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论著·中医药诊疗 | 更新时间:2026-10-12
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温通拨筋罐疗法对乳腺癌术后化疗患者癌因性疲乏的干预效果
Interventional effect of Wentong Bojin cupping therapy on cancer⁃related fatigue in patients with breast cancer receiving postoperative chemotherapy

广西医学 页码:1330-1336

作者机构:李静,本科,副主任护师,研究方向为肿瘤护理。

基金信息:广西临床重点专科建设项目(桂卫医发〔2024〕24 号);广西(青年)岐黄学者培养项目(GXQH202420);广西中医药重点学科建设单位项目(GZXK-P-20-07);广西中医药大学校级科研项目(2021MS027)

DOI:10.11675/j.issn.0253⁃4304.2026.09.12

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目的 观察温通拨筋罐疗法对乳腺癌术后化疗患者癌因性疲乏的干预效果。方法 将84例乳腺癌术后化疗且存在癌因性疲乏的患者随机分为观察组和对照组,各42例。对照组采用常规乳腺癌化疗护理,观察组在对照组方案基础上采用温通拨筋罐疗法,均连续干预4周。比较干预前后两组患者的Piper疲乏修订量表(PFS⁃R)得分、匹兹堡睡眠质量指数(PSQI)量表得分、乳腺癌患者生活质量测定(FACT⁃B)量表得分,以及干预后的护理满意度。结果 干预后,观察组患者的PFS⁃R各维度得分及总分,以及PSQI量表的睡眠质量维度、入睡时间维度、睡眠时间维度、睡眠效率维度、睡眠障碍维度得分及总分低于对照组,FACT⁃B量表各维度得分及总分,以及护理满意度高于对照组(P<0.05)。结论 在常规乳腺癌化疗护理基础上联合温通拨筋罐疗法,能更有效缓解乳腺癌术后化疗患者的癌因性疲乏症状,改善其睡眠质量,提高生活质量,且患者满意度高。

Objective To observe the interventional effect of Wentong Bojin cupping therapy on cancer⁃related fatigue in postoperative chemotherapy patients with breast cancer. Methods A total of 84 postoperative chemotherapy patients with breast cancer who suffered from cancer⁃related fatigue were randomly divided into observation group or control group, with 42 cases in each group. Patients in the control group received routine nursing care for breast cancer chemotherapy, based on which patients in the observation group received Wentong Bojin cupping therapy. Both groups were continuously intervened for 4 weeks. The scores of the Revised Piper's Fatigue Scale (PFS⁃R), the Pittsburgh Sleep Quality Index (PSQI) scale, and the Functional Assessment of Cancer Therapy⁃Breast (FACT⁃B) scale before and after intervention, as well as nursing satisfaction after intervention, were compared between the two groups. Results After intervention, the scores of each dimension and the total score of PFS⁃R, as well as the sleep quality dimension, sleep latency dimension, sleep duration dimension, sleep efficiency dimension, sleep disturbance dimension, and total score of PSQI scale in the observation group were lower than those in the control group, while the scores of each dimension and the total score of FACT⁃B scale, as well as nursing satisfaction, were higher than those in the control group (P<0.05). Conclusion On the basis of routine nursing care for breast cancer chemotherapy, the combined application of Wentong Bojin cupping therapy can more effectively alleviate fatigue symptoms, improve sleep quality and quality of life in postoperative chemotherapy patients with breast cancer who suffer from cancer⁃related fatigue, with high patients' satisfaction.

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