循经推拿联合愉快日记式护理对气阴两虚型肺癌中晚期化疗患者癌因性疲乏情况及情绪的影响*

作者：宋 蕾1，刘名鹤1，穆井英2，李 敏1，于琳琳1

单位：1.吉林大学第一医院，吉林 长春 130021； 2.吉林开放大学，吉林 长春 130022

引用：引用：宋蕾，刘名鹤，穆井英，李敏，于琳琳.循经推拿联合愉快日记式护理对气阴两虚型肺癌中晚期化疗患者癌因性疲乏情况及情绪的影响[J].中医药导报,2025,31(11):116-120.

DOI：10.13862/j.cn43-1446/r.2025.11.021

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摘要：

目的：探讨循经推拿联合愉快日记式护理对气阴两虚型肺癌中晚期化疗患者癌因性疲乏情况及情绪的影响。方法：选取150例气阴两虚型肺癌中晚期化疗患者，随机分为对照组和观察组，每组各75例。对照组患者采用常规护理方案进行干预，观察组患者在对照组基础上采用循经推拿联合愉快日记式护理进行干预，比较两组患者癌因性疲乏及情绪变化情况，并进行疗效评价。结果：干预后，观察组患者Piper疲乏量表、焦虑评分量表、抑郁评分量表评分均低于对照组（P＜0.05），癌症患者生命质量评价量表评分均高于对照组（P＜0.05），中医证候积分低于对照组（P＜0.05）。观察组总有效率为86.67%（65/75），高于对照组的50.67%（38/75）（P＜0.05）。结论：对于气阴两虚型肺癌中晚期化疗患者，给予循经推拿联合愉快日记式护理进行干预能够显著改善癌因性疲乏情况，缓解负面情绪，提高生活质量。

关键词：中晚期肺癌；气阴两虚；化疗；循经推拿；愉快日记式护理；癌因性疲乏

Abstract：

Objective: To explore the effects of meridian massage combined with joyful diary nursing on cancer-related fatigue and emotions in patients with middle-late stage lung cancer of qi and yin deficiency type undergoing chemotherapy. Methods: One hundred and fifty patients with middle-late stage lung cancer of qi and yin deficiency type undergoing chemotherapy were selected and randomly divided into a control group and an observation group, with 75 cases in each group. The control group received routine nursing intervention, while the observation group received meridian massage combined with joyful diary nursing in addition to the routine care. The cancer-related fatigue and emotional changes were compared between the two groups, and the therapeutic efficacy was evaluated. Results: After the intervention, the scores of the Piper Fatigue Scale (PFS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) in the observation group were all lower than those in the control group (P<0.05). The scores of the Quality of Life Questionnaire Core-30 (QLQ-C30) in the observation group were higher than those in the control group (P<0.05). The TCM syndrome scores of the observation group were lower than those of the control group (P<0.05). The total effective rate of the observation group was 86.67% (65/75), which was higher than that of the control group (50.67%, 38/75) (P<0.05). Conclusion: For patients with middle-late stage lung cancer of qi and yin deficiency type undergoing chemotherapy, intervention with meridian massage combined with joyful diary nursing can significantly improve cancer-related fatigue, alleviate negative emotions, and enhance quality of life.

Key words：middle-late stage lung cancer; qi and yin deficiency; chemotherapy; meridian massage; joyful diary nursing; cancer-related fatigue

发布时间：2025-11-30

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