练功十八法联合五行音乐疗法对肺癌术后化疗患者负性情绪干预临床研究  

Clinical Study on the Intervention Effect of Eighteen Step Practice Combined with Five-element Music Therapy on Negative Emotion of Patients Undergoing Postoperative Chemotherapy for Lung Cancer

作　　者：李静[1] 鞠立霞[1] 鲁敏[1] LI Jing;JU Lixia;LU Min

机构地区：[1]同济大学附属上海市肺科医院,上海200433

出　　处：《新中医》2019年第1期248-251,共4页New Chinese Medicine

基　　金：上海市科委医学引导项目--中医引导项目(17401932400)

摘　　要：目的:探讨练功十八法联合五行音乐疗法对肺癌术后化疗患者负性情绪干预的效果。方法:将在同济大学附属肺科医院住院60例肺癌术后1月首次行DP方案化疗患者,随机平均分为2组。对照组采用腹式呼吸功能锻炼及中医情志护理进行心理干预,实验组采用练功十八法进行呼吸、肢体功能锻炼及五行音乐疗法进行心理干预,连续治疗28天后,对2组患者在化疗后第7天、第14天及第28天分别以Karnofsky (KPS)功能状态评分标准、汉密顿焦虑量表(HAMA)及Kolcaba舒适状况量表进行测评,记录并比较2组的测评结果。结果:经治疗后,实验组患者KPS评分改善情况优于对照组,差异有统计学意义(P <0.05)。经治疗后,实验组患者HAMA焦虑评分改善情况优于对照组,差异有统计学意义(P <0.05)。经治疗后,实验组患者Kolcaba舒适状况评分改善情况优于对照组,差异有统计学意义(P <0.05)。结论:采用练功十八法联合五行音乐疗法治疗,可降低因术后呼吸、肢体功能障碍及化疗等不良反应引起的负性情绪反应,使患者在心理、生理上处于接受治疗的最佳状态,提高生活质量。Objective:To explore the intervention effect of the Eighteen Step Practice combined with Five-element Music Therapy on the negative emotion of patients undergoing postoperative chemotherapy for lung cancer.Methods:Divided 60 cases of patients admitted in Tongji University Affiliated Pulmonary Hospital who had chemotherapy of dynamic positioning(DP)scheme for lung cancer randomly into two groups,30 cases in each group.The control group received abdominal breathing exercise and emotional nursing of Chinese medicine for psychological intervention;the experiment group was adopted the Eighteen Step Practice to breathe and exercise for limb function,in conjunction with Five-element Music Therapy for psychological intervention.After 28 days of continuous treatment,Karnofsky Performance Score(KPS),Hamilton Anxiety Scale(HAMA)and Kolcaba’s General Comfort Questionnaire(GCQ)were used to evaluate patients in the two groups on the 7 th,14 th and 28 th days after chemotherapy,and the results of the two groups were recorded and compared.Results:After treatment,the improvement of KPS in the experiment group was better than that in the control group,the difference being significant(P<0.05).After treatment,the improvement of scores of HAMA in the experiment group was superior to that in the control group,the difference being significant(P<0.05).After treatment,the improvement of scores of Kolcaba’s GCQ in the experiment group was better than that in the control group,the difference being significant(P<0.05).Conclusion:The therapy of the Eighteen Step Practice combined with Five-element Music Therapy can reduce postoperative negative emotional reactions such as the dysfunction of respiration and limb,chemotherapy,etc.,so that patients are in the best state to receive treatment psychologically and physiologically,and improve their quality of life.

关 键 词：肺癌术后 化疗 练功十八法 五行音乐疗法 负性情绪 干预 

分 类 号：R734.2[医药卫生—肿瘤] R473.73[医药卫生—临床医学]