五音疗法联合叙事干预治疗对慢性乙型肝炎肝硬化焦虑患者焦虑程度和睡眠质量的影响被引量：1

Effect of five-tone therapy combined with narrative nursing on anxiety level and sleep quality in patients with chronic hepatitis B cirrhosis with anxiety

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摘要目的探究五音疗法联合叙事干预治疗对慢性乙型肝炎肝硬化焦虑患者焦虑程度和睡眠质量的影响。方法选择2022年6月至2023年12月淮北市中医医院脾胃病科60例慢性乙型肝炎肝硬化焦虑患者,按照随机数字表法分为2组。对照组30例行常规干预,观察组30例在对照组基础上行五音疗法联合叙事治疗干预。比较2组干预前后焦虑程度、病耻感、睡眠质量、生活质量变化,并比较2组满意率。结果干预后,2组焦虑自评量表(SAS)评分、抑郁症病耻感量表评分、匹兹堡睡眠质量指数量表(PSQI)各维度评分均较本组干预前降低(P<0.05),且观察组低于对照组(P<0.05)。干预后,2组慢性肝病问卷各维度评分均较本组干预前升高(P<0.05),且观察组均高于对照组(P<0.05)。观察组满意率为96.67%(29/30),对照组满意率为73.33%(22/30),观察组满意率高于对照组(P<0.05)。结论五音疗法联合叙事干预治疗可降低慢性乙型肝炎肝硬化焦虑患者的焦虑程度及病耻感,有效提高患者睡眠质量、生活质量及满意率。 Objective To explore the effect of five-tone therapy combined with narrative nursing on anxiety level and sleep quality in patients with chronic hepatitis B cirrhosis with anxiety.Methods Sixty patients with chronic hepatitis B cirrhosis with anxiety admitted to Department of Gastroenterology,Huaibei Hospital of Traditional Chinese Medicine from June 2022 to December 2023 were randomly assigned into observation group(n=30)and control group(n=30).All patients were managed by routine intervention,and those in observation group were additionally given five-tone therapy combined with narrative nursing.The anxiety level,stigma,sleep quality,quality of life,satisfaction were included as comparators.Results After intervention,Self-rating Anxiety Scale(SAS)score,Depression Stigma Scale(DSS)score,Pittsburgh Sleep Quality Index(PSQI)score in the both groups were significantly decreased(P<0.05),which were significantly lower in the observation group than in the control group(P<0.05).After intervention,the chronic liver disease questionnaire(CLDQ)score in the both groups was significantly increased(P<0.05),the increase in the observation group was more prevalent compared with the control group(P<0.05).The satisfaction in the observation group was significantly higher than that in the control group(96.67%[29/30]vs 73.33%[22/30],P<0.05).Conclusion Five-tone therapy combined with narrative nursing can reduce anxiety and stigma,and effectively improve sleep quality,quality of life and satisfaction in patients with chronic hepatitis B cirrhosis with anxiety.

作者马慧敏徐娟周晓莹 MA Huimin;XU Juan;ZHOU Xiaoying(Department of Gastroenterology,Huaibei Hospital of Traditional Chinese Medicine,Huaibei,Anhui 235000)

机构地区安徽省淮北市中医医院脾胃病科

出处《河北中医》 2025年第6期917-921,925,共6页 Hebei Journal of Traditional Chinese Medicine

基金淮北市中医科技计划项目(编号:2023HK051)。