摘要
目的评价辨证施乐模式对慢阻肺稳定期患者焦虑抑郁的干预效果;评价辨证施乐对患者睡眠障碍的改善,为慢病管理的模式提供新的思路。方法参照观察性研究纳入80例慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)稳定期患者,随机分成对照组与音乐组,对照组给予常规治疗+健康宣教;音乐组在对照组基础上辨证给予中医五行音乐治疗,观察指标为:肺通气功能,成人慢性阻塞性肺疾病生存质量评分表抑郁心理、焦虑心理部分,匹兹堡睡眠质量指数,6min步行距离,共计观察3个月。结果治疗后两组患者间的匹兹堡积分存在差异(P=0.002),音乐组在改善COPD患者睡眠障碍的效果优于对照组;治疗后两组患者间的焦虑心理症状存在差异(P=0.028),音乐组COPD患者焦虑心理减轻的情况优于对照组;治疗后两组患者间的抑郁心理症状存在差异(P=0.001),音乐组COPD患者抑郁心理的改善情况优于对照组;干预前后两组患者FEV1.0%组间比较均无统计学差异(P>0.05);干预后音乐组患者6min步行距离有所上升,差异有统计学意义(P=0.000),对照组6min步行距离变化差异不明显(P=0.096)。结论辨证施乐模式可以有效改善慢阻肺稳定期患者焦虑抑郁心境,提高睡眠质量,并维持呼吸功能,改善运动耐力,为慢病管理的模式提供新的思路。
Objective to evaluate the intervention effect of dialectical xerox model on anxiety and depression in patients with chronic obstructive pulmonary disease(copd)in stable period;To evaluate the improvement of patients’sleep disorders by dialectical xerox,and to provide new ideas for the management of chronic diseases.Methods 80 cases of COPD patients were included in the observational study and randomly divided into control group and music group.Music group was treated with five elements of music of traditional Chinese medicine on the basis of syndrome differentiation in the control group,and the observation indexes were:pulmonary ventilation function,depression psychology,anxiety psychology,Pittsburgh sleep quality index,6-minute walking distance,a total of 3 months.Results there was a difference in Pittsburgh scores between the two groups after treatment(P=0.002),and the music group had a better effect in improving sleep disorders in COPD patients than the control group.After treatment,there was a difference in anxiety symptoms between the two groups(P=0.028).The anxiety reduction of COPD patients in music group was better than that of the control group.After treatment,there was a difference in depressive psychological symptoms between the two groups(P=0.001).The improvement of depressive psychological symptoms in COPD patients in music group was better than that in the control group.There was no statistical difference between the two groups before and after the intervention(P>0.05).After intervention,the 6-minute walking distance increased in music group,and the difference was statistically significant(P=0.000),while there was no significant difference in the 6-minute walking distance in the control group(P=0.096).Conclusion the syndrome differentiation xerox model can effectively improve the anxiety and depression mood of patients with chronic obstructive pulmonary disease,improve sleep quality,maintain respiratory function,improve exercise endurance,and provide new ideas for the chronic disease management model.
作者
吉华星
李小娟
Ji Huaxing;Li Xiaojuan(Dongfang hospital of Beijing university of traditional Chinese medicine,Beijing,100078,China;The second affiliated hospital of tianjin university of traditional Chinese medicine,Tianjin,300193,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2020年第7期2476-2483,共8页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
基金
国家自然科学基金委员会青年项目(81603442):从“肺朝百脉”探讨补肺活血法调控HIF-1复合信号通路对COPD肺血管影响的机制研究,负责人:李小娟
关键词
辨证施乐
COPD稳定期
睡眠障碍
焦虑抑郁
Dialectical Xerox
COPD Stable Period
Sleep disorders
Anxiety depression
