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正念减压联合音乐疗法改善方舱患者负性情绪、睡眠质量和生活质量 被引量:6

Effect of mindfulness decompression combined with music therapy on negative emotion,sleep quality and quality of life in patients in cabin hospitals
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摘要 目的探讨正念减压联合音乐疗法对方舱医院患者负性情绪、睡眠质量及生活质量的影响。方法选取2022年4月1~10日吉林方舱医院收治的180例COVID-19病毒奥密克戎变异株感染者为研究对象。按照随机数字表法将患者分为试验组和对照组(n=90),将试验组患者安排于A病区,将对照组患者安排于B病区以避免沾染。对照组实施常规护理,试验组在常规护理基础上实施正念减压联合音乐疗法。2组均干预10 d,比较2组干预前后负性情绪[焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)]、睡眠质量[匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)]、生活质量[健康状况调查简表(the MOS 36 item short form health survey,SF-36)]及护理满意度。结果干预后,试验组SAS评分显著低于对照组(44.27±4.37 vs 49.52±4.83)(P<0.05),试验组SDS评分亦低于对照组(43.91±4.32 vs 48.34±4.78)(P<0.05)。试验组PSQI各维度评分及总分(5.72±1.04 vs 7.89±1.21)均低于对照组(P<0.05)。干预后,试验组SF-36各维度评分均高于对照组(P<0.05)。试验组总护理满意度高于对照组(95.56%vs 86.67%,P<0.05)。结论正念减压联合音乐疗法在抗击新冠疫情的特殊环境下是较好的心理干预方法,能显著改善方舱患者焦虑、抑郁情绪,改善患者睡眠质量,提升其生活质量。 ObjectiveTo investigate the effect of mindfulness-based decompression combined with music therapy on negative emotions,sleep quality and quality of life of patients in cabin hospital.MethodsA total of 180 patients with infection of COVID-19 Omicron variant admitted to Jilin Cabin Hospital from April 1 to 10,2022 were recruited as the research objects.They were randomly divided into control group and observation group,90 cases in each group.The observation group was set into Ward A and received routine nursing management,and the control group was set into Ward B and received mindfulness decompression combined with music therapy on the basis of routine nursing care.After 10 days’intervention,the results of their negative emotions[Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)],sleep quality[Pittsburgh Sleep Quality Index(PSQI)],quality of life[the MOS 36 item short form health survey(SF-36)]and nursing satisfaction were compared between the 2 groups.ResultsAfter intervention,the SAS(44.27±4.37 vs 49.52±4.83)and SDS scores(43.91±4.32 vs 48.34±4.78),and the score of each dimension and total score(5.72±1.04 vs 7.89±1.21)of PSQI were significantly lower in the observation group than the control group(all P<0.05).The observation group had obviously higher score of each dimension and total score of SF-36,and increased total nursing satisfaction(95.56%vs 86.67%)when compared with the control group(P<0.05).ConclusionMindfulness decompression combined with music therapy is a better psychological intervention method,with the advantages of improving negative emotions,sleep quality and quality of life in Covid-19 patients in the hospital.
作者 安娜 高源 杨文聪 刘晓宇 赵莹 王旭 翟爽 AN Na;GAO Yuan;YANG Wencong;LIU Xiaoyu;ZHAO Ying;WANG Xu;ZHAI Shuang(Department of Endoscopy,General Hospital of Northern Theater Command,Shenyang,Liaoning Province,110016;Cadre’s Ward,General Hospital of Northern Theater Command,Shenyang,Liaoning Province,110016;Department of Pediatrics,General Hospital of Northern Theater Command,Shenyang,Liaoning Province,110016;Department of Obstetrics and Gynecology,General Hospital of Northern Theater Command,Shenyang,Liaoning Province,110016;Department of Respiratory Diseases,General Hospital of Northern Theater Command,Shenyang,Liaoning Province,110016;Department of General Surgery,No.962 Hospital of PLA,Harbin,Heilongjiang Province,150080,China;Outpatient Department,General Hospital of Northern Theater Command,Shenyang,Liaoning Province,110016)
出处 《陆军军医大学学报》 CAS CSCD 北大核心 2023年第5期468-472,F0003,共6页 Journal of Army Medical University
基金 军队卫勤保障能力创新与生成专项(21WQ044)。
关键词 正念减压 音乐疗法 方舱患者 心理 睡眠质量 生活质量 mindfulness decompression music therapy patients in cabin hospital mental status sleep quality quality of life
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