Hu Yin-Qing, Wu Yi-Fan, Hou Li-Li
Dept. of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China.
Iran J Public Health. 2017 Aug;46(8):1054-1061.
Lung cancer is a serious threat to human health and life worldwide. Anxiety is common amongst palliative care patients with lung cancer and adversely affects quality of life. Acupuncture is an effective and safe treatment method used for the treatment of depressive mood status. We aimed to assess the influence of electrical acupuncture stimulation on self-reported anxiety in palliative care among patients with lung cancer.
This pilot study had an experimental, 3-group, research plan. A total of 188 participants were enrolled from the Shanghai Pulmonary Hospital, Tongji University, Shanghai, China from 2014-2015. This pilot study had an experimental, 3-group, research plan. In TEAS group, participants received standardized palliative care and electrical acupuncture stimulation in Zusanli, Sanyinjiao and Hegu acu-points. Group MS received standardized palliative care and muscle stimulation nearby nonacupoint. Controlled group received standardized palliative care. The patients maintained their assigned acupuncture stimulation for 7 days. Demographic Instrument, Karnofsky Performance Scale Index, SF-16 health questionnaire and Self-Rating Anxiety Scale (SAS) were used.
The mean SAS scores in TEAS Group before and after electrical intervention in palliative care intervention were 31.17±7.55,34.58±13.98 and 27.86±6.73, (=0.00) QoL score showed elevation from 57.13 in 8th day to 60.12 in 28th day, rising further to 5%. Comfort Score showed continuous elevation trend for 28 days.
Electric acupuncture stimulation could reduce the anxiety of patients, promote rehabilitation and increase the quality of life among patients with lung cancer in palliative care.
肺癌是全球范围内对人类健康和生命的严重威胁。焦虑在肺癌姑息治疗患者中很常见,并且对生活质量有不利影响。针灸是用于治疗抑郁情绪状态的一种有效且安全的治疗方法。我们旨在评估电针刺激对肺癌姑息治疗患者自我报告的焦虑的影响。
这项初步研究采用了实验性的三组研究方案。2014年至2015年,共有188名参与者从中国上海同济大学附属上海市肺科医院招募。这项初步研究采用了实验性的三组研究方案。在电针组中,参与者接受标准化姑息治疗以及足三里、三阴交和合谷穴位的电针刺激。假刺激组接受标准化姑息治疗以及非穴位附近的肌肉刺激。对照组接受标准化姑息治疗。患者持续接受指定的针刺刺激7天。使用了人口统计学工具、卡诺夫斯基功能状态量表指数、SF - 16健康问卷和自评焦虑量表(SAS)。
电针组在姑息治疗干预前后的平均SAS评分分别为31.17±7.55、34.58±13.98和27.86±6.73,(=0.00)生活质量评分从第8天的57.13升高到第28天的60.12,进一步上升了5%。舒适度评分在28天内呈持续上升趋势。
电针刺激可减轻肺癌姑息治疗患者的焦虑,促进康复并提高生活质量。