癌症终末期患者的个性化芳香照护实践一例

doi:10.24920/003522

Chinese Medical Sciences Journal ›› 2018, Vol. 33 ›› Issue (4): 234-239.doi: 10.24920/003522

癌症终末期患者的个性化芳香照护实践一例

刘茜¹,宁晓红^2,^*(),王磊³,刘薇¹

1中国医学科学院北京协和医学院北京协和医院国际医疗部北京 100730
2中国医学科学院北京协和医学院北京协和医院老年医学科北京 100730
3中国医学科学院北京协和医学院北京协和医院血管外科北京 100730

收稿日期:2018-09-27 接受日期:2018-10-15 出版日期:2018-12-30 发布日期:2019-01-10
通讯作者: 宁晓红 E-mail:ningxh1973@foxmail.com

Individualized Aromatherapy in End-of-Life Cancer Patients Care: A Case Report

Liu Qian¹,Ning Xiaohong^2,^*(),Wang Lei³,Liu Wei¹

1 International Medical Center,Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
2 Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
3Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;

Received:2018-09-27 Accepted:2018-10-15 Published:2018-12-30 Online:2019-01-10
Contact: Ning Xiaohong E-mail:ningxh1973@foxmail.com

1. 下肢水肿的芳香护理.mp4(48309KB)

摘要/Abstract

摘要：

芳香疗法作为缓和医疗照护的手段之一,近年来在我国临床工作中逐渐得到应用,使患者通过芳香照护得到身心灵的舒缓、安宁,提高患者终末期的生命质量。本文报道了一例原发灶不明的全身多发转移癌的终末期患者的末期临床照护的过程,对应用芳香疗法改善患者临床症状、提高患者生存质量的实施过程和效果进行了详细解析。

关键词: 芳香疗法, 精油, 缓和医学, 生命末期, 癌症

Abstract:

As one of the methods of palliative care, aromatherapy has been applied gradually in clinical nursing work in China in recent years. Through aromatherapy, terminal cancer patients can get not only relieves of physical symptoms, but also spiritual relaxation and peace, thus have improved quality of life at the end stage. In this paper, we report in detail about how aromatherapy was applied for symptom control in a cancer patient with unknown primary malignancy and multiple metastasis and its effects on the terminal life of this patient.

Key words: aromatherapy, essential oil, palliative care, end-of-life, cancer

补充说明: 本文详细介绍了一位32岁终末期癌症患者如何应用芳香治疗显著改善躯体痛苦并带来精神放松的疗护过程。

基金资助: 北京协和医学院教改立项课题(2015zlgc0120)

Liu Qian, Ning Xiaohong, Wang Lei, Liu Wei. Individualized Aromatherapy in End-of-Life Cancer Patients Care: A Case Report[J].Chinese Medical Sciences Journal, 2018, 33(4): 234-239.

图/表 2

Table 1

Aromatherapy treatment plan: formula of compound essential oil, working mechanism and performing methods"

Symptom	Aromatherapy formula	Working mechanism	Method of application
Pain	1. Saint John’s Wort 20 ml 2. Lavender 3 drops 3. Gaultheria 2 drops 4. Lemon eucalyptus 1 drop	?Saint John’s Wort can relieve musculoskeletal pain, and has the mood-stabilizing and anti-depression effect;³ ?the linalyl acetate and linalool in true lavender have the effects of local anesthesia, anti-muscle spasm, and can also soothe anxiety and uneasiness;^4,5 ?the main composition of gaultheria is methyl salicylate, which has good analgesic and anti-spasm effects;⁵ ?citronellal in lemon eucalyptus has the pain-relieving effect.^6,7	?Take 5 ml and smear it on the lumbosacral region of the patient and gently massage for 10 minutes. ?Massage every 2 hours, ?or give massage when the patient felt necessary.
Edema of lower extremity	1. Sweet almond 30 ml 2. Grapefruit 4 drops 3. Cypress 3 drops 4. Vetiver 2 drops	?Sweet almond oil can lubricate, and it is suitable for massage; ?grapefruit and cypress have the effect of improving fluid retardation, excessive body fluid, and eliminating edema;⁸ ?the furocoumarin in grapefruit also has an anti-de- pressant effect; ?vetiver has the effect of promoting blood circulation and deep relaxation; ?grapefruit and herb can be used together to soothe patients’ mood and improve their sleep.	?Gently massage the lower extrem- ities from distal end to proximal end for purpose of good absorp- tion of the essential oil, instead of helping drainage.* ?Changing gesture if patient felt tired or intolerable during perfor- mance. ?massage for about 10 minutes, or till the patient fell asleep.^# ?Perform massage 2-4 times a day.
Nausea and vomiting	1. 75% ethyl alcohol 50 ml 2. Bergamot 15 drops 3. Sweet orange 10 drops 4. Peppermint 5 drops	?Bergamot, sweet orange and peppermint essential oil can alleviate nausea and anxiety. ?The combined use of three essential oils can prevent the maladaptation of a single essential oil due to its high concentration and single smell.⁹	?Spray in patient’s room 4 times a day. ?Put 10 drops of compound oil (Bergamot and Sweet orange) on the sniff stick for patient to smell when the symptoms were severe.

Table 1

参考文献 12

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