中医五行音乐疗法结合呼吸松弛训练对喉癌术前患者负性情绪及生活质量的影响

Effect of Chinese medicine five elements music therapy combined with respiratory relaxation training on negative emotion and quality of life of preoperative patients with laryngeal cancer

目的探讨喉癌术前患者应用中医五行音乐疗法结合呼吸松弛训练的临床效果。方法选取该院2018年3月至2019年10月行择期手术的喉癌患者82例为研究对象,以随机数字表法分为对照组41例和观察组41例,对照组行术前常规治疗,观察组在对照组基础上给予中医五行音乐疗法结合呼吸松弛训练,观察两组干预前、干预5 d后负性情绪、生活质量、生命体征变化及术前睡眠障碍发生情况。结果两组干预前负性情绪、生活质量、生命体征对比,差异无统计学意义(P>0・05),干预后均有改善,观察组干预5 d后焦虑自评量表(SAS)、抑郁自评量表(SDS)、头颈癌生存质量表(QLQ-H&N35)评分及舒张压(DBP)、心率(HR)、收缩压(SBP)与同期对照组对比,明显较低(P<0.05),癌症病人生活质量核心量表(QLQ-C30)评分与同期对照组对比,显著较高(P<0.05);观察组睡眠障碍发生率为12.20%,与对照组31.71%对比,明显较低(P<0.05)。结论中医五行音乐疗法结合呼吸松弛训练可有效减轻喉癌患者术前负性情绪,改善生活质量,保持生命体征平稳,减少睡眠障碍,值得推广。

Objective To explore the clinical effect of Chinese medicine five elements music therapy combined with respiratory relaxation training in preoperative patients with laryngeal cancer.Methods A total of 82 patients with laiyngeal cancer who underwent selective operation from March 2018 to October 2019 were randomly divided into control group(41 cases)and observation group(41 cases).The control group received routine preoperative treatment,while the observation group was given the Chinese medicine five elements music therapy combined with respiratory relaxation training on the basis of the control group.The changes of negative emotions,quality of life,vital signs and the occurrence of sleep disorders before and 5 days after intervention were observed.Results There were no significant differences in negative emotion,quality of life and vital signs between the two groups before intervention(P>0.05).After 5 days of intervention,the scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),head and Neck Cancer Quality of Life Scale(QLQ-H&N35),diastolic blood pressure(DBP),heart rate(HR)and systolic blood pressure(SBP)in the observation group were significantly lower than those in the control group(P<0.05).The quality of life(QLQ-C30)score of cancer patients was significantly higher than that of the control group(P<0.05).The incidence of sleep disorder in the observation group was 12.20%,which was significantly lower than that in the control group(31.71%)(P<0.05).Conclusions The Chinese medicine five elements music therapy combined with breathing relaxation training can effectively reduce preoperative negative emotions in patients with laryngeal cancer,im・prove the quality of life,maintain stable vital signs and reduce sleep disorders,which is worthy of promotion.