[1]王亚玲,王玉芹,张小曼,等.穴位按摩联合音乐疗法对肝癌介入术后患者疼痛的影响[J].介入放射学杂志,2018,27(12):1202-1205.
 WANG Yaling,WANG Yuqin,ZHANG Xiaoman,et al.The effect of acupressure massage combined with music therapy on pain degree in patients with liver cancer after receiving interventional treatment[J].journal interventional radiology,2018,27(12):1202-1205.
点击复制

穴位按摩联合音乐疗法对肝癌介入术后患者疼痛的影响()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
27
期数:
2018年12期
页码:
1202-1205
栏目:
护理论坛
出版日期:
2018-12-25

文章信息/Info

Title:
The effect of acupressure massage combined with music therapy on pain degree in patients with liver cancer after receiving interventional treatment
作者:
王亚玲 王玉芹 张小曼 郑 雯
Author(s):
WANG Yaling WANG Yuqin ZHANG Xiaoman ZHEN Wen.
Nursing College of Xuzhou Medical University, Xuzhou, Jiangsu Province 221004, China
关键词:
【关键词】 原发性肝癌 肝动脉化疗栓塞术 穴位按摩 音乐疗法 疼痛
文献标志码:
A
摘要:
【摘要】 目的 探讨穴位按摩联合音乐疗法对肝癌介入术后患者疼痛程度的影响。方法 在常规护理的基础上,将150例首次行介入术治疗的原发性肝癌患者随机分为3组,穴位按摩组50例,音乐疗法组50例,联合组50例。采用数字疼痛评分(NRS)法、休斯顿疼痛情况调查表(HPOI),评价3组患者术后疼痛程度及疼痛控制满意度。结果 穴位按摩组、音乐疗法组与联合组之间疼痛疗效存在组间差别(P<0.05),同一时间内,穴位按摩组和音乐疗法组患者疼痛评分明显高于联合组(P<0.05);穴位按摩组和音乐疗法组患者疼痛对身体或日常生活的影响高于联合组(P<0.05),患者疼痛控制方法满意度低于联合组(P<0.05)。结论 穴位按摩联合音乐疗法能够有效降低肝癌介入术后患者疼痛程度,减轻患者痛苦,提高患者疼痛控制满意度。

参考文献/References:

[1] Lobo L, Yakoub D, Picado O, et al. Unresectable hepatocellular carcinoma: radioembolization versus chemoembolization: a systematic review and meta- analysis[J]. Cardiovasc Intervent Radiol, 2016, 39: 1580- 1588.
[2] 刘学章. 原发性肝癌TACE术后综合征临床表现及治疗[J]. 临床医学, 2004, 24: 22- 23.
[3] 沈 曲, 李 峥, Gwen S, 等. 手术后患者疼痛控制满意度状况及影响因素的研究[J]. 中华护理杂志, 2007, 42: 197- 202.
[4] 朱梅珍, 朱嬿蕾, 叶建英. 原发性肝癌患者肝动脉化疗栓塞术后肝区疼痛的观察和护理[J]. 护士进修杂志, 2011, 26: 910- 911.
[5] 孙丽华, 于 秋, 王金娜. 太冲、 丘墟穴位按摩缓解中晚期肝癌患者疼痛效果观察[J]. 护理学杂志, 2008, 23: 37- 38.
[6] 杨 静, 龙 燕, 杨 捷. 按摩手和足部穴位缓解子宫切除术后疼痛的效果评价[J]. 中华现代护理杂志, 2013, 19: 3889- 3891.
[7] 宋运池. 疼痛预处理配合音乐疗法对肝癌TACE后急性腹痛的影响研究[J]. 现代中西医结合杂志, 2017, 26: 3756- 3758.
[8] 苏金桂. 穴位按摩配合五音疗法改善肝动脉化疗栓塞术后舒适度的研究进展[J]. 护理研究, 2016, 30: 4241- 4242.
[9] 陈子德, 陈晓明. 肝癌栓塞后综合征研究概况[J]. 实用医学杂志, 2014, 30: 3524- 3527.
[10] 闫作义, 原晓红, 邵 月. 穴位按摩缓解中晚期肝癌疼痛120例[J]. 国际中医中药杂志, 2012, 34: 280- 281.
[11] 汪 琪. 穴位按摩实用技法[M]. 中原出版传媒集团, 2009.
[12] Li XM, Yan H, Zhou KN, et al. Effects of music therapy on pain among female breast cancer patients after radical mastectomy: results from a randomized controlled trial[J]. Breast Cancer Res Treat, 2011, 128: 411- 419.
[13] White JM. State of the science of music interventions. Critical care and perioperative practice[J]. Crit Care Nurs Clin North Am, 2000, 12: 219- 225.
[14] 邓旭阳, 刘取芝, 张 伟. 音乐疗法在疼痛干预治疗中的应用进展[J]. 临床麻醉学杂志, 2013, 29: 1232- 1234.
[15] 刘冬华, 徐凌忠. 疼痛评估工具的选择及应用研究进展[J]. 全科护理, 2014, 12: 200- 202.
[16] 沈 曲, 李 峥. 休斯顿疼痛情况调查表信度和效度的研究[J]. 中华护理杂志, 2006, 41: 1049- 1051.
[17] 沈海洋, 杨 光, 刘瑞宝, 等. 原发性肝癌患者肝动脉化疗栓塞术后肝区疼痛的临床意义[J]. 介入放射学杂志, 2010, 19: 297- 300.
[18] Merboth MK, Barnason S. Managing pain: the fifth vital sign[J]. Nurs Clin North Am, 2000, 35: 375- 383.
[19] Yeh CH, Chien LC, Lin WC, et al. Pilot randomized controlled trial of auricular point acupressure to manage symptom clusters of pain, fatigue, and disturbed sleep in breast cancer patients[J]. Cancer Nurs, 2016, 39: 402- 410.
[20] 梁 芳, 闫 蓓, 张 爱, 等. 耳穴压豆联合穴位按摩对慢性胃炎疼痛和焦虑的影响[J]. 护理研究, 2015, 29: 2419- 2421.
[21] 章 娟, 邵 艳, 兰 军, 等. 音乐结合放松疗法对肝癌介入治疗患者焦虑及疼痛的影响[J]. 护理学杂志, 2015, 30: 86- 88.
[22] 左亚芹, 孙 莉, 高 玲. 穴位按摩在乳腺癌改良根治术后术肢功能康复中的应用[J]. 护理学杂志, 2014, 29: 86- 87.
[23] 周凯娜, 李小妹. 音乐疗法对乳腺癌根治术后患者疼痛的影响[J]. 中华护理杂志, 2010, 45: 1086- 1088.

相似文献/References:

[1]叶更新,曾文,杜德坤,等.肝动脉栓塞与经皮碘油标记酒精注射联合治疗晚期肝癌[J].介入放射学杂志,1996,(01):42.
[2]施长杲,吕维富,鲁 东,等.肝动脉化疗栓塞术后并发肝脓肿5例治疗分析[J].介入放射学杂志,2011,(04):273.
 SHI Chang-gao,LV Wei-fu,LU Dong,et al.The treatment of liver abscess occurred after transcatheter arterial chemoembolization report of five cases[J].journal interventional radiology,2011,(12):273.
[3]程洪涛,郭晨阳,黎海亮,等.TACE联合射频消融治疗原发性肝癌疗效的影响因素分析[J].介入放射学杂志,2012,(03):216.
 ,,et al.TACE combined with CTguided percutaneous radiofrequency ablation for the treatment of primary hepatocellular carcinomas: an analysis of factors affecting the therapeutic result [J].journal interventional radiology,2012,(12):216.
[4]张晓前,郭 鹏,党之俊,等.金龙胶囊联合介入疗法治疗原发性肝癌临床观察[J].介入放射学杂志,2012,(03):249.
 ,,et al.Kinglong capsules combined with interventional therapy for hepatocellular carcinomas: clinical observation [J].journal interventional radiology,2012,(12):249.
[5]姚红响,陈根生,诸葛英,等.肝动脉化疗栓塞联合CT引导射频消融序贯治疗中小肝癌的临床应用[J].介入放射学杂志,2012,(04):301.
 ,,et al.Sequential treatment with TACE and CTguided RFA for small and moderate sized HCC [J].journal interventional radiology,2012,(12):301.
[6]姚全军,胡鸿涛,黎海亮,等.C臂CT成像在乏血供原发性肝癌诊疗中的临床应用[J].介入放射学杂志,2012,(04):305.
 ,,et al.The clinical application of C arm CT imaging in diagnosing and treating hypovascular primary hepatic carcinomas [J].journal interventional radiology,2012,(12):305.
[7]高 嵩,朱旭,杨仁杰,等. TACE联合奥沙利铂、氟尿嘧啶、亚叶酸钙肝动脉化疗治疗中晚期原发性肝癌[J].介入放射学杂志,2012,(05):377.
 ,,et al. TACE combined with hepatic arterial infusion chemotherapy using oxaliplatin, 5fluorouracil and folinic acid for intermediate and advanced hepatocellular carcinomas[J].journal interventional radiology,2012,(12):377.
[8]刘 昕,吕维富,鲁 东,等. 动脉介入栓塞治疗肝癌破裂出血[J].介入放射学杂志,2012,(07):586.
 LIU Xin,LV Wei- fu,LU Dong,et al. Interventional treatment of hepatic bleeding due to spontaneous rupture of hepatocellular carcinoma[J].journal interventional radiology,2012,(12):586.
[9]张志良,杨学东,温阿明,等. 经动脉化疗栓塞联合伽玛刀治疗原发性肝癌的疗效评价[J].介入放射学杂志,2012,(07):596.
 ZHANG Zhi- liang,YANG Xue- dong,WEN A-ming,et al. Evaluation of TACE combined with gamma?蛳 knife radiotherapy for primary hepatocellular carcinoma[J].journal interventional radiology,2012,(12):596.
[10]赵许亚,周 石.TACE联合经皮瘤内注射碘油吡柔比星乳剂治疗中晚期肝癌疗效分析[J].介入放射学杂志,2012,(08):675.
 ZHAO Xu- ya,ZHOU Shi.. Transcatheter artery chemoembolization combined with percutaneous intratumoral injection of Lipiodol emulsion of pirarubicin for advanced hepatocellular carcinomas: an analysis of clinical efficacy[J].journal interventional radiology,2012,(12):675.
[11]冯 超,赵剑波,陈 勇,等.原发性肝癌切除术后预防性经肝动脉介入治疗:肝动脉化疗栓塞术和化疗灌注术比较[J].介入放射学杂志,2014,(08):679.
 FENG Chao,ZHAO Jian bo,CHEN Yong,et al.The preventive transhepatic interventional therapy for primary liver cancer after surgical resection: comparison study between TACE and TAI[J].journal interventional radiology,2014,(12):679.
[12]吴正阳,朱 明,周朋利,等.肝癌TACE术后破裂并发肝脓肿及肺动脉碘化油栓塞1例[J].介入放射学杂志,2016,(11):988.
 WU Zheng- yang,ZHU Ming,ZHOU Peng- li,et al.Rupture of hepatic tumor complicated by liver abscess and pulmonary lipiodol embolism after TACE: report of one case[J].journal interventional radiology,2016,(12):988.
[13]宿敬存,赵 卫,胡继红,等.TACE联合RFA及自体细胞因子诱导的杀伤细胞肝动脉灌注治疗原发性肝癌的临床研究[J].介入放射学杂志,2017,(01):24.
 SU Jing- cun,ZHAO Wei,HU Ji- hong,et al.TACE combined with RFA and hepatic artery infusion of autologous cytokine- induced killer cells for the treatment of hepatocellular carcinoma: a clinical study [J].journal interventional radiology,2017,(12):24.
[14]许 飞,李忱瑞,孙 伟,等.原发性肝癌TACE术中雷替曲塞的临床应用 [J].介入放射学杂志,2017,(05):418.
 XU Fei,LI Chenrui,SUN Wei,et al.The clinical application of raltitrexed in TACE for primary hepatocellular carcinoma[J].journal interventional radiology,2017,(12):418.
[15]刘 金,曹 刚,张根山,等.国产CalliSpheres载药微球治疗原发性肝癌12例 [J].介入放射学杂志,2017,(11):993.
 LIU Jin,CAO Gang,ZHANG Genshan,et al.Interventional chemoembolization with drug- eluting microspheres of domestic CalliSpheres for the treatment of primary hepatocellular carcinomas: preliminary results in 12 patients[J].journal interventional radiology,2017,(12):993.
[16]陈旭姣,丁长伟,畅智慧,等.原发性肝癌患者肝动脉化疗栓塞术治疗前、后血浆D- 二聚体变化的临床意义 [J].介入放射学杂志,2017,(12):1128.
 CHEN Xujiao,DING Changwei,CHANG Zhihui,et al.Clinical significance of the changes in plasma D- dimer levels in HCC patients after receiving TACE[J].journal interventional radiology,2017,(12):1128.
[17]杨 亮,顾玉明,鹿 皎,等.超声造影与增强MRI在评价肝癌TACE术后疗效的应用比较[J].介入放射学杂志,2019,28(07):682.
 YANG Liang,GU Yuming,LU Jiao,et al.Contrast- enhanced ultrasonography versus contrast- enhanced MRI in the evaluation of therapeutic effect of TACE for HCC: comparison of application value[J].journal interventional radiology,2019,28(12):682.
[18]陈 丽,余日胜,赖林强,等.髓源性抑制细胞监测在评估中晚期肝癌TACE预后中的临床价值[J].介入放射学杂志,2019,28(08):742.
 CHEN Li,YU Risheng,LAI Linqiang,et al.The clinical value of myeloid- derived suppressor cell monitoring in predicting the prognosis of advanced hepatocellular carcinoma after TACE [J].journal interventional radiology,2019,28(12):742.
[19]朱孟超,张庆桥,徐 浩,等.CalliSpheres载药微球治疗原发性肝癌并发肝脓肿4例分析[J].介入放射学杂志,2020,29(09):939.
 ZHU Mengchao,ZHANG Qingqiao,XU Hao,et al.Liver abscess formation caused by CalliSpheres beads treatment for primary liver cancer: analysis of 4 patients[J].journal interventional radiology,2020,29(12):939.
[20]徐宏伟,孙德生,徐惠亮,等.碳酸氢钠肝动脉灌注联合TACE治疗中晚期原发性肝癌的疗效观察[J].介入放射学杂志,2021,30(09):932.
 XU Hongwei,SUN Desheng,XU Huiliang,et al.Transarterial infusion of sodium bicarbonate combined with TACE for advanced primary liver cancers: observation of its curative effect[J].journal interventional radiology,2021,30(12):932.

备注/Memo

备注/Memo:
(收稿日期:2018-03-17)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2018-12-20