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晚期肿瘤患者抑郁情绪改善与益处发现的关系
引用本文:廖娟,赵阳,赵楠,刘春凤,吴煜,周春梅,赵元辰,马芸. 晚期肿瘤患者抑郁情绪改善与益处发现的关系[J]. 世界科学技术-中医药现代化, 2017, 19(3): 480-485
作者姓名:廖娟  赵阳  赵楠  刘春凤  吴煜  周春梅  赵元辰  马芸
作者单位:中国中医科学院西苑医院 北京 100091,中国中医科学院GCP中心 北京 100091,中国中医科学院西苑医院 北京 100091,中国中医科学院西苑医院 北京 100091,中国中医科学院西苑医院 北京 100091,中国中医科学院西苑医院 北京 100091,中国中医科学院广安门医院 北京 100053,中国中医科学院西苑医院 北京 100091
基金项目:中国中医科学院自主选题项目(ZZ0808027):中医五行音乐配合渐进性肌肉放松操方案改善门诊及社区肿瘤患者抑郁状态的随机对照临床研究,负责人:廖娟。
摘    要:目的:探讨晚期肿瘤患者抑郁情绪改善与益处发现的关系。方法:对综合医院焦虑/抑郁情绪测评中大于7 分且小于15 分的80 例晚期肿瘤患者,随机分为干预组与对照组,最终纳入76 例,干预组39 例、对照组37 例。对照组采用渐进性肌肉放松操(Progressive Muscle Relaxation Training,PMRT)干预,干预组给予中医特色技术(中医五行音乐配合肌肉放松操),采用益处发现评定量表(Benefit Finding Scale,BFS)和综合医院焦虑/抑郁情绪测定表(Hospital Anxiety and Depression Scale,HADS)减分率评定干预8 周后的疗效。结果:第8 周治疗后,干预组在BFS和HADS减分率明显高于对照组,差异有统计学意义。干预组在BFS和HADS变化趋势明显高于对照组,差异有统计学意义。干预组BFS中有8 个单项值高于对照组,差异有统计学意义。结论:晚期肿瘤患者益处发现与采用中医特色技术相关,中医特色技术可以提高晚期肿瘤患者益处发现水平,这丰富和完善了中医特色技术调治肿瘤患者抑郁情绪方案。

关 键 词:中医特色技术;抑郁;益处发现;晚期肿瘤
收稿时间:2017-01-25
修稿时间:2017-04-25

Relations between Relieving Depression and Benefit Findings for Advanced Cancer Patients
Liao Juan,Zhao Yang,Zhao Nan,Liu Chunfeng,Wu Yu,Zhou Chunmei,Zhao Yuanchen and Ma Yun. Relations between Relieving Depression and Benefit Findings for Advanced Cancer Patients[J]. World Science and Technology—Modernization of Traditional Chinese Medicine and Materia Medica, 2017, 19(3): 480-485
Authors:Liao Juan  Zhao Yang  Zhao Nan  Liu Chunfeng  Wu Yu  Zhou Chunmei  Zhao Yuanchen  Ma Yun
Affiliation:Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China,GCP Center, China Academy of Chinese Medical Sciences, Beijing 100091, China,Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China,Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China,Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China,Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China,Guang??anmen Hopital, China Academy of Chinese Medical Sciences, Beijing 100053, China and Xiyuan Hospital, China Academy of Chinese Medical Sciences, Beijing 100091, China
Abstract:This study was aimed to discuss the relations between relieving depression and benefit findings for advanced cancer patients. A total of 80 advanced cancer patients with the anxiety / depression assessment of more than 7 points and less than 15 points, were randomly divided into the intervention group and the control group, in comprehensive hospitals. Finally, 76 cases were included with 39 cases in the intervention group, and 37 cases in the control group. The progressive muscle relaxation training (PMRT) was used in the control group. Traditional Chinese medicine (TCM) special technique (i.e., TCM five-element musicotherapy plus PMRT) was used in the intervention group. The reduced fraction of the Benefit Finding Scale (BFS) and the Hospital Anxiety and Depression Scale (HADS) were used in the effect evaluation after 8-week intervention. The results showed that after 8-week treatment, the reduced fractions of BFS and HADS in the intervention group were obviously higher than the control group with statistical significance. The variation tendencies of BFS and HADS in the intervention group were obviously higher than the control group with statistical significance. There were 8 individual values in BFS of the intervention group were higher than the control group with statistical significance. It was concluded that the benefit findings for advanced cancer patients were related to the application of TCM special techniques, can improve the levels of benefit findings among advanced cancer patients. It enriched and perfected the depression regulation plan of cancer patients by TCM special techniques.
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