五行音乐角调对乙型肝炎肝硬化失代偿期患者负面情绪的缓解作用：一项随机对照实验研究。
Relieving effect of jiao-tune of 5-element music on negative emotions in patients with decompensated hepatitis B virus cirrhosis: A randomized and controlled experiment study.
机构信息
Hepatology Department, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu, China.
Oncology Department, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, Jiangsu, China.
出版信息
Medicine (Baltimore). 2024 Sep 13;103(37):e39556. doi: 10.1097/MD.0000000000039556.
BACKGROUND
Depression and anxiety are common in patients with decompensated hepatitis B virus (HBV) cirrhosis. This study aimed to evaluate the relieving effects of the jiao-tune of 5-element music on negative emotions in patients with decompensated HBV cirrhosis.
METHODS
The patients were randomly allocated into the control group (standard nursing care) and the jiao-tune group (standard nursing care plus a 2-month course of music therapy with the jiao-tune of 5-element music). The negative emotions of patients were assessed before intervention treatment and at the end of the 2-month follow-up using the Zung Self-Rating Depression Scale (SDS) and Zung Self-Rating Anxiety Scale (SAS).
RESULTS
The analysis included 209 patients, with 102 in the control group and 107 in the jiao-tune group, all of whom returned their completed questionnaires. Baseline clinical characteristics and length of hospital stay were comparable between 2 groups. Before intervention treatment, there were no significant differences in SAS score (55.78 ± 5.64 vs 56.47 ± 3.28) and SDS score (65.13 ± 3.12 vs 64.48 ± 4.47) between the jiao-tune group and control group. After 2-month follow-up, the jiao-tune group had a significantly lower SAS score (53.17 ± 5.61) and SDS score (61.28 ± 1.52) compared with the control group (55.49 ± 3.37 and 63.08 ± 2.76), there were significant differences between 2 groups (P < .001).
CONCLUSIONS
The jiao-tune of 5-element music can relieve the negative emotions in patients with decompensated HBV cirrhosis.
背景
失代偿期乙型肝炎病毒（HBV）肝硬化患者常伴有抑郁和焦虑。本研究旨在评估五音角调对失代偿期 HBV 肝硬化患者负性情绪的缓解作用。
方法
将患者随机分为对照组（标准护理）和角调组（标准护理加 2 个月五音角调音乐治疗）。采用zung 抑郁自评量表（SDS）和zung 焦虑自评量表（SAS）在干预治疗前和 2 个月随访结束时评估患者的负性情绪。
结果
共纳入 209 例患者，其中对照组 102 例，角调组 107 例，均完成了问卷调查。2 组患者的基线临床特征和住院时间相似。干预治疗前，角调组和对照组的 SAS 评分（55.78±5.64 vs 56.47±3.28）和 SDS 评分（65.13±3.12 vs 64.48±4.47）差异无统计学意义。2 个月随访后，角调组的 SAS 评分（53.17±5.61）和 SDS 评分（61.28±1.52）明显低于对照组（55.49±3.37 和 63.08±2.76），差异有统计学意义（P<0.001）。
结论
五音角调可以缓解失代偿期 HBV 肝硬化患者的负性情绪。
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