耳穴压豆对新型冠状病毒肺炎疫情期间普通社区获得性肺炎患者焦虑情绪影响的临床研究

Clinical study on the effect of auricular point pressing bean therapy on anxiety in patients with ordinary community acquired pneumonia during COVID-19 pandemic

目的观察耳穴压豆疗法对新型冠状病毒肺炎(简称"新冠肺炎")疫情期间的普通社区获得性肺炎患者焦虑情绪的影响。方法将82例经发热门诊排除新冠肺炎的普通社区获得性肺炎患者随机分为治疗组(42例)和对照组(40例),两组均针对原发病进行常规治疗,治疗组同时加用耳穴压豆。两组疗程均为7 d,采用社区获得性肺炎评分量表(CURB-65)评估患者肺炎的严重程度,采用焦虑自评量表(SAS)评估患者的焦虑状态,采用欧洲五维健康量表(EQ-5D)评估患者的健康状况。结果①治疗后两组患者CURB-65评分均较前明显改善(P<0.05),但组间比较差异无统计学意义(P>0.05)。两组住院时长差异无统计学意义(P>0.05)。②治疗组治疗前后比较,SAS评分显著减少(P<0.05),EQ-5D评分显著增加(P<0.05),而对照组两项评分均无明显变化(P>0.05)。组间治疗后比较,两组SAS评分、EQ-5D评分差异均有统计学意义(P<0.05)。结论耳穴压豆能明显降低新冠肺炎疫情期间普通社区获得性肺炎患者的焦虑程度,起到改善负面情绪的作用,同时能改善患者的总体健康状态。

Objective To observe the effect of auricular point pressing bean therapy on anxiety in patients with ordinary community acquired pneumonia during the coronavirus disease 2019(COVID-19)pandemic.Methods Eighty-two patients with ordinary community acquired pneumonia who were excluded from COVID-19 by fever clinic were randomly divided into treatment group(42 cases)and control group(40 cases).Both groups received standard treatment for the primary disease,while the treatment group simultaneously received auricular point pressing bean therapy.The course of treatment in both groups was 7 days.The severity of the disease was assessed by the CURB-65 scores.The anxiety status of the patients was assessed by Self-Rating Anxiety Scale(SAS)and the health status of the patients was assessed by EuroQol Five Dimensions questionnaire(EQ-5 D).Results①After treatment,the CURB-65 scores of the two groups were improved(P<0.05),but there was no significant difference between the two groups(P>0.05).The hospitalization time of the two groups has no significant(P>0.05).②The SAS score decreased significantly(P<0.05)and EQ-5 D score increased significantly(P<0.05)in the treatment group after treatment,but the SAS score and EQ-5 D score in the control group did not change significantly after treatment(P>0.05).After treatment,there were significant differences in SAS score and EQ-5 D score between the two groups(P<0.05).Conclusion Auricular point pressing bean therapy can obviously reduce the anxiety level of patients with ordinary community acquired pneumonia during COVID-19 pandemic,and improve negative emotions and the overall health status of patients.