Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Sep 19, 2023; 13(9): 645-653
Published online Sep 19, 2023. doi: 10.5498/wjp.v13.i9.645
Application of traditional Chinese medicine acupoint needle embedding combined with emotional nursing in patients with gynecological malignant tumors
Zhen Ren, Wen Cui, Ya-Ping Li
Zhen Ren, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin 150040, Heilongjiang Province, China
Wen Cui, Department of Rehabilitation and Health Care, Jinan Vocational College of Nursing, Jinan 250102, Shandong Province, China
Ya-Ping Li, School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan 250355, Shandong Province, China
Author contributions: Ren Z initiated the project and designed the experiment; Cui W conducted clinical data collection; Li YP performed postoperative follow-up and recorded data; Ren Z conducted a number of collation and statistical analysis; Cui W wrote the original manuscript; Li YP revised the paper; all authors reviewed and approved the paper, and read and approved the final manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of First Affiliated Hospital, Heilongjiang University of Chinese Medicine (Approval No. HZYLLKY202000902).
Informed consent statement: The Ethics Committee agreed to waive the informed consent.
Conflict-of-interest statement: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Data sharing statement: All data generated or analyzed during this study are included in this published article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ya-Ping Li, MM, Doctor, School of Nursing, Shandong University of Traditional Chinese Medicine, No. 4655 Da-Xue Road, Changqing District, Jinan 250355, Shandong Province, China. shuangyuzuo_1980@163.com
Received: June 14, 2023
Peer-review started: June 14, 2023
First decision: July 3, 2023
Revised: July 25, 2023
Accepted: July 31, 2023
Article in press: July 31, 2023
Published online: September 19, 2023
Processing time: 93 Days and 2.1 Hours
Abstract
BACKGROUND

Few relevant literature reports on applying acupoint press-needle embedding combined with emotional nursing in patients with a gynecological malignant tumor.

AIM

To explore the effect of traditional Chinese medicine acupoint needle embedding combined with emotional nursing on chemotherapy-related nausea and vomiting (CINV), cancer-related fatigue (CRF) and psychological state in patients with gynecological malignant tumors.

METHODS

Retrospective analysis of the clinical information of 84 patients with gynecological malignant tumors treated in our hospital from August 2020 to December 2022 Led to the development of an observation group (n = 42) and a control group (n = 42) based on various nursing approaches. Ondansetron hydrochloride injection was administered to the individuals in the control group. However, the observation group received emotional nursing based on the control group and acupoint press-needle embedding of traditional Chinese medicine. Patients in both groups received the chemotherapy regimen of paclitaxel liposome + carbo-platin/ cisplatin. For four weeks, both groups intervened. The CINV grade, quality of life, CRF, psychological status and sleep quality scores of the two groups before and after intervention were compared.

RESULTS

After intervention, the degree of CINV in the observation group was significantly better than that in the control group. After intervention, the scores of each dimension and total score of FLIE scale were significantly higher than those in the control group. After intervention, the scores of each dimension and total score of Piper Fatigue Scale were significantly lower than those in the control group (P < 0.05). After intervention, the scores of avoidance and yield dimensions in the observation group were significantly lower than those in the control group, and the scores of confrontation dimension were significantly higher than those in the control group (P < 0.05). After intervention, the sleep quality score of the observation group was significantly lower than that of the control group, and the Karnofsky Performance Status scale score was significantly higher than that of the control group (P < 0.05).

CONCLUSION

The acupuncture point needle embedding of traditional Chinese medicine combined with emotional nursing can further reduce the incidence of chemotherapy-related nausea and vomiting in patients with gynecological malignant tumors, improve the quality of life and the degree of CRF, alleviate the bad psychological state, adopt a positive way to face the disease and treatment, and improve the quality of sleep and quality of life.

Keywords: Press-needle; Acupoint; Emotional nursing; Gynecologic malignant tumor; Sleep quality; Chemotherapy-induced nausea and vomiting; Cancer-related fatigue; Mental state

Core Tip: Nausea, vomiting and cancer-related fatigue (CRF) are the most common symptoms during chemotherapy in patients with gynecological malignant tumors. If timely and effective nursing intervention is not given, it is easy to affect the quality of life of patients. Acupressure needle has the advantages of simple operation, safety and convenience, while emotional nursing can effectively alleviate the negative emotions of patients with malignant tumors during chemotherapy. The combination of the two can effectively reduce the incidence of nausea and vomiting, improve the quality of life and the degree of CRF in patients with gynecological malignant tumors.