| ObjectiveBased on the theory of midnight-noon ebb-flow,the intervention program of midnight-noon ebb-flow-based auricular acupressure combined with acupoint massage suitable for breast cancer patients with postoperative chemotherapy was constructed,the clinical application effect of the program was explored.Methods1.Through literature review and group discussion,the first draft of midnight-noon ebb-flow-based auricular acupressure combined with acupoint massage was drawn up.Through two rounds of Delphi expert inquiry,the final intervention program was formed.2.Program implementation: A total of 120 breast cancer patients with postoperative chemotherapy who were hospitalized in the breast department of a tertiary hospital of Qingdao from September 2021 to August 2022 were selected.Using a randomized controlled method,participants were divided into control group(auricular acupressure group),test group 1(auricular acupressure combined with acupoint massage group),and test group 2(midnight-noon ebb-flow-based auricular acupressure combined with acupoint massage group),with 40 cases in each group.The control group was given auricular acupressure nursing intervention twice a day on the basis of routine nursing.On the basis of routine nursing,the test group 1 was given auricular acupressure combined with acupoint massage nursing intervention twice a day.The test group 2 was given midnight-noon ebb-flow-based auricular acupressure combined with acupoint massage nursing intervention twice a day on the basis of routine nursing.The Cancer Fatigue Scale,Pittsburgh Sleep Quality Index and FACT-B were used to evaluate the clinical application effect of intervention program in breast cancer patients with postoperative chemotherapy.SPSS25.0software was used for statistical analysis in this study.Statistical methods such as Chi-square test,paired sample t-test,and one-way ANOVA were used to compare the differences between the three groups of patients.Results1.Construction of intervention programThe intervention program was formed through literature review,group discussion and Delphi expert inquiry.The authority coefficients of experts in two rounds of correspondence were 0.880 and 0.895(P<0.05)respectively.The Kendall coordination coefficients of experts in two rounds of correspondence were 0.215 and 0.316(P<0.05)respectively.The intervention program includes 4 primary indicators,13 secondary indicators and 50 tertiary indicators.2.Application of intervention program(1)There was no statistically significant difference in baseline data among the three groups of patients before intervention(P>0.05).(2)Cancer-related fatigue: The total score of CFS and various dimensional scores in control group after intervention were lower than those before intervention(P<0.05).The results of test group 1 and test group 2 were the same as those of the control group compared before and after intervention.After intervention,there were statistically significant differences in CFS scores among three groups(P<0.05).There were statistically significant differences in the total CFS score and various dimensional scores between test group 1 and test group 2(P<0.05).(3)Sleep quality: The sleep quality,sleep latency,sleep time,sleep efficiency,sleep disorders and total score of PSQI in control group after intervention were significantly lower than those before intervention(P<0.05).The total score of PSQI and various dimensional scores in test group 1 after intervention were significantly lower than those before intervention(P<0.05).The results of test group 2 were the same as those of test group 1 compared before and after intervention.After intervention,there were statistically significant differences in sleep quality,sleep latency,sleep time,hypnotics,daytime dysfunction and total score of PSQI among three groups(P<0.05).The sleep latency,hypnotics,daytime dysfunction and total score of PSQI in test group 2 were lower than those in test group 1(P<0.05).(4)Quality of life: The physiological status,emotional status and total score of FACT-B in control group after intervention were higher than those before intervention(P<0.05).The physiological status,social/family status,emotional status,additional attention and total score of FACT-B in test group 1 and test group 2 after intervention were higher than those before intervention(P<0.05).After intervention,there were statistically significant differences in physiological status,social/family status,emotional status,additional attention and total score of FACT-B among three groups(P<0.05).The physiological status,additional attention and total score of FACT-B in test group 2 were higher than those in test group 1(P<0.05).Conclusions1.The intervention program of midnight-noon ebb-flow-based auricular acupressure combined with acupoint massage constructed by Delphi method has certain credibility,innovation and feasibility,and the program is practical.2.The intervention program of midnight-noon ebb-flow-based auricular acupressure combined with acupoint massage can alleviate the cancer-related fatigue,improve the sleep quality and the quality of life in breast cancer patients with postoperative chemotherapy.At the same time,it can provide a practical basis for the further application of the program in clinical nursing. |
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