质量。

关键词: 放松训练, 意象引导, 恶心呕吐, 淋巴瘤化疗, 癌症, 生命质量, 护理

Abstract:

Objective To investigate the effect of relaxation training combined with guided imagery on the adverse subjective experience of nausea and vomiting,anxiety levels as well as quality of life in lymphoma patients undergoing chemotherapy. Methods A total of 100 lymphoma patients undergoing initial chemotherapy were divided into an intervention group and a control group using random number table method. Each group contains 50 cases. The intervention group was given relaxation training combined with guided imagery audio based on routine chemotherapy nursing care. The patients in the control group were given routine chemotherapy nursing care,including chemotherapy diet education,accurate implementation of standardized antiemetic programs,and online follow-up during chemotherapy interval. The Index of Nausea and Vomiting and Retching（INVR）,Self-Rating Anxiety Scale（SAS）,and the Functional Assessment of Cancer Therapy-General（FACT-G） were utilized for evaluation. Results At the times of 24 hours before chemotherapy,and 24 hours,7 days,and 14 days after the first,third,and sixth cycle of chemotherapy,the scores of INVR and SAS in the intervention group were lower than those in the control group. The 4 dimensions of physical status,social status,emotional status,and functional status in the FACT-G of cancer patients and the total quality of life score were higher than those in the control group,with statistical significance（P<0.05）. Repeated measures ANOVA results showed that the time effect,the between-group effect and the interaction effect were all statistically significant（P<0.05）. Conclusion Relaxation training combined with guided imagery audio intervention can effectively mitigate the degree of nausea and vomiting,reduce anxiety and improve the quality of life in patients with lymphoma.

Key words: Relaxation Training, Guided Imagery, Nausea and Vomiting, Lymphoma Chemotherapy, Cancer, Quality of Life, Nursing Care

常青, 谢雅婷, 王欢, 王建美, 强万敏. 放松训练联合意象引导音频对淋巴瘤化疗患者影响的研究[J]. 中华护理杂志, 2022, 57(15): 1804-1810.

CHANG Qing, XIE Yating, WANG Huan, WANG Jianmei, QIANG Wanmin. Effects of relaxation training combined with guided imagery audio on lymphoma patients undergoing chemotherapy[J]. Chinese Journal of Nursing, 2022, 57(15): 1804-1810.

图/表 6

表1 放松训练联合意象引导音频训练策略

Table 1 Contents of audio instructions for relaxation training combined with guiding intention

表2 放松训练联合意象引导音频训练要点

Table 2 Essentials of relaxation training combined with guided intention audio training

表3 两组一般资料的比较[例（百分比,%）]

Table 3 Comparison of the general data of 2 groups[case（percentage,%）]

表4 两组恶心呕吐的评分比较（分,$\bar{x} \pm s$）

Table 4 Comparison of scores of nausea and vomiting between the 2 groups at each time point（scores,$\bar{x} \pm s$）

表5 两组焦虑的评分比较（分,$\bar{x} \pm s$）

Table 5 Comparison of anxiety scores between the 2 groups at each time point（scores,$\bar{x} \pm s$）

表6 两组生命质量总分比较（分,$\bar{x} \pm s$）

Table Comparison of the total score of quality of life between the 2 groups at each time point（scores,$\bar{x} \pm s$）

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