中医心理疗法干预新型冠状病毒肺炎患者负面情绪的研究  

Intervention of Traditional Chinese Medicine Psychotherapy on Negative Emotion of COVID-19 Patients

作　　者：鞠文雪 尚东[2,3] 刘志宇[1] 连捷 秦维[1] 刘勇[3] 牛鑫 李选 原亚利 张策[1] 周莉 姚娓[1,2] JU Wenxue;SHANG Dong;LIU Zhiyu;LIAN Jie;QIN Wei;LIU Yong;NIU Xin;LI Xuan;YUAN Yali;ZHANG Ce;ZHOU Li;YAO Wei(The Second Hospital of Dalian Medical Univer-sity,Dalian 116023,China;College/Institute of Inte-grative Medicine,Dalian Medical University,Dalian 116044,China;The First Affiliated Hospital of Dalian Medical University,Dalian 116011,China;Dalian Hospital of Integrated Traditional Chinese and Western Medicine,Dalian 116000,China;College of Humanities and Social Sciences,Dalian Medical University,Dalian 116044,China)

机构地区：[1]大连医科大学附属第二医院,辽宁大连116023 [2]大连医科大学中西医结合学院/研究院,辽宁大连116044 [3]大连医科大学附属第一医院,辽宁大连116011 [4]大连市中西医结合医院,辽宁大连116000 [5]大连医科大学人文与社会科学学院,辽宁大连116044

出　　处：《山东中医杂志》2022年第1期44-49,61,共7页Shandong Journal of Traditional Chinese Medicine

基　　金：全国中医临床特色技术传承骨干人才培训项目(批文号:国中医药人教函〔2019〕36号);辽宁省第一批中医药(临床)优秀人才培养项目(批文号:辽中医药函〔2021〕1号)。

摘　　要：目的:观察基于网络平台的中医心理疗法对新型冠状病毒肺炎(COVID-19)患者负面情绪的影响和对疾病康复的作用。方法:选取2020年3月6日至20日在武汉雷神山医院住院治疗的COVID-19患者63例,采用随机数字表法将患者分为治疗组33例、对照组30例。对照组给予常规中西医结合治疗和常规西医心理治疗;治疗组在对照组的基础上通过网络平台,加用中医心理疗法进行干预。两组均治疗2周,治疗前后通过“问卷星”平台,采用抑郁-焦虑-压力量表(DASS-21)和中医五志为基础的问卷,比较患者抑郁、焦虑、压力状态,中医五志情况以及临床症状改善情况。结果:治疗组脱落3例。治疗2周后两组患者抑郁、焦虑、压力状况均有好转,且治疗组的改善情况优于对照组,差异具有统计学意义(P<0.01);与对照组比较,治疗组中医五志中情绪偏于“喜”的患者所占比例明显增加,差异具有统计学意义(P<0.05),情绪偏于“怒悲恐”的患者所占比例显著减少,差异具有统计学意义(P<0.01);治疗组临床疗效的总有效率(96.67%)明显优于对照组(73.33%),差异具有统计学意义(P<0.05)。结论:基于网络平台的中医心理疗法可缓解患者抑郁、焦虑、压力等负面情绪,促进疾病恢复,可应用在COVID-19患者的治疗中。Objective:To observe the effect of traditional Chinese medicine(TCM)psychotherapy on the negative emotions and disease rehabilitation of patients with COVID-19 through network platform.Methods:Sixty-three patients with COVID-19 hospitalized in Leishenshan Hospital of Wuhan from March 6th to March 20th,2020 were recruited,and were divided into two groups by random number table method,33 in the treatment group and 30 in the control group.The control group was given conventional integrated traditional Chinese and western medicine treatment and conventional psychotherapy of western medicine;the treatment group was further treated with TCM psychological therapy through the network platform.Both groups were treated for 2 weeks.Before and after the treatment,the questionnaires including depression anxiety stress scale 21(DASS-21)and TCM five emotions were used to compare the depression,anxiety and stress of patients,TCM five emotions,and clinical symptoms improvement through the“Questionnaire Star”platform.Results:There were 3 drop-out cases in the treatment group.After 2 weeks of treatment,the depression,anxiety,and stress in both groups were improved,and the improvement of the treatment group was better than that of the control group,with statistical significance(P<0.01).Compared with the control group,the proportion of patients with the emotion of“happy”of TCM five emotions increased significantly,with statistical significance(P<0.05),and the proportion of patients with emotions of“anger,grief,and fear”decreased significantly,with statistical significance(P<0.01);the total effective rate in the treatment group(96.67%)was significantly better than the control group(73.33%),with statistical significance(P<0.05).Conclusions:TCM psychotherapy through the network platform can relieve negative emotions such as depression,anxiety and stress in patients with COVID-19,and can accelerate the recovery of the disease.It can be applied in the treatment of COVID-19 and should be promoted.

关 键 词：新型冠状病毒肺炎 中医心理疗法 负面情绪 网络平台 随机对照研究 

分 类 号：R277.7[医药卫生—中医学] R259.11