|
|
Influence of music treatment based on syndrome differentiation with point selection by midday-midnight flowing of qi-bloodpoint on anxiety and quality of life in patients with acute cerebral infarction |
QU Yueqing WU Xiaoping DING Yanbing |
Department of Encephalopathy, Hubei Provincial Hospital of Traditional Chinese Medicine Hubei Provincial Institute of Traditional Chinese Medicine Affiliated Hospital of Hubei University of Chinese Medicine, Hubei Province, Wuhan 430061, China |
|
|
Abstract Objective To explore the influence of music treatment based on syndrome differentiation with point selection by midday-midnight flowing of qi-bloodpoint on anxiety and quality of life in patients with acute cerebral infarction. Methods A total of 76 patients with acute cerebral infarction complicated with anxious neurosis hospitalized in Hubei Provincial Hospital of Traditional Chinese Medicine from January to December 2021 were selected and divided into observation group (38 cases) and control group (38 cases) according to the random number table method. Both groups were treated with the basic treatment, rehabilitation, and nursing routine, and the observation group was treated with music treatment based on syndrome differentiation with point selection by midday-midnight flowing of qi-bloodpoint. After 14 days of intervention, Hamilton anxiety scale (HAMA), self-rating anxiety scale (SAS), short form 36 (SF-36) scores, and sleep electroencephalogram parameters were compared between the two groups before and after intervention. Results After intervention, HAMA and SAS scores of the two groups were lower than those before intervention, and the observation group was lower than the control group, and the differences were statistically significant (P < 0.05). After intervention, the scores of body pain, physical function, and emotional function in SF-36 of the two groups were higher than those before intervention, the scores of overall health, vitality, social function, and mental health in the observation group were higher than those before intervention, the scores of body pain, physical function, general health, vitality, social function, emotional function, and mental health in the observation group were higher than those in the control group, and the differences were statistically significant (P < 0.05). After intervention, the sleep latency, awakening time of the two groups were lower than those before intervention, and the total sleep time was longer than those before treatment, the awakening times of observation group were lower than those before intervention, the sleep latency, awakening time, and awakening times of the observation group were lower than those of the control group, and the total sleep time was longer than that of the control group, and the differences were statistically significant (P < 0.05). Conclusion Music treatment based on syndrome differentiation with point selection by midday-midnight flowing of qi-bloodpoint can improve the sleep quality of patients with acute cerebral infarction, effectively improve the anxiety and quality of life of these patients, and the clinical effect is significant.
|
|
|
|
|
[1] Warner JJ,Harrington RA,Sacco RL,et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke:2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke [J]. Stroke,2019,50(12):3331-3332.
[2] 于虹艳.静脉溶栓治疗联合早期康复护理对急性脑梗死患者的影响研究[J].中国现代药物应用,2022,16(1):245- 247.
[3] 刘远洪,梁金花,葛晓航,等.认知疗法合并黛力新治疗脑卒中后焦虑的疗效[J].神经疾病与精神卫生,2007(4):285-287.
[4] Wang YJ,Li ZX,Gu HQ,et al. China stroke statistics 2019:a report from the National Center for Healthcare Quality Management in Neurological Diseases,China National Clinical Research Center for Neurological Diseases,the Chinese Stroke Association,National Center for Chronic and Non-communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention and Institute for Global Neuroscience and Stroke Collaborations [J]. Stroke Vasc Neurol,2020,5(3):211-239.
[5] 席加秋,王凯,石书龙,等.脑卒中后焦虑病人同型半胱氨酸、血脂、血糖水平变化及其临床意义[J].中西医结合心脑血管病杂志,2022,20(1):145-148.
[6] 赵伟,邵宁宁,陈婷婷.艾司西酞普兰对脑卒中后焦虑抑郁伴失眠患者的影响[J].中国当代医药,2020,27(14):72-74.
[7] 张敏,史文莉.五行音乐疗法对肝阳上亢型高血压患者血压及情绪的影响[J].新疆医科大学学报,2021,44(11):1289-1293.
[8] 刘牡丹,陈适达,郑夏玲,等.五行音乐疗法配合耳穴压豆对妇科恶性肿瘤化疗患者心理状况和生活质量的影响[J].医学食疗与健康,2022,20(6):190-193.
[9] 涂海春.中医辨证护理对脑梗死后遗症患者神经功能和生活质量的影响[J].中外医学研究,2020,18(11):102-104.
[10] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.
[11] 中华医学会精神科分会.CCMD-3中国精神障碍分类与诊断标准[M].济南:山东科学技术出版社,2001.
[12] 国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J].北京中医药大学学报,1996(1):55-56.
[13] 汤毓华,张明园.汉密顿焦虑量表(HAMA)[J].上海精神医学,1984(2):64-65.
[14] Olatunji BO,Deacon BJ,Abramowitz JS,et al. Dimensionality of somatic complaints:factor structure and psychometric properties of the Self-Rating Anxiety Scale [J]. J Anxiety Disord,2006,20(5):543-561.
[15] 侍成栋,潘永良.汉密尔顿抑郁及焦虑量表与正性负性情绪量表的相关性研究[J].全科护理,2019,17(2):140- 142.
[16] 别凤赛,徐洋,李晓光,等.常用职业心理健康损害测评工具概述[J].实用预防医学,2021,28(4):510-513.
[17] 李俊,刘朝杰,李宁秀,等.生命质量评价量表SF-36中国量化标准研究[J].华西医科大学学报,2001,32(1):36-38,47.
[18] 雷彬,董斐,邢佳,等.运用五行音乐从形神论治中风后郁证的思路浅析[J].环球中医药,2020,13(1):56-59.
[19] 潘佳琪,王晨宇,林法财.五行音乐疗法在治未病实践中的运用[J].中华中医药杂志,2022,37(3):1263-1266.
[20] 成郅潼,蒋筱,黄洁雯,等.中医五音疗法研究进展[J].中国民间疗法,2022,30(3):122-125.
[21] 张苗,马影蕊.基于心身医学理论的中医穴位按摩联合五音疗法对自然分娩产妇产后康复及心理状态的影响研究[J].中国医药科学,2021,11(21):152-156.
[22] 吴慎.黄帝内经五音疗疾——中国传统音乐疗法理论与实践[M].北京:人民卫生出版社,2014:125-127.
[23] 艾茜.中医五音疗疾述略[J].湖北民族大学学报(医学版),2021,38(4):68-70.
[24] 高静,弋新,吴晨曦,等.子午流注择时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.
[25] 战伟,侣双双,周鑫,等.五音疗法结合耳穴贴压护理模式对老年失眠症患者睡眠和生活质量的影响[J].中国医药科学,2020,10(15):113-115,148.
[26] 付文娟,崔丽霞,张丽芳.音乐治疗对失眠症患者睡眠状况及多导睡眠图的影响[J].临床心身疾病杂志,2016, 22(3):14-16.
[27] 张晓娟,李子锋,丁劲,等.揿针联合五音疗法对肝阳上亢型高血压患者失眠的效果[J].护理学杂志,2022,37(1):46-48.
[28] 宋子颛,谭杏,田园.五音疗法干预失眠症患者睡眠质量效果的Meta分析[J].岳阳职业技术学院学报,2020, 35(5):54-59. |
|
|
|