五行音乐心理干预结合呼吸专科护理对慢性阻塞性肺疾病患者负性情绪及肺功能的影响

IF 1.3 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Noise & Health Pub Date : 2025-03-01 Epub Date: 2025-04-29 DOI:10.4103/nah.nah_157_24
Yanqiu Jiang, Yang Chen, Hanhan Hong
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引用次数: 0

摘要

目的:探讨以五行音乐为基础的心理干预结合呼吸专科护理对慢性阻塞性肺疾病(COPD)患者负性情绪和肺功能的影响。方法:回顾性分析海军医科大学第二附属医院(上海长征医院)2022年2月至2023年2月收治的170例慢性阻塞性肺病患者的临床资料。根据护理方法将患者分为三组。对照组(55例)采用常规护理,A组(58例)采用呼吸专科护理,B组(57例)采用五行音乐为基础的心理干预结合呼吸专科护理。出院后6个月评价护理效果。比较三组患者的医疗依从性、炎症指标、肺功能指标[肺活量(VC)、呼气峰流量(PEF)率、1秒用力呼气量(FEV1)/用力肺活量(FVC)]、6分钟步行测试(6MWT)距离、负性情绪、生活质量。结果:A、B组患者医疗依从性评分较高,VC、PEF、FEV1/FVC水平均高于对照组(P < 0.05)。A、B组血清c反应蛋白、白细胞介素-6、降钙素原水平均低于对照组(P < 0.05)。6MWT距离明显大于对照组(P < 0.05)。A组与B组炎症指标、肺功能指标、6MWT距离均无显著差异(P < 0.05)。B组患者汉密尔顿焦虑量表、汉密尔顿抑郁量表、圣乔治呼吸问卷得分均低于A组和对照组(P < 0.05)。结论:以五行音乐为基础的心理干预结合呼吸专科护理可显著缓解COPD患者的负性情绪,提高患者的生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Five-Element Music-Based Psychological Intervention Combined with Respiratory Specialty Care on Negative Emotions and Lung Function in Patients with Chronic Obstructive Pulmonary Disease.

Objective: The aim of the study was to explore the effects of five-element music-based psychological intervention combined with respiratory specialty care on negative emotions and lung function in patients with chronic obstructive pulmonary disease (COPD).

Methods: A retrospective analysis was conducted on the clinical data of 170 COPD patients admitted to Second Affiliated Hospital of Naval Medical University (Shanghai Changzheng Hospital) from February 2022 to February 2023. The patients were divided into three groups in accordance with nursing care methods. The control group (n = 55) received conventional nursing care, group A (n = 58) received respiratory specialty care and group B (n = 57) received five-element music-based psychological intervention combined with respiratory specialty care. Nursing effectiveness was evaluated 6 months after discharge. Medical compliance, inflammatory indicators, lung function indicators [vital capacity (VC), peak expiratory flow (PEF) rate, forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC)], 6-minute walk test (6MWT) distance, negative emotions, and quality of life were compared among the three groups.

Results: Groups A and B received higher scores in medical compliance and had higher VC, PEF, and FEV1/FVC levels than the control group (P < 0.05). The serum C-reactive protein, interleukin-6, and procalcitonin levels in groups A and B were lower than those in the control group (P < 0.05). In addition, their 6MWT distance was longer than that of the control group (P < 0.05). No significant difference was found in inflammatory indicators, lung function indicators, and 6MWT distance between group A and group B (P > 0.05). The scores of the Hamilton Anxiety Scale, Hamilton Depression Scale, and St. George's Respiratory Questionnaire in group B were lower than those in group A and the control group (P < 0.05).

Conclusion: Five-element music-based psychological intervention combined with respiratory specialty care can significantly alleviate negative emotions in COPD patients and improve their quality of life.

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来源期刊
Noise & Health
Noise & Health AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
2.10
自引率
14.30%
发文量
27
审稿时长
6-12 weeks
期刊介绍: Noise and Health is the only International Journal devoted to research on all aspects of noise and its effects on human health. An inter-disciplinary journal for all professions concerned with auditory and non-auditory effects of occupational, environmental, and leisure noise. It aims to provide a forum for presentation of novel research material on a broad range of topics associated with noise pollution, its control and its detrimental effects on hearing and health. It will cover issues from basic experimental science through clinical evaluation and management, technical aspects of noise reduction systems and solutions to environmental issues relating to social and public health policy.
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