| Objctive:Breast cancer ranks first in the incidence of female cancer in the world.With the advancement of precision medicine and the"two-quantity(all-round,full cycle)" medical model,the survival of breast cancer has been further improved,but the accompanying diagnosis,treatment and life pressure,The proportion of late-onset psychological barriers and PTSD(posttraumatic stress disorder)who are afraid of going to the hospital is on the rise,affecting quality of life and survival time.This study utilized the therapeutic advantages of TCM comprehensive therapy on TCM emotional disease,explored the intervention effect of TCM comprehensive therapy on patients with breast cancer PTSD,and guided future clinical work.And designing a comprehensive TCM intervention method for self-management of PTSD patients with different symptoms and different degrees of breast cancer including diet and physique,and a WeChat small procedure for medical treatment,so that they can stay at home as doctors and meet the actual needs of patients.Methods:In the Clinical trial section of the study,prospective randomized controlled trials of 100 patients with breast cancer PTSD who met the inclusion criteria were randomized to the test group and the control group at a ratio of 1:1,with 50 patients in each group.The experimental group was treated with 12 weeks of traditional Chinese medicine plus 12 weeks of individual music therapy(15 minutes per day)and four sections of Chinese medicine psychotherapy;the control group was treated with pure Chinese medicine for 12 weeks.The PTSD self-rating scale(PCL-C),depression self-rating scale(SDS),quality of life scale(FACT-B),and Pittsburgh sleep index number table(PSQI)of breast cancer patients in the experimental group and the control group before and after intervention were observed and analyzed.Statistical analysis was performed using spss 23.0 software and conclusions were drawn.The WeChat applet design part of this research relies on modern information technology,based on the WeChat platform,and the construction of WeChat applets is designed by professional technicians.The small program consists of four modules:?PTSD related knowledge introduction ?PTSD self-rating scale and TCM body quality table ?symptom management route ?PTSD related knowledge linkResult:1.Baseline comparison:There were no significant differences between the general data of the experimental group and the control group and the scores of the PCL-C,SDS,FACT-B,and PSQI before intervention.(P>0.05)2.Comparison of efficacy before and after intervention in the same group:After the intervention,the scores of the PCL-C,SDS,FACT-B,and PSQI were improved in the test group and the control group.The difference was statistically significant compared to before the intervention.(P<0.05)3.Comparison of efficacy before and after intervention between groups:PCL-C,SDS,PSQI scores in the experimental group were significantly lower than those in the control group(P<0.05).The FACT-B score of the experimental group was significantly increased,which was statistically significant compared with the control group.(P<0.05)4.Hierarchical comparison:FACT-B scores were compared,and the differences between the two groups were statistically significant.After the intervention,the scores of the five groups of patients with physical status,social/family status,emotional status,functional status,and additional attention increased,and there were statistically significant differences(P<0.05)5.There were no adverse reactions in the experimental group and the control group during the intervention6.The intervention methods and results of clinical trials provide theoretical support for small program designConclusion:1.Under the guidance of TCM theory,the combination of individual music therapy and TCM psychotherapy can significantly improve the PTSD and depression of breast cancer patients;and can significantly improve the sleep of breast cancer patients2.Chinese medicine comprehensive therapy can significantly improve the quality of life of breast cancer patients,3.Chinese medicine comprehensive therapy combined with traditional Chinese medicine treatment,the effect is significantly better than simple Chinese medicine treatment,should be promoted in clinical work. |
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