全息经络刮痧联合耳穴埋籽对结直肠肿瘤化疗患者睡眠障碍及心理症状群的干预效果*

作者：史晓雯1，张凇铭1，葛源森2

单位：1.唐山市中医医院，河北 唐山 063000； 2.唐山市人民医院，河北 唐山 063000

引用：引用：史晓雯，张凇铭，葛源森.全息经络刮痧联合耳穴埋籽对结直肠肿瘤化疗患者睡眠障碍及心理症状群的干预效果[J].中医药导报,2025,31(5):107-112.

DOI：10.13862/j.cn43-1446/r.2025.05.019

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摘要：

目的：探讨全息经络刮痧联合耳穴埋籽对结直肠肿瘤化疗患者睡眠障碍及心理症状群的干预效果。方法：纳入102例结直肠肿瘤患者，按照随机数字表法分为3组，各34例。3组均给予化疗治疗及常规干预，在此基础上，对照1组给予耳穴埋籽，对照2组给予全息经络刮痧，联合组给予全息经络刮痧联合耳穴埋籽。比较3组干预前后匹兹堡睡眠指数量表（PSQI）、简明癌症患者心理适应问卷（Mini-Mac-19）、广泛性焦虑障碍量表（GAD-7）、抑郁症筛查量表（PHQ-9）、恐惧疾病进展简化量表（FoP-Q-SF）、Piper疲乏量表（PFS）、世界卫生组织生存质量测定量表简表（WHOQOL-BREF）评分。结果：干预3个月后联合组患者PSQI各维度评分及总分均低于对照1组、对照2组（P＜0.05），但对照1组与对照2组比较，差异无统计学意义（P＞0.05）；干预3个月后联合组患者GAD-7、PHQ-9、FoP-Q-SF评分均低于对照1组、对照2组（P＜0.05），但对照1组与对照2组比较，差异无统计学意义（P＞0.05）；干预3个月后联合组患者Mini-Mac-19问卷积极态度维度评分高于对照1组、对照2组，焦虑、无助/无望维度评分低于对照1组、对照2组（P＜0.05），但对照1组与对照2组比较，差异无统计学意义（P＞0.05）；干预3个月后联合组患者PFS量表行为、情感、感觉、认知维度评分均低于对照1组、对照2组，WHOQOL-BREF量表生理、心理、物理环境、社会关系维度评分均高于对照1组、对照2组（P＜0.05），但对照1组与对照2组比较，差异无统计学意义（P＞0.05）。结论：全息经络刮痧联合耳穴埋籽应用于结直肠肿瘤化疗患者，可改善患者睡眠障碍及不良心理症状，提升心理适应能力，减轻癌因性疲乏，改善生活质量。

关键词：结直肠肿瘤；化疗；睡眠障碍；心理症状群；耳穴埋籽；全息经络刮痧；癌因性疲乏

Abstract：

Objective: To investigate the intervention effects of holographic meridian scraping combined with auricular acupoint embedding on sleep disorders and psychological symptom cluster in colorectal cancer patients undergoing chemotherapy. Methods: A total of 102 colorectal cancer patients were selected and randomly divided into three groups (n=34 each). All groups received chemotherapy and routine care. Additionally, Control Group 1 received auricular acupoint embedding, Control Group 2 received holographic meridian scraping, and the Combination Group received both interventions. Assessments included the Pittsburgh Sleep Quality Index (PSQI), Mini-Mental Adjustment to Cancer Scale (Mini-MAC-19), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Piper Fatigue Scale (PFS), and WHO Quality of Life-BREF (WHOQOL-BREF) before and after 3 months of intervention. Results: After 3-month intervention, the Combination Group showed significantly lower PSQI subscale scores and total scores compared to both control groups (P<0.05), while no significant difference existed between Control Groups 1 and 2 (P>0.05). The Combination Group also demonstrated significantly reduced GAD-7, PHQ-9, and FoP-Q-SF scores versus controls (P<0.05), with no inter-control group differences. Regarding Mini-MAC-19, the Combination Group exhibited higher positive attitude scores and lower anxiety/helplessness-hopelessness scores than controls (P<0.05). Additionally, the Combination Group showed lower PFS subscale scores (behavioral, affective, sensory, cognitive) and higher WHOQOL-BREF scores (physical, psychological, environmental, social) compared to controls (P<0.05), with no significant differences between Control Groups 1 and 2. Conclusion: The combination of holographic meridian scraping and auricular acupoint embedding can effectively improve sleep disorders, psychological symptoms, mental adaptation, cancer-related fatigue, and quality of life in colorectal cancer patients undergoing chemotherapy.

Key words：colorectal neoplasms; chemotherapy; sleep disorders; psychological symptom cluster; auricular acupoint embedding; holographic meridian scraping; cancer-related fatigue

发布时间：2025-12-31

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