摘要
目的探究音乐疗法联合健康个案管理模式在非糜烂型胃食管反流病(gastroesophageal reflux disease,GERD)合并阈下抑郁患者中的效果。方法采用1∶1的随机数字表将联勤保障部队第九○九医院2021年1月至2022年3月接收的200例非糜烂型GERD合并阈下抑郁患者分为两组,采用健康个案管理模式干预的常规组和采用音乐疗法联合健康个案管理模式的联合组,每组100例。干预后,观察两组患者GERD症状评分,焦虑、抑郁评分及睡眠质量。结果干预后,联合组反流性疾病问卷(reflux disease questionnaire,RDQ)胸部灼烧感、反食、反酸、胸痛评分低于常规组(P<0.05),焦虑自评量表(self-evaluation of anxiety scale,SAS)、抑郁自评量表(depression self rating scale,SDS)评分联合组低于常规组(P<0.05),干预1周、2周、4周及8周时匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)联合组低于常规组(P<0.05)。结论音乐疗法联合健康个案管理模式应用于非糜烂型GERD合并阈下抑郁患者中,可有效缓解患者烧心、反食、非心源性胸痛和反酸症状,改善患者心理状态,提高患者睡眠质量。
Objective To explore the effect of music therapy combined with health case management model on patients with non-erosive gastroesophageal reflux disease(GERD)and subthreshold depression.Methods A total of 200 patients with non-erosive GERD complicated with subthreshold depression who admitted to the 909 Hospital of the PLA JLSF from January 2021 to March 2022 were enrolled in this study.According to the 1:1 random number table method,the patients were divided into the routine group(health case management model)and the combined group(music therapy combined with health case management model),with 100 cases in each group.The key observation was GERD symptom scores,anxiety and depression scores,and sleep quality of the two groups.Results After intervention,the scores of the reflux disease questionnaire(RDQ)including chest burning sensation,reflux,acid reflux and chest pain in the combined group were significantly lower than those in the routine group(P<0.05).Meanwhile,the scores of the self-evaluation of anxiety scale(SAS)and depression self-rating scale(SDS)in the combined group were obviously lower than those in the routine group(P<0.05).At 1,2,4,and 8 weeks of intervention,the Pittsburgh sleep quality index(PSQI)in the combined group was significantly lower than that in the routine group(P<0.05).Conclusion For patients with non-erosive GERD and subthreshold depression,music therapy combined with health case management model can effectively relieve the symptoms of heartburn,regurgitation,non-cardiac chest pain and acid reflux,improve their psychological state and sleep quality.
作者
潘燕华
温慧萍
PAN Yan-hua;WEN Hui-ping
出处
《中国疗养医学》
2023年第11期1151-1154,共4页
Chinese Journal of Convalescent Medicine
关键词
音乐疗法
健康个案管理模式
非糜烂型胃食管反流病
阈下抑郁
Music therapy
Health case management model
Non-erosive gastroesophageal reflux disease
Subthreshold depression
