Keywords
Psychological Intervention
Traditional Chinese Medicine
Cancer Rehabilitation
How to Cite
Abstract
As medical research advances, clinical oncology treatments continue to improve; however, psychological issues among cancer patients remain a significant challenge. This paper focuses on the psychological conditions of patients with malignant tumors and explores the application of Traditional Chinese Medicine (TCM) in psychological care. Cancer patients often experience emotions such as irritability, anxiety, depression, and fear, which can severely impact their treatment adherence and quality of life. Currently, there is insufficient attention to the psychological health of cancer patients within the healthcare system in China, leading to difficulties in the timely identification and intervention of psychological issues. TCM has demonstrated unique advantages in the psychological care of cancer patients. In recent years, Chinese oncology departments have introduced a series of TCM-based psychological care methods that emphasize medical humanism. Studies have shown that combining TCM treatment with psychological intervention significantly improves the psychological state of cancer patients, enhances their quality of life, and strengthens immune function, thereby improving treatment outcomes.
References
(1)Deosvs, Sharma J, Kumar S. GLOBOCAN 2020 report on global cancer burden: challenges and opportunities for surgical oncologists. Ann Surg Oncol. 2022;29(11):6497-6500.
(2)Kocarnik JM, Compton K, Dean FE, et al. Cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life years for 29 cancer groups from 2010 to 2019: a systematic analysis for the global burden of disease study 2019. JAMA Oncol. 2022;8(3):420-444.
(3)Centre for Prevention and Control of Chronic Non-communicable Diseases, Chinese Center for Disease Control and Prevention, National Health Commission Statistical Information Centre. China cause of death surveillance dataset 2019. Beijing: China Science and Technology Press; 2020.
(4)Macieira-Coelho A. Neoplastic disease through the human lifespan. Biogerontology. 2001;2(3):179-192. doi:10.1023/a:1011552822076. PMID:11708720.
(5)Lin Y. Current status and prospects of diagnosis and treatment of neoplastic diseases. Chin J Cancer Prev Treat. 2014;6(03):219-223.
(6)Guo HM, Wang WP, Xu CY, et al. Analysis of psychological distress and related factors in patients with malignant tumors after oral and maxillofacial surgery. J Nurs. 2021;36(6):88-90,94.
(7)Holland JC, Andersen B, Breitbart WS. Distress management. JNCCN. 2010;8:448-485.
(8)Chu Q, Yu SY. NCCN guidelines for distress management. Evid-Based Med. 2007;7(1):38-53.
(9)Holland JC, Andersen B, Breitbart WS. Distress management. JNCCN. 2010;8:448-485.
(10)Zheng SH. Psychological distress and related influencing factors in patients with malignant tumors and study on cancer care quality [dissertation]. Shandong University; 2014.
(11)Zhou JH, Ma WJ, Xia XJ, et al. Application of traditional Chinese medicine techniques during the rehabilitation period of malignant tumor patients. Health Vocat Educ. 2017;35(21):143-145.
(12)Wang Y. Effects of depression and anxiety on gastrointestinal reactions in gastric cancer chemotherapy patients [dissertation]. North China University of Science and Technology; 2018.
(13)Dong J. Study on the correlation between TCM constitution differentiation and psychological factors in cancer patients [dissertation]. Shandong University of Traditional Chinese Medicine; 2016.
(14)Huang SY, Chen S, Jiang M. Exploration of traditional Chinese medicine in psychological treatment of tumors. Chin J Oncol. 2023;5(05):7-12. doi:10.19811/j.cnki.ISSN2096-6628.2023.09.002.
(15)Chinese Association of Traditional Chinese Medicine Hematology Committee, Chinese Ethnic Medicine Association Hematology Committee, China Integrated Traditional and Western Medicine Oncology Committee. Consensus of TCM diagnosis and treatment of tumor-associated depression. J Beijing Univ Tradit Chin Med. 2023;46(1):12-17.
(16)Ferlay J, Colombet M, Soerjomataram I, et al. Cancer statistics for the year 2020: an overview. Int J Cancer. 2021;149(4):778-789.
(17)Li C, Lin FC. Exploring five-element music therapy based on the theory of Taixu Yuanxiang. Chin J Tradit Chin Med. 2022;37(10):6115-6119.
(18)Ministry of Health. Joint issuance of "Guidance on strengthening mental health services" by 22 departments. Chin Soc Work. 2017;(4):4.
(19)Chen Y, Ahmad M. Effectiveness of adjunct psychotherapy for cancer treatment: a review. Future Oncol. 2018;14(15):1487-1496.
(20)Li LY, Xiong P, Jin XQ. Effects of TCM nursing intervention on the psychological state of insomnia patients with malignant tumors. Bright Tradit Chin Med. 2022;37(10):1861-1863.
(21)Wang DM, Pang R. Related factors and TCM treatment of malignant tumor patients with depression. Mod J Integr Tradit Chin West Med. 2019;28(24):2725-2729.
(22)Lü SH, Tian L. Progress in TCM research on malignant tumor-related depression. J Changchun Univ Tradit Chin Med. 2019;35(01):200-203
(23)Wei YJ, Li YW, Yan LJ, et al. Clinical study of modified Chaihu plus Longgu Muli decoction combined with psychological intervention in the treatment of tumor-associated depression. Basic Chin Med. 2022;1(03):40-44.
(24)Li YC, Shen JD, Liu YM, et al. Screening of antidepressant activity of major flavonoid components of Scutellaria baicalensis. Chin J Exp Tradit Med Formulae. 2012;18(11):166-169.
(25)Xu HH, Zhou M, Tong LG, et al. Effects of Chinese medicine combined with psychological intervention on cellular immune function in patients after breast cancer surgery. Chin J Tradit Chin Med. 2013;31(11):2456-2458. doi:10.13193/j.issn.1673-7717.2013.11.076.
(26)Xu L. Treatment of 29 cases of gastric cancer postoperative depression with Liu Jun Zi Tang combined with Banxia Houpo Tang. Shaanxi J Tradit Chin Med. 2009;30(01):44-46.
(27)Consensus of experts on TCM diagnosis and treatment of tumor-associated depression. Chin J Tradit Chin Med. 2015;30(12):4397-4399.
(28)Yang J, Zhang J, Wang XM, et al. Analysis of TCM syndromes in breast cancer patients with concurrent depression and anxiety. J Tradit Chin Med. 2009;50(12):1112-1113+1116. doi:10.13288/j.11-2166/r.2009.12.028.
(29)Ruan M, Chen JX, Shen XH, et al. Observation and objectification of TCM facial complexion and tongue features in malignant tumor patients with depression and anxiety. J Liaoning Univ Tradit Chin Med. 2019;21(07):140-143. doi:10.13194/j.issn.1673-842x.2019.07.037.
(30)Ding JY, Ren QY, Zheng J. Observation of the effects of Huanglian Wendan Decoction on moderate anxiety and insomnia in tumor patients with gallbladder stagnation and phlegm disturbance. Beijing J Tradit Chin Med. 2019;38(04):384-387. doi:10.16025/j.1674-1307.2019.04.023.
(31)Zhang MJ. Clinical manifestations and psychological interventions of psychological disorders in cancer patients. Mod J Integr Tradit Chin West Med. 2004;13(20):2777-2777.
(32)Chen XY, Dong Q, Tian SD, et al. Clinical value and review of TCM maintenance treatment in malignant tumors. J Beijing Univ Tradit Chin Med. 2021;44(9):777-783.
(33)Lu WJ, Duan LH, Zhou YQ, et al. Preliminary clinical study on TCM and psychological intervention for depressive states in 45 malignant tumor patients. Chin J Tradit Chin Med. 2011;29(10):2346-2348. doi:10.13193/j.archtcm.2011.10.196.luwj.014.
(34)Wu X, Dai YR, Hu YH. Multivariate regression analysis of the effects of TCM nursing on self-efficacy, social support, and psychological resilience in improving benefit finding in gastric cancer patients. J Chengdu Med Coll. 2020;15(05):665-668.
(35)Yan A. Study on the intervention of Fuzheng Jiedu prescription on recurrence, metastasis, and quality of life in postoperative gastric cancer patients [dissertation]. Beijing University of Traditional Chinese Medicine; 2018.
(36)Fang Y, Xing W, Wang WL. Effects of Wenyang Yiqi Jianpi Decoction combined with chemotherapy on immune function and serum HE4 and CA125 levels in patients with advanced ovarian cancer. Chin J Tradit Chin Med. 2019;34(6):2819-2822.
(37)Huang SY, Chen S, Jiang M. Exploration of traditional Chinese medicine in psychological treatment of tumors. Chin J Oncol. 2023;5(05):7-12. doi:10.19811/j.cnki.ISSN2096-6628.2023.09.002.
(38)Zhai LN, Jian L, Zhao Y. Efficacy analysis of Chinese herbal decoction in the treatment of middle and late-stage tumor-associated depression. Liaoning J Tradit Chin Med. 2022;49(09):119-122. doi:10.13192/j.issn.1000-1719.2022.09.034.
(39)Wang MW, Yin DF. Survey on the psychological state of cancer patients treated with Guolin Qigong and Chinese herbal decoction. Pract J Tradit Chin Intern Med. 2014;28(02):4-6. doi:10.13729/j.issn.1671-7813.2014.02.02.
(40)Li Q, Zhou J. Progress in clinical application of acupuncture in anti-tumor treatment. Shandong J Tradit Chin Med. 2014;33(5):414-417.
(41)Zhu J. Effects of comprehensive TCM rehabilitation program on the quality of life of tumor patients [dissertation]. Nanjing University of Traditional Chinese Medicine; 2015.
(42)Li XD, Li P, Jia YJ. Current status of TCM treatment for tumor-associated depression. J Tianjin Univ Tradit Chin Med. 2021;40(05):659-665.
(43)Chen J. Observation on the efficacy of acupuncture and moxibustion in the treatment of post-tumor depression. Electron J Clin Med Lit. 2018;5(66):50-51.
(44)Liu H. Clinical observation of warming acupuncture at back-Shu points in treating menopausal depression. Chin J Nat Ethnic Folk Med. 2019;28(7):103-105.
(45)Huang NQ. Survey on the condition of 335 cancer patients practicing Guolin Qigong and its implications. Chin Qigong Sci. 1996;(2):176-179.
(46)Wang MW, Yin DF. Survey on the psychological state of cancer patients treated with Guolin Qigong and Chinese herbal decoction. Pract J Tradit Chin Intern Med. 2014;28(02):4-6. doi:10.13729/j.issn.1671-7813.2014.02.02.
(47)Gao LR, Lin Z, Jiang MY. Study on the effect of acupoint massage combined with psychological therapy in alleviating sleep disorders in chemotherapy patients. Proc 17th Natl Conf Integr Tradit Chin West Med Oncol; 2019:2.
(48)Liu D, Li GF, Deng HY. Clinical study of intradermal acupuncture combined with Chinese medicine in treating liver-stagnation and Qi-stagnation type breast cancer-associated depression. J Liaoning Univ Tradit Chin Med. 2023;25(06):92-95. doi:10.13194/j.issn.1673-842x.2023.06.019.
(49)He LS. Study on the regulation of MDSC-NKT immune remodeling in pre-tumor depressive type breast cancer by Shugan Jianpi formula [dissertation]. China Academy of Traditional Chinese Medicine; 2015.
(50)Chen YX, Ren S, Yue XL, et al. The efficacy and safety of Banxia-Houpo-Tang for chronic pharyngitis: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2020;99(30):e19922.
(51)Wang D, Li J, Hou BQ, et al. Advances in the study of Chinese medicine polysaccharides in regulating immune cells in the tumor microenvironment. Chin Herb Med. 2023;54(13):4346-4358.
(52)Zhang MH, Ji M, Gao JD, et al. Research progress on the anti-fibrotic mechanism of Chinese medicine polysaccharides. Chin Herb Med. 2024;55(04):1063-1074.
(53)Wu Q, Li B, Li J, et al. Cancer-associated adipocytes as immunomodulators in cancer. Biomark Res. 2021;9(1):2.
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Copyright (c) 2024 Chenyu Li, Lanhui Zhang, Junhao Wan, Xinyi Li, Ning Wang, Tiantian Xie, Minglei Wang, Mengyuan Xiang, Dan Li