五行音乐疗法联合认知行为干预对脑卒中患者康复期的影响  

Effect of Cognitive Behavioral Intervention Combined with Five-Element Music on Rehabilitation Period of Stroke Patients

作　　者：左婷婷[1] 张衍辉[2] ZUO Tingting;ZHANG Yanhui(School of Science and Technology,Jiangxi University of Chinese Medicine/School of Maternal and Child Health and Cosmetology,Nanchang Medical College,Jiangxi Province,Nanchang 330008,China;Department of Rehabilitation,Affiliated Hospital of Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang 330006,China)

机构地区：[1]江西中医药大学科技学院/南昌医学院妇幼保健与美容医学院,江西南昌330008 [2]江西中医药大学附属医院康复科,江西南昌330006

出　　处：《中国中医药现代远程教育》2024年第22期153-155,共3页Chinese Medicine Modern Distance Education of China

基　　金：江西省卫生健康委科技项目【No.20195640】;江西省教育厅科技项目【No.GJJ218922】。

摘　　要：目的 探讨中医五行音乐疗法联合认知行为干预对脑卒中患者运动功能、日常生活能力及心理状态的影响。方法选取2021年7月—2022年12月在南昌某三甲医院康复科住院的首发脑卒中患者80例,采用随机数字表法分为对照组和试验组,各40例。两组患者都行脑卒中常规康复护理,试验组加用中医五行音乐疗法联合认知行为干预,比较两组运动功能评分[Fugl-Meyer运动功能评估量表(FMA)评分]、日常生活能力量表(ADL)评分、心理状态评分[汉密尔顿抑郁量表(HAMD)评分]。结果 入院干预4、8周后,两组FMA评分、ADL评分、HAMD评分比较,差异均有统计学意义(P<0.05);不同时间、不同组别及时间-组别交互差异均有统计学意义(P<0.05)。结论 在常规康复护理的基础上行中医五行音乐联合认知行为干预,有利于改善脑卒中患者的运动功能和日常生活能力,消除其一些不良心理状态,值得临床推广应用。Objective To explore the effects of TCM five-element music therapy combined with cognitive behavior intervention on mo-tor function,daily living ability and mental state of stroke patients Methods A total of 80 first-stage stroke patients hospitalized a first-class hospital in Nanchang from July 2021 to December 2022 were selected and divided into control group and experimental group by random number table method,with 40 cases in each group.Patients in both groups received routine rehabilitation nursing for stroke.The experimental group was treated with TCM five-element music therapy combined with cognitive behavioral intervention.The motor function score[Fugl-Meyer Motor Function Assessment Scale(FMA)score],ADL score,and mental state score[Hamilton Depression Scale(HAMD)score]of the two groups were compared.Results After 4 and 8 weeks,FMA scores,ADL scores and HAMD scores were significantly different between the two groups(P<0.05).There were statistical significance in different time,different groups and time-group interaction(P<0.05).Conclusion TCM five-element music therapy combined with cognitive behavior intervention is helpful to improve the motor function and activities of daily living,eliminate adverse psychological status of stroke in rehabilitation period.

关 键 词：中风 脑卒中 中医五行音乐疗法 认知行为干预 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]