Abstract
Objective To study the application value of traditional Chinese medical continuing nursing care in follow-up of patients with gastrointestinal carcinoma .Methods Sixty-four patients with advanced gastrointestinal carcinoma from September 2010 to January 2013 were randomly divided into the control group (n=31) and the experimental group (n =33).The control group received the routine follow-up, while the experimental group received routine follow-up plus traditional Chinese medical continuing nursing care including pressing the auricular point by magnetic beads , foot bath in the traditional Chinese medicine , massage at the plantar reflex zone and oral shiquandabu decoction .The quality of sleep , the intensity of pain , appetite and cancer-related fatigue ( CRF ) were evaluated before and four weeks after the follow-up in two groups. Results Before the follow-up, Pittsburgh sleep quality index (PSQI) was (10.39 ±177;3.84) in the control group, and (10.15 ±177;3.73) in the experimental group; the score of pain numerical rating scale was (2.26 ±177; 1.03) in the control group, and (2.21 ±177;1.05) in the experimental group;the cases of the mild, moderate and severe according to CRF score were respectively 8, 20, 3 cases in the control group , and respectively 10, 21, 2 cases in the experimental group , and the differences in the three indexes between two groups were not statistically significant (P>0.05).Four weeks after the follow-up, PSQI was (10.10 ±177;3.35) in the control group, and (8.48 ±177;2.50) in the experimental group, and the difference was statistically significant (t =2.170,P<0.05);the score of pain numerical rating scale was (2.19 ±177;0.83) in the control group, and (1.76 ±177;0.75) in the experimental group, and the difference was statistically significant (t =2.201,P <0.05);the cases of the mild, moderate and severe according to CRF score were respectively 11, 16, 4 cases in the control group , and respectively 20, 13, 0 cases in the experimental group , and the difference was statistically significant (Z =-2.330,P <0.05).Conclusions The traditional Chinese medical continuing nursing care can improve the symptoms in the follow-up of patients with advanced gastrointestinal carcinoma . Key words: Carcinoma; Gastrointestinal tract; Follow up study; Continuing nursing care; Traditional Chinese medical nursing
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