中医非药物技术改善肿瘤患者焦虑、抑郁情绪的临床随机对照研究  

Effects of Non-Parmacol Chinese Medicine on Both Anxiety and Depression of Cancer Patients: A Randomized Controlled Trial

作　　者：廖娟[1] 赵元辰[2] 李景[3] 吴煜[1] 赵楠[1] 

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]中国中医科学院广安门医院,北京100053 [3]北京老年医院,北京100095

出　　处：《世界科学技术-中医药现代化》2016年第8期1386-1392,共7页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：中国中医研究院自主选题项目(ZZ0808027):中医五行音乐配合渐进性肌肉放松操方案改善门诊及社区肿瘤患者抑郁状态的随机对照临床研究;负责人:廖娟

摘　　要：目的:本研究客观评价了中医非药物技术对肿瘤患者的焦虑、抑郁状态的影响,为肿瘤患者提供行之有效的综合干预方法。方法:选取2014年11月-2015年12月北京市三甲医院和昌平县3家试点社区卫生服务中心门诊的76例肿瘤患者,随机分配到干预组及对照组,连续治疗8周。干预组给予渐进性肌肉放松操(PMRT)联合中医五行音乐,对照组给予PMRT治疗。采用综合医院焦虑/抑郁情绪测定表(HADS)和益处发现评定量表(BFS)、慢性病功能评价量表精神信仰分量表(FACIT-Sp)以及干预期望值调查表(IEQU)评估患者抑郁情绪。结果:入组前,两组患者HADS、BFS、FACIT-Sp、IEQU的基线值无明显差异。治疗8周后,干预组在HADS、BFS和FACIT-Sp总分差值的改变均优于对照组。在HADS情绪单项测定中,干预组在烦恼、坐立不安、感到愉快、憧憬未来这4项指标上的改善优于对照组。结论:渐进性肌肉放松训练联合中医五行音乐干预能够改善门诊及社区肿瘤患者抑郁状态,更好地实现自我管理。This study aimed to evaluate the effects of progressive muscle relaxation training （PMRT） with five elements musicotherapy of traditional Chinese medicine （TCM） for improving anxiety and depression of cancer patients. From November in 2014 to October in 2015, 76 cancer patients in aggregation were eligible into the study, selecting outpatients from AAA-hospitals and three community health service centers in Beijing. The patients were divided into the control group and the treatment group, receicving a course of treatments lasting eight straight weeks. 39 cases in the treatment group were treated with PMRT and five elements musicotherapy, while 37 cases in the control group singly accepted PMRT. Four questionnaires, 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 finish the depression assessments of the two groups before and after the treatment. As a result, prior to the treatments, the baselines of the four questionnaires in the two groups did not show any difference. After the 8-week treatment, the treatment group presented better levels of HADS, BFS and FACIT-Sp scores compared with the control group. Among the separated items of HADS, four items presented the mitigation of vexation, feeling fidgeted, pleasure and prospecting the future in the treatment group compared with the control group. In conclusion, PMRT complicated with five elements musicotherapy mitigated anxiety and depression of cancer patients from AAA-hospitals and three community health service centers in Beijing, to offer an effective approach to better self-management.

关 键 词：渐进性肌肉放松训练 中医五行音乐 焦虑 抑郁 临床随机对照试验 

分 类 号：R247.9[医药卫生—中医临床基础]