OBJECTIVE: To explore the effects of five-element music therapy on elderly patients with seasonal affective disorder in a Chinese nursing home.METHODS: The patients(n=50) were recruited from a Shijingshan district nur...OBJECTIVE: To explore the effects of five-element music therapy on elderly patients with seasonal affective disorder in a Chinese nursing home.METHODS: The patients(n=50) were recruited from a Shijingshan district nursing home in Beijing,China. They were randomly assigned to two groups, a treatment group and a control group,with 25 participants in each group. The patients received music therapy for 1-2 h each week over an8-week period. The music therapy involved four phases: introduction, activities, listening to the Chinese five-element music, and a concluding phase.The participants in the control group did not listen to the five-element music. This study consisted of two parts:(a) a qualitative study that used focus groups to understand the feelings of the patients with seasonal affective disorder;(b) a quantitative study that involved administration of the self-rating depression scale(SDS) and Hamilton depression scale(HAMD) before and after treatment.RESULTS:(a) Qualitative analysis results: strength derived from the five-element group music therapy and emotional adjustment. The five-element group music therapy can reduce patients' psychological distress and let them feel inner peace and enhance their life satisfaction.(b) No significant difference in SDS and HAMD scores was found between the two groups(P>0.05) prior to treatment. After treatment,the mean SDS score of the control group was 49.9±18.8, while the treatment group's score was 40.2±18.1. The HAMD score of the control group was11.2±3.1, and the treatment group's score was 8.8±4.9. Following 8 weeks of music therapy, the SDS and HAMD scores of the treatment group were significantly lower than those for the control group(P<0.05).CONCLUSION: Five-element music therapy alleviated the symptoms of seasonal affective disorder in the elderly patients.展开更多
Objective:The objective of this study is to assess the application effect of five elements music therapy introduced in the pain coping skills training of knee osteoarthritis(KOA).Materials and Methods:Totally,80 patie...Objective:The objective of this study is to assess the application effect of five elements music therapy introduced in the pain coping skills training of knee osteoarthritis(KOA).Materials and Methods:Totally,80 patients with KOA were selected and randomly divided into the experimental group(39 cases)and the control group(41 cases).The control group was only given routine nursing measures,and the experimental group was additionally treated with five-element music therapy on the basis of the control group,twice a day,28 days in total.The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)was used to evaluate the functional status of the knee joint of the two groups.The clinical efficacy of the two groups was evaluated by Guiding Principles for Clinical Research of New Chinese Medicine in the Treatment of Osteoarthritis.Results:WOMAC score statistically significantly decreased in the experimental group(35.92±9.48 vs.16.17±5.43,P<0.01)and the control group(36.73±6.42 vs.22.53±7.51,P<0.01)after 28 days of intervention when compared with that before intervention;WOMAC score in the experimental group was lower than that of the control group after 28 days of intervention(16.17±5.43 vs.22.53±7.51,P<0.01).The total effective rate of the experimental group was statistically higher than that of the control group(82.0%vs.51.2%,χ2=11.97,P=0.003).Conclusion:The combination of five-element music therapy and routine nursing measures has better effect in relieving pain and bad emotions of patients with KOA when compared with routine nursing measures alone.展开更多
OBJECTIVE: To explore the effects of traditional Chinese medicine(TCM) five-element music combined with acupoint application on perioperative sleep quality in patients undergoing joint replacement surgery. METHODS: In...OBJECTIVE: To explore the effects of traditional Chinese medicine(TCM) five-element music combined with acupoint application on perioperative sleep quality in patients undergoing joint replacement surgery. METHODS: In this study, a total of 122 patients with joint replacement surgery in Beijing Jishuitan Hospital were targeted from 2015 to 2018. All patients were grouped by random number table method. Among them, 61 patients with routine nursing were included in the control group. On this basis, the other 61 patients with acupoint application and TCM five-element music therapy were included as the observation group. 2 weeks later, the Pittsburgh Sleep Quality Index(PSQI) was used to evaluate sleep quality in all patients. The sleep improvement of the 2 groups was evaluated, and the patient was assessed for anxiety and depression, and the curative efficacy was evaluated. RESULTS: After 2 weeks of nursing, the PSQI of the patients improved significantly. The PSQI of the observation group was only 6.6 ± 2.4, and the control group decreased to 9.9 ± 2.7. The observation group was better than the control group, and the difference was statistically significant(P < 0.05). Comparing the 2 groups, the anxiety score of the observation group decreased to 4.8 ± 1.6, which was significantly lower than that of 6.9 ± 2.2 in the control group. The depression score of the observation group decreased to 4.6 ± 1.3, which was significantly lower than that of 6.8 ± 2.3 in the control group. In the control group, the negative emotion scores after nursing were better than those before nursing, and the difference was statistically significant(P < 0.05). Comparing the 2 groups, the effective rate of sleep improvement in the observation group was 96.6%, and the cure rate was as high as 49.1%. The control group was 82.0%, and the cure rate was 18.0%. The observation group was better than the control group, and the difference was statistically significant(P < 0.05). CONCLUSION: The combination of TCM five-element music with acupoint application can improve the perioperative sleep quality of patients undergoing joint replacement surgery, and it can help patients to relieve negative emotions. It is worth promoting.展开更多
In order to mutually regulate mental and physical conditions, the authors adopted acupuncture in combination with five-element music therapy of traditional Chinese medicine(TCM) for 1 case of globus hystericus. Bǎih...In order to mutually regulate mental and physical conditions, the authors adopted acupuncture in combination with five-element music therapy of traditional Chinese medicine(TCM) for 1 case of globus hystericus. Bǎihui(百会 GV 20),Hégǔ(合谷 LI 4)、Zhōngwǎn(中脘 CV 12).Qìhǎi(气海 CV 6) et al. were needled once every other day and music of Zhi tone was played for the patient. A further study is needed for the application of this therapeutic method.展开更多
This article studied on five elements system and set general and strict model expectations combining with Traditional Chinese Medicine Zang-fu organs theory,in which absolute stable state,conditional stable state or t...This article studied on five elements system and set general and strict model expectations combining with Traditional Chinese Medicine Zang-fu organs theory,in which absolute stable state,conditional stable state or transient stability and instability in mathematical models were corresponding to human healthy state,sub-healthy state(pathological plateau phase) and health deterioration state respectively.Model parameters were set up according to the mutual generation and restriction relations among five elements.The dynamic model of Five-Elements System was built,of which impulse responses were corresponding to human response under TCM treatment.Analyses of initial value and excitation response were conducted by numerical simulation and results turned out to meet the requirements of general model expectation:five elements system dynamic model had self-organization function;there existed only one non-global stable point and instability region in the five-dimensional space consisting of variables,in which instability was corresponding to pathological deterioration;system stable region was an unbounded domain and it included the stable sub-regions of special straight line-type,ray-type and line segment-type.Among those ray-types,some contained "Regression Peak" were classed as conditional stable regions while others as absolute ones.The existence of this peak indicates that our body must exceed a "Regression Threshold" when transiting from sub-healthy state(pathological plateau phase) to healthy state through self-regulation mechanism.Impulse excitation can reduce certain threshold and then increase the system health level,which is complied with the operating principle of Five-Elements System and the empirical rule of TCM clinical practice.This model has revealed qualitatively the inherent movement law of Five-Elements System and thus provides a new analysis tool for basic theoretical study on TCM.展开更多
Objectives： To evaluate the effects of the Chinese medicine （CM） five-element music on quality of life for senior and non-senior advanced cancer patients. Methods： With a randomized controlled trial, 170 advanced ...Objectives： To evaluate the effects of the Chinese medicine （CM） five-element music on quality of life for senior and non-senior advanced cancer patients. Methods： With a randomized controlled trial, 170 advanced cancer patients were randomly assigned to three groups： the CM five-element music group （68 patients）, the Western music therapy group （68 cases）, and the no music therapy group （34 cases）. All patients of 70 years old or older were considered seniors and the remaining patients younger than 70 years were considered non- seniors. Patients in the CM five-element music group listened to CM five-element music, the patients in the Western music group listened to Western music, and the patients in the no music group did not listen to music. A course of treatment was 3 weeks, with 30 rain each day, 5 days a week. The Hospice Quality of Life Index- Revised （HQOLI-R） and Karnofsky performance score （KPS） were measured in the three groups before and after treatment. The symptom diary score was measured in the three groups every 3 days, 7 times in total. Results： CM five-element music group showed a significant difference of HQOLI-R, KPS and symptom diary score with other groups （all P〈0.01）. There were significant differences of HQOLI-R, symptom diary score, and KPS after treatment in CM five-element music group and other groups in the non-senior subgroup （P〈0.05）. Additionally, there were significant differences in HQOLI-R and KPS after treatment among the three groups in the senior subgroup （P〈0.05）. Conclusions： CM five-element music therapy could improve the quality of life and KPS for senior and non senior advanced cancer patients, and it could improve subjective symptoms for non-senior advanced cancer patients.展开更多
Objectives： To evaluate the effects of progressive muscle relaxation training （PMRT） combined with five elements music therapy of Chinese medicine （CM） for improving anxiety and depression of cancer patients. Met...Objectives： To evaluate the effects of progressive muscle relaxation training （PMRT） combined with five elements music therapy of Chinese medicine （CM） for improving anxiety and depression of cancer patients. Methods： From June 2015 to March 2016, 60 cancer patients were included into the study. The patients were randomly assigned to a control group and a treatment group by envelope randomization, receiving PMRT and PMRT plus CM five elements music therapy, respectively, for 8 weeks. Hospital Anxiety and Depression Scale （HADS）, Benefit Finding Scales （BFS）, Functional Assessment of Chronic Illness Therapy-Spiritual （FACIT-Sp）, and Intervention Expectations Questionnaire （IEQU） were adopted to assess the depression of the two groups before and after the treatment. Results： Four cases dropped out during the study, and 29 cases in the treatment group and 27 in the control group were included in the final analysis. Prior to the treatments, the baselines of the 4 questionnaires in the two groups showed no difference. After the 8-week treatment, the treatment group presented better levels of HADS, BFS and FACIT-Sp scores compared with the control group （P〈0.05）. Among the single items of HADS, 4 items involving vexation, feeling fidgeted, pleasure and prospecting the future in the treatment group were improved compared with the control group （P〈0.05）. Conclusions： As a simple and reliable and effective intervention, PMRT combined with five elements music therapy mitigated anxiety and depression of cancer patients. Cancer patients have been found to respond well to psychological intervention in areas regarding stabilisation of emotions, disease awareness, and therapeutic compliance. This brings about a great difference in improving their quality of life and psychological state, offers an effective approach to better self-management in cancer treatment.展开更多
世界卫生组织(World Health Organization, WHO)强调通过健康促进、疾病预防和早诊早治以提升健康水平。由于疾病种类繁多、观点错杂,病机往往呈现为“多元化”的势态,尤其重大慢病、疑难重症、复合共病更是与复合体质状态密切关联,故...世界卫生组织(World Health Organization, WHO)强调通过健康促进、疾病预防和早诊早治以提升健康水平。由于疾病种类繁多、观点错杂,病机往往呈现为“多元化”的势态,尤其重大慢病、疑难重症、复合共病更是与复合体质状态密切关联,故而从“体病相关”切入探讨是突破疾病预测、预防以及治疗瓶颈的关键。基于多年的研究提出“五行十态体质”创新观点;遵循“天人相应”规律,将传统六十甲子周期理论运用于体质状态研究,综合考虑五运六气交互承制、天干地支本属系统、正化对化、天地二甲子、运气的平气状态等关键因素对人体五脏六腑功能的影响,运用传统“医算法”,依据“生克制化”“胜复郁发”“淫胜郁复”之气机升降特点,详细分析了基础体质与后天体质状态的关联;重视始生之时、疾病始发时、传变时、欲解时以及就诊时等不同节点的运气格局对人体的影响,以揭示体质特异性与相应系统疾病的易感性以及脏腑复合病机主、次标本的关系,预判健康状态与疾病不同阶段的病机、病势演变,为临床疾病的预测、预防、个体化干预以及群体化防治提供指导思路。展开更多
基金Supported by the Assistance Project for the Developing Country Funded by the Ministry of Science and Technology of China (No.KY201302010)the National Major Foundational Research Development Project (973 project) (No.2011CB505404)+2 种基金the Beijing University of Chinese Medicine Innovative Group (No.2011-CXTD-05)the National Scienceand Technology Project in'12th Five Year Plan'Funded by the Ministry of Science and Technology (No.2012BA125B05)the National Basic Research Program of China (No.81173381)
文摘OBJECTIVE: To explore the effects of five-element music therapy on elderly patients with seasonal affective disorder in a Chinese nursing home.METHODS: The patients(n=50) were recruited from a Shijingshan district nursing home in Beijing,China. They were randomly assigned to two groups, a treatment group and a control group,with 25 participants in each group. The patients received music therapy for 1-2 h each week over an8-week period. The music therapy involved four phases: introduction, activities, listening to the Chinese five-element music, and a concluding phase.The participants in the control group did not listen to the five-element music. This study consisted of two parts:(a) a qualitative study that used focus groups to understand the feelings of the patients with seasonal affective disorder;(b) a quantitative study that involved administration of the self-rating depression scale(SDS) and Hamilton depression scale(HAMD) before and after treatment.RESULTS:(a) Qualitative analysis results: strength derived from the five-element group music therapy and emotional adjustment. The five-element group music therapy can reduce patients' psychological distress and let them feel inner peace and enhance their life satisfaction.(b) No significant difference in SDS and HAMD scores was found between the two groups(P>0.05) prior to treatment. After treatment,the mean SDS score of the control group was 49.9±18.8, while the treatment group's score was 40.2±18.1. The HAMD score of the control group was11.2±3.1, and the treatment group's score was 8.8±4.9. Following 8 weeks of music therapy, the SDS and HAMD scores of the treatment group were significantly lower than those for the control group(P<0.05).CONCLUSION: Five-element music therapy alleviated the symptoms of seasonal affective disorder in the elderly patients.
基金The study is supported by the project of independent topic selection of Beijing University of Traditional Chinese Medicine in 2019(No.:2019-jyb-js-105).
文摘Objective:The objective of this study is to assess the application effect of five elements music therapy introduced in the pain coping skills training of knee osteoarthritis(KOA).Materials and Methods:Totally,80 patients with KOA were selected and randomly divided into the experimental group(39 cases)and the control group(41 cases).The control group was only given routine nursing measures,and the experimental group was additionally treated with five-element music therapy on the basis of the control group,twice a day,28 days in total.The Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)was used to evaluate the functional status of the knee joint of the two groups.The clinical efficacy of the two groups was evaluated by Guiding Principles for Clinical Research of New Chinese Medicine in the Treatment of Osteoarthritis.Results:WOMAC score statistically significantly decreased in the experimental group(35.92±9.48 vs.16.17±5.43,P<0.01)and the control group(36.73±6.42 vs.22.53±7.51,P<0.01)after 28 days of intervention when compared with that before intervention;WOMAC score in the experimental group was lower than that of the control group after 28 days of intervention(16.17±5.43 vs.22.53±7.51,P<0.01).The total effective rate of the experimental group was statistically higher than that of the control group(82.0%vs.51.2%,χ2=11.97,P=0.003).Conclusion:The combination of five-element music therapy and routine nursing measures has better effect in relieving pain and bad emotions of patients with KOA when compared with routine nursing measures alone.
文摘OBJECTIVE: To explore the effects of traditional Chinese medicine(TCM) five-element music combined with acupoint application on perioperative sleep quality in patients undergoing joint replacement surgery. METHODS: In this study, a total of 122 patients with joint replacement surgery in Beijing Jishuitan Hospital were targeted from 2015 to 2018. All patients were grouped by random number table method. Among them, 61 patients with routine nursing were included in the control group. On this basis, the other 61 patients with acupoint application and TCM five-element music therapy were included as the observation group. 2 weeks later, the Pittsburgh Sleep Quality Index(PSQI) was used to evaluate sleep quality in all patients. The sleep improvement of the 2 groups was evaluated, and the patient was assessed for anxiety and depression, and the curative efficacy was evaluated. RESULTS: After 2 weeks of nursing, the PSQI of the patients improved significantly. The PSQI of the observation group was only 6.6 ± 2.4, and the control group decreased to 9.9 ± 2.7. The observation group was better than the control group, and the difference was statistically significant(P < 0.05). Comparing the 2 groups, the anxiety score of the observation group decreased to 4.8 ± 1.6, which was significantly lower than that of 6.9 ± 2.2 in the control group. The depression score of the observation group decreased to 4.6 ± 1.3, which was significantly lower than that of 6.8 ± 2.3 in the control group. In the control group, the negative emotion scores after nursing were better than those before nursing, and the difference was statistically significant(P < 0.05). Comparing the 2 groups, the effective rate of sleep improvement in the observation group was 96.6%, and the cure rate was as high as 49.1%. The control group was 82.0%, and the cure rate was 18.0%. The observation group was better than the control group, and the difference was statistically significant(P < 0.05). CONCLUSION: The combination of TCM five-element music with acupoint application can improve the perioperative sleep quality of patients undergoing joint replacement surgery, and it can help patients to relieve negative emotions. It is worth promoting.
基金Supported by the National Natural Science Foundation of China:81804161
文摘In order to mutually regulate mental and physical conditions, the authors adopted acupuncture in combination with five-element music therapy of traditional Chinese medicine(TCM) for 1 case of globus hystericus. Bǎihui(百会 GV 20),Hégǔ(合谷 LI 4)、Zhōngwǎn(中脘 CV 12).Qìhǎi(气海 CV 6) et al. were needled once every other day and music of Zhi tone was played for the patient. A further study is needed for the application of this therapeutic method.
基金supported by the National Basic Research Program of China (973 Program, No. 2006CB504509)the Science Foundation of Shanghai Municipal Commission of Science and Technology (No. 2007DZ19722, 2008DZ19733000, 2009DZ1974303)+1 种基金the Doctoral Fund of Ministry of Education of China (No. 200802461152)the Fudan Young Teacher's Research Foundation (No. 09FQ07)
文摘This article studied on five elements system and set general and strict model expectations combining with Traditional Chinese Medicine Zang-fu organs theory,in which absolute stable state,conditional stable state or transient stability and instability in mathematical models were corresponding to human healthy state,sub-healthy state(pathological plateau phase) and health deterioration state respectively.Model parameters were set up according to the mutual generation and restriction relations among five elements.The dynamic model of Five-Elements System was built,of which impulse responses were corresponding to human response under TCM treatment.Analyses of initial value and excitation response were conducted by numerical simulation and results turned out to meet the requirements of general model expectation:five elements system dynamic model had self-organization function;there existed only one non-global stable point and instability region in the five-dimensional space consisting of variables,in which instability was corresponding to pathological deterioration;system stable region was an unbounded domain and it included the stable sub-regions of special straight line-type,ray-type and line segment-type.Among those ray-types,some contained "Regression Peak" were classed as conditional stable regions while others as absolute ones.The existence of this peak indicates that our body must exceed a "Regression Threshold" when transiting from sub-healthy state(pathological plateau phase) to healthy state through self-regulation mechanism.Impulse excitation can reduce certain threshold and then increase the system health level,which is complied with the operating principle of Five-Elements System and the empirical rule of TCM clinical practice.This model has revealed qualitatively the inherent movement law of Five-Elements System and thus provides a new analysis tool for basic theoretical study on TCM.
基金Supported by the project of Chinese Geriatric Oncology Society of the"Eleventh five-year"Plan of Ministry of Civil Affairs(No.2008-47-2-45)
文摘Objectives： To evaluate the effects of the Chinese medicine （CM） five-element music on quality of life for senior and non-senior advanced cancer patients. Methods： With a randomized controlled trial, 170 advanced cancer patients were randomly assigned to three groups： the CM five-element music group （68 patients）, the Western music therapy group （68 cases）, and the no music therapy group （34 cases）. All patients of 70 years old or older were considered seniors and the remaining patients younger than 70 years were considered non- seniors. Patients in the CM five-element music group listened to CM five-element music, the patients in the Western music group listened to Western music, and the patients in the no music group did not listen to music. A course of treatment was 3 weeks, with 30 rain each day, 5 days a week. The Hospice Quality of Life Index- Revised （HQOLI-R） and Karnofsky performance score （KPS） were measured in the three groups before and after treatment. The symptom diary score was measured in the three groups every 3 days, 7 times in total. Results： CM five-element music group showed a significant difference of HQOLI-R, KPS and symptom diary score with other groups （all P〈0.01）. There were significant differences of HQOLI-R, symptom diary score, and KPS after treatment in CM five-element music group and other groups in the non-senior subgroup （P〈0.05）. Additionally, there were significant differences in HQOLI-R and KPS after treatment among the three groups in the senior subgroup （P〈0.05）. Conclusions： CM five-element music therapy could improve the quality of life and KPS for senior and non senior advanced cancer patients, and it could improve subjective symptoms for non-senior advanced cancer patients.
文摘Objectives： To evaluate the effects of progressive muscle relaxation training （PMRT） combined with five elements music therapy of Chinese medicine （CM） for improving anxiety and depression of cancer patients. Methods： From June 2015 to March 2016, 60 cancer patients were included into the study. The patients were randomly assigned to a control group and a treatment group by envelope randomization, receiving PMRT and PMRT plus CM five elements music therapy, respectively, for 8 weeks. Hospital Anxiety and Depression Scale （HADS）, Benefit Finding Scales （BFS）, Functional Assessment of Chronic Illness Therapy-Spiritual （FACIT-Sp）, and Intervention Expectations Questionnaire （IEQU） were adopted to assess the depression of the two groups before and after the treatment. Results： Four cases dropped out during the study, and 29 cases in the treatment group and 27 in the control group were included in the final analysis. Prior to the treatments, the baselines of the 4 questionnaires in the two groups showed no difference. After the 8-week treatment, the treatment group presented better levels of HADS, BFS and FACIT-Sp scores compared with the control group （P〈0.05）. Among the single items of HADS, 4 items involving vexation, feeling fidgeted, pleasure and prospecting the future in the treatment group were improved compared with the control group （P〈0.05）. Conclusions： As a simple and reliable and effective intervention, PMRT combined with five elements music therapy mitigated anxiety and depression of cancer patients. Cancer patients have been found to respond well to psychological intervention in areas regarding stabilisation of emotions, disease awareness, and therapeutic compliance. This brings about a great difference in improving their quality of life and psychological state, offers an effective approach to better self-management in cancer treatment.
文摘世界卫生组织(World Health Organization, WHO)强调通过健康促进、疾病预防和早诊早治以提升健康水平。由于疾病种类繁多、观点错杂,病机往往呈现为“多元化”的势态,尤其重大慢病、疑难重症、复合共病更是与复合体质状态密切关联,故而从“体病相关”切入探讨是突破疾病预测、预防以及治疗瓶颈的关键。基于多年的研究提出“五行十态体质”创新观点;遵循“天人相应”规律,将传统六十甲子周期理论运用于体质状态研究,综合考虑五运六气交互承制、天干地支本属系统、正化对化、天地二甲子、运气的平气状态等关键因素对人体五脏六腑功能的影响,运用传统“医算法”,依据“生克制化”“胜复郁发”“淫胜郁复”之气机升降特点,详细分析了基础体质与后天体质状态的关联;重视始生之时、疾病始发时、传变时、欲解时以及就诊时等不同节点的运气格局对人体的影响,以揭示体质特异性与相应系统疾病的易感性以及脏腑复合病机主、次标本的关系,预判健康状态与疾病不同阶段的病机、病势演变,为临床疾病的预测、预防、个体化干预以及群体化防治提供指导思路。
