肺癌患者經中醫門診延長照護後癌症治療副作用的改善成效

The improvement efficacy of side effects of lung cancer patients rceived cancer treatment by traditional clinic prolongation care

10.7102/JTCIM.202012_18(2).0001

陳建宏(Chien-Hung Chen)；吳修安(Hsiu-An Wu)；謝明憲(Ming-Xian Xie)；吳勇璋(Yung-Chang Wu)；邱榮鵬(Jung-Peng Chiu)；許中華(Chung-Hua Hsu)

肺癌 ； 中醫 ； 中醫門診延長照護 ； 針灸 ； 整合性照護 ； lung cancer ； traditional Chinese medicine ； traditional Chinese medicine clinic prolongation care ； acupuncture ； intergrative care

中醫內科醫學雜誌

18卷2期（2020 / 12 / 01）

1 - 11

繁體中文

肺癌患者接受手術、化學、放射治療或標靶治療的副作用，可經由中醫門診延長照護模式（一種新的中醫全人醫療模式）加以改善，這種照護提供更多的照護質量、治療頻率及減少患者住院的需求。本研究證實肺癌患者接受化療後噁心和厭食兩項副作用，經治療介入有顯著改善；對肺癌患者接受放療後倦怠副作用，也有顯著改善，對肺癌患者接受手術後的膀胱炎也有改善。接受不同的治療次數對不同症狀有不同的改善，治療次數在1－10次對焦慮、膀胱炎兩項目有較佳改善效果。治療11次或以上者在厭食、皮膚紅疹兩項目有較佳改善效果。這研究證實肺癌患者經門診延長照護模式可以有效改善副作用與提供醫學實證，也對未來治療次數選擇與治療規劃指引的提供參考。

The side effects of lung cancer patients received surgery, chemotherapy, radiation therapy and target therapy could be improved by traditional Chinese medicine clinic prolongation care (a new traditional Chinese medicine holistic care model) intervention. The care provided with much hevaier intensity and quality, treatment frequency and reduced patients' admission loading. This study proved that both side effects of nausea and poor appetite of lung cancer patients received chemotherapy could be improved. The side effect of fatique of lung cancer patients received radiation therapy could be improved. The side effect of cystitis of lung cancer patients received surgery could be improved. Different improvements depended on different treatment times to different symptoms. The treatments times between 1 and 10 times had much better improvement efficacy to the anxiety and cystitis. The treatments times more than 10 times had much better improvement efficacy to anorexia and skin rashes. This study proved that traditional Chinese medicine clinic prolongation care model is efficient for improvement of side effects of lung cancer treatment and provided with well evidence for evidence based medicine. It also provided choice of further treatment times and evaluation of treatments guidelines.

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