中医情志护理联合个性化音乐疗法在双相情感障碍患者中的应用  

Application of traditional Chinese medicine emotional nursing combined with individualized music therapy in patients with bipolar affective disorder

作　　者：何新华 刘伟杰 赵兴胜 张勇成 刘琳琳 HE Xinhua;LIU Weijie;ZHAO Xingsheng;ZHANG Yongcheng;LIU Linlin(Liaocheng Fourth People's Hospital,Liaocheng,Shandong,252000,China)

机构地区：[1]聊城市第四人民医院,山东聊城252000

出　　处：《中西医结合护理（中英文）》2023年第4期57-60,共4页Journal of Clinical Nursing in Practice

摘　　要：目的 探讨中医情志护理联合个性化音乐疗法在双相情感障碍患者中的应用效果。方法 对2021年7月至2022年8月聊城市第四人民医院收治的200例双相情感障碍患者的资料开展回顾性分析,根据护理方式的不同将患者分为对照组(94例)和观察组(106例)。对照组施行常规护理,观察组在对照组护理方式的基础上施行个性化音乐疗法+中医情志护理。记录2组患者的冲动行为发生情况,比较2组在护理前后的杨氏躁狂量表(YMRS)、汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠质量指数(PSQI)、威斯康星卡片分类实验(WCST)评分,以及血清甲状腺素(T4)、多巴胺(DA)和泌乳素(PRL)水平。结果 护理1个月和3个月后,2组的HAMD、YMRS及PSQI评分均较护理前降低(P均<0.05),且观察组均低于同期对照组(P均<0.05);2组WCST中的完成分类数得分均较护理前升高,持续错误数及随机错误数得分均较护理前降低(P均<0.05);且观察组的完成分类数得分均高于同期对照组,持续错误数及随机错误数得分均低于同期对照组(P均<0.05);2组的T4、PRL和DA水平均较护理前明显降低(P均<0.05),且观察组均低于同期对照组(P均<0.05)。观察组的冲动行为总发生率低于对照组(P<0.05)。结论 中医情志护理联合个性化音乐疗法可有效减轻双相情感障碍患者的抑郁及狂躁症状,改善其睡眠质量、认知功能和血清指标,减少冲动行为的发生。Objective To explore the application effect of traditional Chinese medicine emotional nursing combined with individualized music therapy in patients with bipolar affective disorder.Methods A retrospective analysis was conducted on 200 bipolar affective disorder patients at Liaocheng Fourth People's Hospital from July 2021 to August 2022.The patients were divided into a control group(94 cases)and an observation group(106 cases)according to different nursing methods.The control group received routine nursing,and the observation group received individualized music therapy and traditional Chinese medicine emotional nursing on the basis of the nursing method of the control group.The impulsive behavior of the two groups was recorded.The scores of the Young Mania Rating Scale(YMRS),Hamilton Depression Scale(HAMD),Pittsburgh Sleep Quality Index(PSQI),and Wisconsin Card Sorting Test(WCST)and the levels of serum thyroxine(T4),dopamine(DA),and prolactin(PRL)before and after nursing were compared between the two groups.Results After 1 and 3 months of nursing,the HAMD,YMRS,and PSQI scores of both groups were decreased compared with those before nursing(all P<0.05),and the observation group had lower scores than the control group(all P<0.05).The scores of number of categories achieved in both groups were increased compared with those before nursing,and the scores of numbers of perseverative errors and random errors were decreased compared with those before nursing(all P<0.05).The scores of number of categories achieved in the observation group were higher than those in the control group,and the scores of numbers of perseverative errors and random errors were lower than those in the control group(all P<0.05).The T4,PRL,and DA levels in both groups were significantly decreased compared with those before nursing(all P<0.05),and the observation group had lower levels than the control group(all P<0.05).The total incidence of impulsive behavior in the observation group was lower than that in the control group(P<0.05).Conclusion Trad

关 键 词：双相情感障碍 中医情志护理 个性化音乐疗法 多巴胺 

分 类 号：R749.4[医药卫生—神经病学与精神病学]