无症状和轻症新型冠状病毒（COVID-19）患者的情绪干预的临床研究。
Clinical Study on the Emotional Intervention of Patients with Asymptomatic and Mild Novel Coronavirus (COVID-19).
机构信息
Department of Cardiology, Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China.
Department of Nursing, Yueyang Hospital of Integrated Traditional Chinese Medicine and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China.
出版信息
Medicina (Kaunas). 2023 May 6;59(5):895. doi: 10.3390/medicina59050895.
The aim was to explore the interventional effect of the traditional Chinese medicine (TCM) exercise of Tian Dan Shugan Tiaoxi on the emotions of patients with mild novel coronavirus (COVID-19). A total of 110 asymptomatic and mildly symptomatic COVID-19 patients from Hongkou Memorial Road Temporary Cabin Hospital and South Renji Hospital were selected between April 2022 and June 2022, and randomly divided into two groups: a control group and an intervention group. There were 55 participants in each group. The control group was treated with Lianhua Qingwen granules, and members of the intervention group were made to practice Tian Dan Shugan Tiaoxi (an exercise that soothes the liver and regulates emotions) every day for 5 days. The Patient Health Questionnaire-9 (PHQ-9), the Generalized Anxiety Disorder questionnaire (GAD-7), and the Symptom Checklist 90 (SCL-90) were used to evaluate the data collected before and after the trial. The incidence of anxiety and depression was high in the patients included in this study, at 73.64% and 69.09%, respectively. After intervention, the scores of the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder questionnaire (GAD-7) in the two groups had decreased in comparison with those recorded before intervention ( < 0.05). The PHQ-9 and GAD-7 scores in the intervention group were significantly better than those of the control group ( < 0.05). The factors of somatization, depression, anxiety, hostility, and fear in the SCL-90 in the intervention group were significantly improved after intervention, and generally, better than those in the control group ( < 0.05). : Patients infected with novel coronavirus in shelter hospitals have different degrees of emotional abnormalities. Tian Dan Shugan Tiaoxi can reduce the anxiety and depression of people with mild novel coronavirus, and it can be practiced clinically to improve the recovery rate among infected people.
目的
探索中药天丹疏肝调谐操对轻症新型冠状病毒（COVID-19）患者情绪的干预效果。
方法
2022 年 4 月至 6 月，选取虹口区临时方舱医院和仁济医院南院 110 例无症状和轻症 COVID-19 患者，采用随机数字表法分为对照组和干预组，每组 55 例。对照组给予连花清瘟颗粒治疗，干预组每天练习天丹疏肝调谐操 5 天。采用患者健康问卷-9 项（PHQ-9）、广泛性焦虑量表（GAD-7）和症状自评量表 90 项（SCL-90）评估试验前后收集的数据。
结果
本研究纳入的患者焦虑和抑郁发生率较高，分别为 73.64%和 69.09%。干预后，两组 PHQ-9 和 GAD-7 评分均较干预前降低（<0.05），干预组 PHQ-9 和 GAD-7 评分均优于对照组（<0.05）。干预后，干预组 SCL-90 中的躯体化、抑郁、焦虑、敌对和恐怖因子均明显改善，总体优于对照组（<0.05）。
结论
方舱医院内新型冠状病毒感染者存在不同程度的情绪异常，天丹疏肝调谐操可降低轻症新型冠状病毒感染人群的焦虑和抑郁程度，可在临床实践中推广应用，以提高感染者的康复率。
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