芳香疗法联合情绪释放技术对失眠乳腺癌患者影响的研究

目的 探讨薰衣草芳香疗法联合情绪释放技术（emotional freedom techniques,EFT）对心脾两虚型失眠乳腺癌患者的影响。方法 采用便利抽样法,选取2020年9月—2021年7月在杭州市某三级甲等医院乳腺科住院的心脾两虚型失眠乳腺癌患者作为研究对象。采用双因素两水平的析因设计,根据随机数字表法分为对照组（n=32）、薰衣草芳香疗法组（n=33）、EFT组（n=32）和联合组（n=32）。对照组给予失眠常规护理;在失眠常规护理的基础上,薰衣草芳香疗法组给予薰衣草芳香疗法,EFT组给予EFT干预,联合组同时给予薰衣草芳香疗法联合EFT的综合干预,干预周期为2周。分别于患者入组24 h内、干预2周后采用匹兹堡睡眠质量指数量表（Pittsburgh Sleep Quality Index,PSQI）进行睡眠质量的评估,用医院焦虑抑郁量表（Hospital Anxiety and Depression Scale,HADS）评估负性情绪的改善情况,用中医证候量表评估症状的改善情况。结果 干预前后,除对照组外,3组的PSQI评分、医院焦虑量表评分、医院抑郁量表评分及中医证候量表评分比较,差异均有统计学意义（P均<0.05）;干预后,4组的PQSI评分、医院焦虑量表评分、医院抑郁量表评分及中医证候量表评分比较,差异均有统计学意义（F=10.049,P<0.001;F=9.328,P<0.001;F=14.934,P<0.001;F=3.741,P<0.05）,且2种疗法结合的综合干预方案在总体疗效上优于单独任何一种疗法;2种疗法对心脾两虚中医症状的改善存在协同的交互效应。结论 联合应用薰衣草芳香疗法与EFT可有效改善心脾两虚型失眠乳腺癌患者的睡眠质量,在缓解不良情绪、减轻症状方面也具有一定效果。

Effect of lavender aromatic therapy combined with emotional freedom techniques on insomnia cancer breast patients with heart and spleen deficiency

Objective To investigate the clinical nursing effect of lavender aromatherapy combined with emotional freedom techniques（EFT） on insomnia patients with breast cancer and heart-spleen deficiency.Methods A total of 140 patients with insomnia due to heart-spleen deficiency of breast cancer who met the inclusion criteria in the department of mammary gland of a tertiary hospital in Hangzhou from September 2020 to July 2021 were selected as the research subjects by convenience sampling method. Factorial design with 2 factors and 2 levels was adopted. According to the random number table method,the patients were divided into a control group（n=32）,an aromatic group（n=33）,an EFT group（n=32） and a combined group（n=32）. The control group was given routine care of insomnia;on the basis of routine nursing for insomnia,the aromatic group was given lavender aromatherapy,and the EFT group was given EFT. The combined group was given the above 3 methods of comprehensive interventions at the same time,and the intervention period was 2 weeks. Pittsburgh sleep quality index（PSQI） was used to evaluate sleep quality within 24 hours and 2 weeks after intervention. Hospital anxiety and depression scale（HADS） was used to evaluate the improvement of negative emotions. The improvement of symptoms was evaluated by traditional Chinese Medicine（TCM） symptom score standard of deficiency of heart and spleen.Results Before and after the intervention,except the control group,the PSQI score,HASD score and TCM symptom score of the 3 groups were compared,and the differences were statistically significant（P<0.05）. After intervention,the differences in PQSI score,HADS score and symptom score among the 4 groups were statistically significant（F=10.049,P<0.001;F=9.328,P<0.001;F=14.934,P<0.001;F=3.741,P<0.05）,and the combined intervention of the 2 therapies was superior to any single therapy in the overall efficacy. The combined therapy has synergistic interaction effect on improving TCM symptoms of deficiency of both heart and spleen.Conclusion The combination of 2 therapies can effectively improve the sleep quality of breast cancer patients with insomnia of deficiency of both heart and spleen,and it has a magical effect in alleviating bad mood and relieving TCM symptoms.