中医五行音乐结合语言诱导对维持性血液透析患者心理与生命质量的影响

Influence of Traditional Chinese Medicine Five-element Music combined with language induction on the psychological status and quality of life among maintenance hemodialysis patients

目的 观察中医五行音乐结合语言诱导对维持性血液透析患者心理与生命质量的影响.方法 将66例接受维持性血液透析治疗的患者按照透析日的奇偶数分为五行音乐组34例和常规护理组32例.常规组给予常规护理,音乐组在常规护理的基础上给予中医五行音乐结合语言诱导干预.4周后,观察患者的医院焦虑抑郁量表（HAD）、健康调查简表（SF-36）等指标变化情况.结果 中医五行音乐组的HAD各因子分和总分的中位数干预前分别为4、7、12分,干预后分别为3、5、9分,差异有统计学意义（Z=-2.645、-2.927、-3.220,P〈0.01）,而常规护理组干预前后比较差异无统计学意义（P〉0.05）.中医五行音乐组的SF-36各因子分,生理功能、生理职能、躯体疼痛、一般健康状况、活力、社会功能、情感职能得分的中位数干预前分别为45、0、68、40、58、75、17、72分,干预后分别为63、88、74、41、75、75、100、80分,除了躯体和精神健康2个因子外,差异有统计学意义（Z=-3.895～-2.027,P〈0.01或0.05）,而常规护理组干预前后比较差异无统计学意义（P〉0.05）.结论 中医五行音乐结合语言诱导可以改善维持性血液透析患者心理状态与生命质量.

Objective To observe the influence of traditional Chinese Medicine （TCM） Five-element music combined with language induction on the psychological status and quality of life among maintenance hemodialysis patients. Methods A total of 66 maintenance hemodialysis patients were divided into the Five-element music group （n=34） and the routine care group （n=32） according to date of hemodialysis. The routine group accepted routine care. The music group accepted the intervention of traditional Chinese Medicine Five-element music combined with language induction on the basis of routine care. Four weeks later, the changes of Hospital Anxiety Depression Scale （HAD）, the MOS item Short From Health Survey （SF- 36） were observed to assess the effect before and after the intervention. Results HAD comparison in the group： After 4-week intervention, in Five-element music group, the depression and anxiety score of HAD and HAD total score were 3, 5, 9 （meadian score）, which had improved significantly than before, which were 4, 7, 12 （meadian score）, the difference was significant （Z=-2.645,-2.927,-3.220, P〈0.01） . After 4 weeks, in the routine group the depression and anxiety score of HAD and HAD total score showed no significant change than before （P〉0.05）. SF-36 comparison in groups： After 4-week intervention, in Five-element music group, the physical, physiological function,overall health, energy status, social function, emotional function, mental health factors of SF-36 scored 63, 88, 74, 41, 75, 75, 100, 80 （meadian score）, which had improved significantly compared with before, which were 45, 0, 68, 40, 58, 75, 17, 72 （meadian score）, the difference was significant （Z=-3.895--2.027, P〈0.01 or 0.05）, body pain and mental health factors had no significant difference （t=-1.785,-1.576, P〉0.05）. After 4 weeks, the routine group′s each factor score had no significant difference compared with before （P 〉 0.05）. Conclusions TCM Five-element music has a certain effect on improving the psychological status and the quality of life of the patients in maintenance hemodialysis.