结直肠癌术后化疗患者应用音乐联合芳香疗法的疗效分析

Effect of music and aromatherapy on colorectal cancer patients with chemotherapy after surgery

摘要:

目的  评价音乐联合芳香疗法在结直肠癌术后化疗患者中的疗效。方法  将该院2012年1月-2014年12月收治的符合纳入标准的220例直肠癌患者随机分为观察组和对照组，每组110例。观察组患者手术后在常规护理的基础上接受音乐（早晚各1次）和芳香（晚1次）辅助治疗，持续至出院；对照组患者仅接受常规护理。采用视觉模拟评分（VAS）记录患者手术后的1、4及7 d及出院前疼痛情况，焦虑自评量表（SAS）、抑郁自评量表（SDS）和匹兹堡睡眠质量指数（PSQI）评估患者化疗前后情绪及睡眠状况；同时记录各组化疗期间出现恶心呕吐患者例数。结果  与对照组相比，观察组患者疼痛、焦虑及抑郁水平明显降低（P <0.05）；睡眠质量得到明显改善（P <0.05）；同时，恶心呕吐发生率显著降低（P <0.05）。结论  音乐联合芳香疗法在结直肠癌术后化疗患者护理中效果显著，值得推广。

Abstract:

Objective To evaluate the efficacy of music combined with aromatherapy in colorectal cancer patients receiving chemotherapy after operation. Methods Totally 220 patients with colorectal cancer from Jan. 2012 to Dec. 2014 were collected and divided into observation group and control group with 110 cases in each group. Music and aromatherapy were given to the observation group after operation till hospital discharge, while the patients in the control group received only routine care. A visual analog scale (VAS) was used to assess the pain conditions 1, 4 and 7 days after operation and before hospital discharge. The Self-rating Anxiety Scale (SAS), the Self-rating Depression Scale (SDS) and the Pittsburgh Sleep Quality Index (PSQI) were used to evaluate the mood and sleep before and after chemotherapy. Additionally, the number of patients with nausea and vomiting during chemotherapy were also recorded. Results Compared with the control group, pain, anxiety and depression levels were significantly decreased in the observation group (P < 0.05); while sleep quality was improved significantly (P < 0.05). At the same time, the incidence of nausea and vomiting was significantly lower (P < 0.05). Conclusions The combined application of music and aromatherapy is effective and worthy of promotion in colorectal cancer patients with chemotherapy after operation.