中医心理疗法对重症神经系统疾病患者负面情绪及治疗依从性的影响
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摘要
目的探讨中医心理疗法对重症神经系统疾病患者治疗依从性及负面情绪的影响。方法选取入住重症监护病房的160例重症神经系统疾病患者。按照随机表法将患者分为观察组(n=80)和对照组(n=80)。对照组给予常规西医心理干预治疗,包括每日观察病情、健康指导、心理疏导等。观察组在常规西医心理干预治疗的基础上加用中医心理疗法治疗,包括情志相胜、移情易性、五音疗法。结果观察组依从性(88.75%)明显大于对照组依从性(73.75%)(χ2=5.908,P=0.015);观察组在改善患者SDS评分与SAS评分方面均优对照组(t=5.754,P<0.001;t=7.248,P<0.001)。结论在常规西医心理干预治疗的基础上联合使用中医心理疗法治疗重症神经系统疾病患者,能够缓解患者的焦虑和抑郁情绪,提高患者的依从性。
Objective To investigate the effect of TCM psychotherapy on adherence and negative emotion in patients with severe illness in neurology. Methods 160 patients with neurology were admitted to the ICU. The patients were randomly divided into observation group( n = 80) and control group( n = 80) according to random table method.The control group was treated with conventional Western psychological intervention,including daily observation,health guidance and psychological guidance. The observation group added traditional Chinese medicine emotional therapy on the basis of conventional psychological intervention therapy,including emotional win,empathy,pentameter therapy. Results The compliance of observation group( 88. 75 %) was significantly higher than that of control group( 73. 75 %)( χ2=5. 908,P = 0. 015). The observation group was superior to the control group in improving the SDS score and SAS score( t = 5. 754,P < 0. 001; t = 7. 248,P < 0. 001). Conclusion Traditional Chinese medicine( TCM) combined with psychological intervention therapy can relieve anxiety and depression and improve patient compliance.
Objective To investigate the effect of TCM psychotherapy on adherence and negative emotion in patients with severe illness in neurology. Methods 160 patients with neurology were admitted to the ICU. The patients were randomly divided into observation group( n = 80) and control group( n = 80) according to random table method.The control group was treated with conventional Western psychological intervention,including daily observation,health guidance and psychological guidance. The observation group added traditional Chinese medicine emotional therapy on the basis of conventional psychological intervention therapy,including emotional win,empathy,pentameter therapy. Results The compliance of observation group( 88. 75 %) was significantly higher than that of control group( 73. 75 %)( χ2=5. 908,P = 0. 015). The observation group was superior to the control group in improving the SDS score and SAS score( t = 5. 754,P < 0. 001; t = 7. 248,P < 0. 001). Conclusion Traditional Chinese medicine( TCM) combined with psychological intervention therapy can relieve anxiety and depression and improve patient compliance.
引文
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[11]张浩,吕荣菊,郑智勇,等.情志相胜疗法在抑郁症中应用及其机制研究[J].辽宁中医药大学学报,2017,19(8):70-73.
[12]支琴,蒋盛熠,姚昌杰,等.情志相胜疗法在慢性阻塞性肺病患者中的应用[J].中西医结合护理,2017,3(2):69-71.
[13]李艳华,窦纪梁.中医五行音乐疗法在妇科疾病中的应用概况[J].中国民族民间医药,2017,26(2):65-66.
[14]刘畅.中医五音疗法对减轻ICU病人谵妄的护理研究[J].智慧健康,2017,3(21):42-44.
[2]SANDOVAL C P.Nonpharmacological interventions for sleep promotion in the intensive care unit[J].Crit Care Nurse,2017,37(2):100-102.
[3]SEMLER M W,WANDERER J P,EHRENFELD J M,et al.Balanced crystalloids versus saline in the intensive care unit:the SALT randomized trial[J].Am J Respir Crit Care Med,2017,195(10):1362.
[4]迟玉春,庄见绘,杨慧芳,等.中医情志疗法对重症监护患者焦虑情绪的缓解作用研究[J].中医临床研究,2017,9(18):6-7.
[5]姜文婷,张敏.消癖散结汤配合中医情志疗法治疗乳腺增生临床研究[J].中医学报,2016,31(12):1995-1998.
[6]吴夏秋,雷蕾,彭锦,等.中医保健疗法防治经前期综合征的文献评价[J].世界中医药,2014,9(3):378-381.
[7]林桂永,邱鸿忠,林娟,等.中医心理护理对老年临终关怀病人焦虑和抑郁及孤独程度的研究分析[J].中国保健营养,2016,26(11):2-3.
[8]闫少校,赵霞,吕梦涵,等.改良中医情绪疗法配合抗抑郁药治疗抑郁症34例临床观察[J].中医杂志,2016,57(6):484-488.
[9]郭缇,黄立中,肖玉洁,等.解郁安神汤联合中医心理疗法对中晚期肺癌患者抑郁情绪及免疫功能的影响[J].中医临床研究,2017,9(6):118-120.
[10]徐川,蒙玲莲,张秋娟,等.基于中医心身医学和整体观念探讨抑郁症[J].北京中医药,2016,35(10):967-971.
[11]张浩,吕荣菊,郑智勇,等.情志相胜疗法在抑郁症中应用及其机制研究[J].辽宁中医药大学学报,2017,19(8):70-73.
[12]支琴,蒋盛熠,姚昌杰,等.情志相胜疗法在慢性阻塞性肺病患者中的应用[J].中西医结合护理,2017,3(2):69-71.
[13]李艳华,窦纪梁.中医五行音乐疗法在妇科疾病中的应用概况[J].中国民族民间医药,2017,26(2):65-66.
[14]刘畅.中医五音疗法对减轻ICU病人谵妄的护理研究[J].智慧健康,2017,3(21):42-44.