正念心理护理联合五行音乐疗法、穴位敷贴对社区脑卒中后遗症患者负性情绪的影响

Influence of Mindfulness Psychological Nursing combined with five Elements Music Therapy and Acupoint Application on Negative Emotions in Patients with Sequelae of Stroke in Community

目的探讨正念心理护理联合五行音乐疗法、穴位敷贴对社区脑卒中后遗症患者负性情绪的影响。方法选择2017年2月至2019年2月雅安市姚桥汉碑路社区的PSD或PSA患者共144例,随机分为对照组、单纯音乐组、观察组,每组48人。对照组进行正念心理护理干预,单纯音乐组在对照组的基础上进行五行音乐疗法,观察组在单纯音乐疗法的基础上进行穴位敷贴,评定干预前、干预后2周、干预后4周的汉密尔顿抑郁量表(HAMD)评分和汉密尔顿焦虑量表(HAMA)。结果在HAMA方面,治疗前3组在评分的组间比较,差异均无统计学意义(P>0.05)。干预后2周,3组均优于治疗前,差异有统计学意义(P<0.05)。而组间比较,观察组优于组单纯音乐组和对照组,差异有统计学意义(P<0.05);干预后4周,观察组同样优于组单纯音乐组和对照组,差异有统计学意义(P<0.05);在HAMD方面,治疗前3组在评分的组间比较,差异均无统计学意义(P>0.05)。干预后2周,3组均优于治疗前,差异有统计学意义(P<0.05)。而组间比较,观察组优于组单纯音乐组和对照组,差异有统计学意义(P<0.05);干预后4周,观察组同样优于组单纯音乐组和对照组,差异有统计学意义(P<0.05)。结论正念心理护理干预联合五行音乐疗法、穴位敷贴能有效缓解社区脑卒中后遗症患者抑郁和焦虑,且简便疗效,值得进一步在社区推广。

Objective To explore the effect of mindfulness psychological nursing combined with five elements music therapy and acupoint application on negative emotions in patients with sequelae of stroke in the community.Methods A total of 144 patients with PSD or PSA from Hanbei Road Community,Yaoqiao,Ya’an City from February 2017 to February 2019 were randomly divided into a control group,a music-only group,and an observation group,with 48 people in each group.The control group received mindfulness psychological nursing intervention.The music-only group performed five-element music therapy on the basis of the control group.The observation group applied acupoint application on the basis of music-only therapy.The assessment was performed before intervention,2 weeks after intervention,and 4 weeks after intervention.Hamilton Depression Scale(HAMD)score and Hamilton Anxiety Scale(HAMA).Results In terms of HAMA,there was no statistically significant difference in the scores of the three groups before treatment(P>0.05).Two weeks after the intervention,the three groups were better than before treatment,the difference was statistically significant(P<0.05).In comparison between groups,the observation group was superior to the music-only group and the control group,the difference was statistically significant(P<0.05).4 weeks after intervention,the observation group was also superior to the group-only music group and the control group,the difference was statistically significant significance(P<0.05).In terms of HAMD,there was no statistically significant difference between the three groups before treatment in the scored groups(P>0.05).Two weeks after the intervention,the three groups were better than before treatment,the difference was statistically significant(P<0.05).In comparison between the groups,the observation group was superior to the music-only group and the control group,the difference was statistically significant(P<0.05).4 weeks after the intervention,the observation group was also superior to the group-only music group and the control group,the difference was statistical significance(P<0.05).Conclusion Mindfulness psychological nursing intervention combined with five-element music therapy and acupoint application can effectively relieve depression and anxiety in patients with sequelae of stroke in the community,and it is simple and effective.It is worthy of further promotion in the community.