正念音乐训练结合穴位按摩对脑卒中后吞咽障碍患者负性情绪、疲乏的影响  

Effect of mindfulness music training combined with acupoint massage on negativeemotions and fatigue in patients with dysphagia after stroke

作　　者：杨莉蕊 侯晓霞 杨玉琦 程舒心 YANG Lirui;HOU Xiaoxia;YANG Yuqi;CHENG Shuxin(Department of Neurology,Xinxiang Central Hospital,Xinxiang,Henan 453000,China)

机构地区：[1]新乡市中心医院神经内科,河南新乡453000

出　　处：《现代医药卫生》2024年第21期3697-3701,3705,共6页Journal of Modern Medicine & Health

摘　　要：目的探讨正念音乐训练结合穴位按摩对脑卒中后吞咽障碍(DAS)患者负性情绪、疲乏的影响。方法采取便利抽样法,选择2022年1月至2023年1月该院57例DAS患者作为常规组,行吞咽训练及认知护理;选择2023年2—12月该院56例DAS患者作为研究组,在常规组基础上开展正念音乐训练联合穴位按摩。比较2组汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、疲劳严重程度量表(FSS)评分、训练依从性及洼田饮水试验(WST)分级。结果2组干预前HAMA、HAMD、FSS评分比较,差异无统计学意义(P>0.05)。干预4周后,2组HAMA、HAMD、FSS评分低于干预前,且研究组低于常规组,差异有统计学意义(P<0.05)。2组HAMA、HAMD、FSS评分差值比较,差异有统计学意义(P<0.05)。研究组训练依从率为96.43%,明显高于常规组的84.21%,差异有统计学意义(P<0.05)。2组干预前WST分级比较,差异无统计学意义(P>0.05)。干预4周后,2组WST分级低于干预前,差异有统计学意义(P<0.05)。2组干预4周后WST分级及差值比较,差异无统计学意义(P>0.05)。结论正念音乐训练结合穴位按摩可有效调节DAS患者负性情绪,改善疲乏,提高功能训练依从性,并有助于吞咽功能的恢复。Objective To explore the effect of mindfulness music training combined with acupoint massage on negative emotions and fatigue in patients with dysphagia after stroke(DAS).Methods Using convenience sampling method,57 DAS patients in the hospital from January 2022 to January 2023 were selected as the control group for swallowing training and cognitive nursing.And 56 patients with DAS from February to December 2023 were selected as the research group to carry out mindfulness music training combined with acupressure on the basis of the control group.The Hamilton Anxiety Scale(HAMA)scores,Hamilton Depression Scale(HAMD)scores,Fatigue Severity Scale(FSS)scores,training compliance,and water swallow test(WST)grading of two groups were compared.Results There were no statistically significant differences in HAMA,HAMD,and FSS scores before intervention between the two groups(P>0.05).After 4 weeks of intervention,the HAMA,HAMD,and FSS scores of both groups were lower than before intervention,and the research group was lower than the control group,with statistical significance(P<0.05).The differences in HAMA,HAMD,and FSS scores between the two groups were statistically significant(P<0.05).The training compliance rate of the research group was 96.43%,significantly higher than the 84.21%of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in WST grades between the two groups before intervention(P>0.05).After 4 weeks of intervention,the WST grades of both groups were lower than before intervention,and the difference was statistically significant(P<0.05).After 4 weeks of intervention,there were no statistically significant differences in WST grades and difference between the two groups(P>0.05).Conclusion Mindfulness music training combined with acupoint massage can effectively regulate negative emotions in DAS patients,improve fatigue,enhance compliance with functional training,and aid in the recovery of swallowing function.

关 键 词：正念音乐训练 穴位按摩 脑卒中 吞咽障碍 

分 类 号：R192.6[医药卫生—卫生事业管理]