中医五行音乐疗法联合症状日记对青年癌症患者负性心理状态和生活质量的影响  

Impacts of TCM Five-element Music Therapy Combined with Symptom Diary on Negative Psychological State and Quality of Life of Young Cancer Patients

作　　者：薛绍鸥 李娟[1] 郑宁宁 王海梅 姜秀贞 李书迪 胡秀茹[1] XUE Shaoou;LI Juan;ZHENG Ningning;WANG Haimei;JIANG Xiuzhen;LI Shudi;HU Xiuru(Cangzhou Hospital of Integrated TCM-WM Hebei Province,Cangzhou 061012,China)

机构地区：[1]河北省沧州中西医结合医院,河北沧州061000

出　　处：《西部中医药》2024年第7期124-127,共4页Western Journal of Traditional Chinese Medicine

基　　金：河北省医学科学研究课题(20220679)。

摘　　要：目的:探讨中医五行音乐疗法联合症状日记对青年癌症患者负性心理状态和生活质量的影响。方法:筛选青年癌症患者112例为研究对象,随机分为对照组和观察组,每组56例。给予两组患者相应的癌症常规治疗、用药管理、日常生活照护、心理疏导等干预措施,观察组同时给予中医五行音乐疗法联合症状日记进行干预。连续干预12周后观察两组负性心理状态指标、生活质量评分、癌因性疲乏评分。结果:治疗后,两组汉密尔顿焦虑量表、汉密顿抑郁量表评分及癌因性疲乏评分均降低(P<0.05),且观察组评分低于对照组(P<0.05)。治疗后,两组生活质量核心调查问卷功能指标评分均上升(P<0.05),症状指标评分均下降(P<0.05),且观察组上升或下降的幅度大于对照组(P<0.05)。结论:于常规护理的基础上给予青年癌症患者中医五行音乐疗法联合症状日记,能有效调节其负性心理状态,提高生活质量,减轻癌因性疲乏。Objective:To discuss the influene of TCM five-element music therapy and symptom diary on negative psychological state and quality of life of young cancer patients.Methods:All 112 young cancer patients were selected as the research objects,and randomly allocated to the control group and the observation group,56cases in each group.They were given the corresponding cancer routine therapy,medication management,daily life care and psychological counselling,the observation group was intervened with TCM five-element music therapy and kept symptom diary.After the intervention for 12 weeks consecutively,to observe the indexes of negative psychological state,the scores of quality of life and cancer-related fatigue(CRF) between both groups.Results:After the treatment,the scores of HAMD and HAMA,CCFS were lowered in both groups(P<0.05),and the scores of the observation group were lower than these of the control group(P<0.05).After the treatment,the scores of EORTC Core Quality of Life questionnaire(EORTC QLQ-C30) elevated in both groups(P<0.05),the scores of symptom indexes reduced(P<0.05),and the decrease or the increase of the observation group was greater than that of the control group(P<0.05).Conclusion:On the foundation of routine care,TCM five-element music therapy and symptom diary given to young cancer patients could effectively regulate their negative psychological state,improve quality of life,and relieve cancer caused fatigue.

关 键 词：癌症 五行音乐疗法 症状日记 负性心理状态 生活质量 青年 

分 类 号：R473.73[医药卫生—护理学]