练功十八法联合五行音乐疗法对肺癌术后化疗患者负性情绪干预临床研究
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摘要
目的:探讨练功十八法联合五行音乐疗法对肺癌术后化疗患者负性情绪干预的效果。方法:将在同济大学附属肺科医院住院60例肺癌术后1月首次行DP方案化疗患者,随机平均分为2组。对照组采用腹式呼吸功能锻炼及中医情志护理进行心理干预,实验组采用练功十八法进行呼吸、肢体功能锻炼及五行音乐疗法进行心理干预,连续治疗28天后,对2组患者在化疗后第7天、第14天及第28天分别以Karnofsky (KPS)功能状态评分标准、汉密顿焦虑量表(HAMA)及Kolcaba舒适状况量表进行测评,记录并比较2组的测评结果。结果:经治疗后,实验组患者KPS评分改善情况优于对照组,差异有统计学意义(P <0.05)。经治疗后,实验组患者HAMA焦虑评分改善情况优于对照组,差异有统计学意义(P <0.05)。经治疗后,实验组患者Kolcaba舒适状况评分改善情况优于对照组,差异有统计学意义(P <0.05)。结论:采用练功十八法联合五行音乐疗法治疗,可降低因术后呼吸、肢体功能障碍及化疗等不良反应引起的负性情绪反应,使患者在心理、生理上处于接受治疗的最佳状态,提高生活质量。
Objective:To explore the intervention effect of the Eighteen Step Practice combined with Five-element Music Therapy on the negative emotion of patients undergoing postoperative chemotherapy for lung cancer. Methods:Divided 60 cases of patients admitted in Tongji University Affiliated Pulmonary Hospital who had chemotherapy of dynamic positioning(DP)scheme for lung cancer randomly into two groups,30 cases in each group. The control group received abdominal breathing exercise and emotional nursing of Chinese medicine for psychological intervention;the experiment group was adopted the Eighteen Step Practice to breathe and exercise for limb function, in conjunction with Five-element Music Therapy for psychological intervention. After 28 days of continuous treatment, Karnofsky Performance Score(KPS), Hamilton Anxiety Scale(HAMA) and Kolcaba's General Comfort Questionnaire(GCQ) were used to evaluate patients in the two groups on the 7 th,14 th and 28 th days after chemotherapy, and the results of the two groups were recorded and compared. Results: After treatment,the improvement of KPS in the experiment group was better than that in the control group,the difference being significant(P < 0.05). After treatment,the improvement of scores of HAMA in the experiment group was superior to that in the control group,the difference being significant(P < 0.05). After treatment,the improvement of scores of Kolcaba's GCQ in the experiment group was better than that in the control group,the difference being significant(P < 0.05). Conclusion:The therapy of the Eighteen Step Practice combined with Five-element Music Therapy can reduce postoperative negative emotional reactions such as the dysfunction of respiration and limb,chemotherapy,etc.,so that patients are in the best state to receive treatment psychologically and physiologically,and improve their quality of life.
Objective:To explore the intervention effect of the Eighteen Step Practice combined with Five-element Music Therapy on the negative emotion of patients undergoing postoperative chemotherapy for lung cancer. Methods:Divided 60 cases of patients admitted in Tongji University Affiliated Pulmonary Hospital who had chemotherapy of dynamic positioning(DP)scheme for lung cancer randomly into two groups,30 cases in each group. The control group received abdominal breathing exercise and emotional nursing of Chinese medicine for psychological intervention;the experiment group was adopted the Eighteen Step Practice to breathe and exercise for limb function, in conjunction with Five-element Music Therapy for psychological intervention. After 28 days of continuous treatment, Karnofsky Performance Score(KPS), Hamilton Anxiety Scale(HAMA) and Kolcaba's General Comfort Questionnaire(GCQ) were used to evaluate patients in the two groups on the 7 th,14 th and 28 th days after chemotherapy, and the results of the two groups were recorded and compared. Results: After treatment,the improvement of KPS in the experiment group was better than that in the control group,the difference being significant(P < 0.05). After treatment,the improvement of scores of HAMA in the experiment group was superior to that in the control group,the difference being significant(P < 0.05). After treatment,the improvement of scores of Kolcaba's GCQ in the experiment group was better than that in the control group,the difference being significant(P < 0.05). Conclusion:The therapy of the Eighteen Step Practice combined with Five-element Music Therapy can reduce postoperative negative emotional reactions such as the dysfunction of respiration and limb,chemotherapy,etc.,so that patients are in the best state to receive treatment psychologically and physiologically,and improve their quality of life.
引文
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[11]廖娟,郝玉芳,杨宇飞,等.中医五行音乐改善老年及非老年肿瘤患者生存质量随机对照研究[J].世界科学技术-中医药现代化,2013,15(6):1379-1382.
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[2]徐德静,鲍婷婷,吴冰,等.扶正敛汗液外敷改善肿瘤放疗期间自汗盗汗患者生活质量的临床研究[J].护士进修杂志,2016,31(23):2127-2129.
[3]张作记.行为医学量表手册[M].北京:中华医学电子音像出版社,2005:215-227.
[4]李凤,周毅波,张海宏.舒适状况量表在耳鼻喉科患者个性化护理中的应用[J].国际护理学杂志,2017,36(7):889-891.
[5]江泽琴,周厚永,王开祥.浅谈恶性肿瘤患者的病态心理与干预策略[J].西南军医,2005,7(4):81-82.
[6]陆宝文.肺癌患者化疗期间心理干预治疗的效果评价[J].吉林大学学报:医学版,2010,36(2):228.
[7]王移移.练功十八法在康复护理治疗中的应用研究[J].现代中西医结合杂志,2008,17(5):765-766.
[8]王琼,朱国苗,姚斐,等.练功十八法联合推拿治疗颈型颈椎病的临床随机对照研究[J].上海中医药杂志,2015,49(4):61-64.
[9]王旭东.我国当代音乐治疗学概述[J].南京艺术学院学报:音乐与表演版,2005(4):1-12.
[10]高静,戈新,吴晨曦,等.子午流注择时应用五行音乐疗法在慢性心力衰竭焦虑患者中的应用效果[J].中华护理杂志,2016,51(4):443-448.
[11]廖娟,郝玉芳,杨宇飞,等.中医五行音乐改善老年及非老年肿瘤患者生存质量随机对照研究[J].世界科学技术-中医药现代化,2013,15(6):1379-1382.
[12]沈青香,王富芳,汪薇.肿瘤患者使用便携式化疗泵化疗过程的心理调适[J].哈尔滨医药,2013,33(5):414-415.