| Objective:To explore the effect of cancer-related fatigue in patients with advanced lung cancer,Ear acupoint bean pressing combined with Baduanjin were used in this study.To provide more effective,nursing Traditional Chinese medicine measures for the advanced lung cancer patients.Methods:The cases were selected from 160 patients with advanced lung cancer who were hospitalized in a provincial-level top three Chinese medicine hospital from January2019 to December 2019.They were randomly divided into four teams,40 cases in each team,which were the control team,the Ear acupoint bean pressing group,the Baduanjin group,and the Ear acupoint bean pressing Baduanjin combined team respectively.To assess the intervention effects of four teams needed the Piper Fatigue Scale-Revised and the Pittsburgh Sleep Quality Index Scale.The intervention was lasted for 4 weeks,and the patients were evaluated on the scale before and after the interpose.All teams were adopted routine nursing interpose,including nutritional diet,knowledge education of Traditional Chinese medicine,drug treatment,symptomatic treatment and psychological counseling.(1)The control team adopts routine nursing interpose.(2)On the basis of routine nursing interpose,the ear point pressing bean group gave patients to press Ear acupoint bean to intervene,sticking seeds to the center of the tape,and apply it to the ear acupuncture points,instruct the patient to press 3 to 5 times a day,15 minutes before bed Intensify the compression once,each time pressing each point for 0.5 to 1 minute,the feeling of soreness when pressing is subject to replacement every day,alternating left and right ears.(3)On the basis of routine nursing intervention,the Baduanjin group uses the movements designed by the State Sports General Administration in 2003 to propagate the whole set of movements,organize a collective training course,and be guided by nurses for demonstration every 15 to 30 minutes.Establish the patient’s Baduanjin exercise manual,primary nurse effectively manage the patient’s exercise and self-care.(4)On the basis of routine nursing interpose.,the Ear acupoint bean pressing Baduanjin combined Group was given the patient to press Ear acupoint bean interpose everyday,and Baduanjin was given daily intervention.Results:1.According to the statistics,the basic data of patients,such as gender,pathological type,age data,pathological stage,and disease course,are not statistically significant(P> 0.05).2.The four teams were all compared in the Piper Fatigue Scale-Revised scores before and after 4 weeks.There were significant differences in the total scores and scores of various dimensions of the Ear acupoint bean pressing Baduanjin combined Group before and after intervention(P<0.05).The Ear acupoint bean pressing group had a significant difference in total scores and scores of various dimensions(P<0.05)before and after intervention.The Baduanjin group had a significant difference in total score(t=7.812,P=0.010<0.05),behavioral dimension(t=6.817,P=0.014<0.05),affective dimension(t=5.741,P=0.011<0.05)and sensory dimension(t =4.243,P=0.031<0.05).There were remarkable discrepancy before and after intervention,but there was no remarkable discrepancy before and after intervention in cognitive dimension(t=1.325,P=0.139>0.05).The control team had no remarkable discrepancy in the total scores and four dimensions before and after the intervention(P>0.05).In the Pittsburgh Sleep Quality Scale,there were remarkable discrepancy before and after intervention in the Ear acupoint bean pressing Baduanjin combined Group(t=14.542,P=0.001<0.05),there were remarkable discrepancy in the Ear acupoint bean pressing group before and after intervention(t=12.049,P=0.002 <0.05);There was a remarkable discrepancy before and after intervention in the Baduanjin group(t=4.216,P=0.036<0.05);there was no remarkable discrepancy between before and after intervention in the control group(t=1,P=0.323>0.05).3.The four teams were all compared in the Piper Fatigue Scale-Revised scores after 4 weeks of interpose.There were remarkable discrepancy in the total score,behavioral dimension,sensory dimension,cognitive dimension and effective dimension in each group(P<0.05),And the Ear acupoint bean pressing Baduanjin combined Group was better than other three groups in effect.4.The four teams were all contrasted in the Pittsburgh Sleep Quality Index scale scores after four weeks of interpose.There were remarkable discrepancy between the Ear acupoint bean pressing Baduanjin combined group and the Ear acupoint bean pressing team(P=0.002<0.05),the Baduanjin team(P=0.000<0.05),and the control group(P=0.000<0.05).The Ear acupoint bean pressing Baduanjin combined team had a higher influence than other three teams.Conclusion:To improve cancer-related fatigue in patients with advanced lung cancer,the Ear acupoint bean pressing Baduanjin combined group is more effective than the singlethe Ear acupoint bean pressing group and Baduanjin group in terms of intervention.It can improve patients’ sleep condition,comfort,the basic self-care ability,and quality of life. |
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