音乐疗法结合中医辩证改善系统性红斑狼疮患者郁证的效果

目的探讨音乐疗法结合中医辩证改善系统性红斑狼疮患者郁证的效果。方法 2012年2-7月采用便利抽样法选取60例符合郁证诊断标准的系统性红斑狼疮患者,采用随机数字表法将其分为研究组和对照组各30例。对照组给予常规药物治疗和健康教育,研究组在此基础上结合中医辩证思想实施音乐疗法(简称中医音乐疗法)。比较两组患者干预前后汉密尔顿抑郁量表(Hamilton depression scale,HAMD)和汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)的评分情况,并于干预后对研究组患者就中医音乐疗法进行访谈,了解患者的感受和评价。结果干预后,研究组患者忧郁情绪、入睡困难、睡眠困难、早醒、工作和兴趣、躯体性焦虑、全身症状、胃肠道症状、疑病等抑郁评分均低于对照组,焦虑心境、害怕、失眠、胃肠道症状等焦虑评分亦低于对照组,差异均有统计学意义(均P0.05);通过访谈发现,研究组患者非常愿意接受中医音乐疗法,表示音乐带给他们享受、增加舒适感、改变情绪并振奋精神。结论中医音乐疗法可以改善系统性红斑狼疮郁证患者的不良心理状态,使患者身心放松、情志舒畅,利于康复。

Application Effects of Traditional Chinese Medicine Syndrome Differentiation in Patients with Systemic Lupus Erythematosus in Music Therapy

Objective To investigate the effects of application of traditional Chinese music therapy in the treatment of systemic lupus erythematosus patients with emotional induced depression.Methods By Convenience sampling,a total of 60 cases of Systemic Lupus Erythematosus（SLE） patients with depression syndrome were equally divided into experimental group（30） and control group（30）.The control group was given conventional drug treatment and health education and experimental group was given the traditional Chinese music therapy.By comparing the score of the Hamilton Depression Scale（HAMD） and Hamilton Anxiety Scale（HAMA）,and to understand their feelings about the therapy having an interview with the experimental group patients about music therapy after intervention.Results After intervention,the score of the incidences of pessimism,trouble sleeping,fear,anxiety,depression and other psychological reaction in experimental group were significantly lower than which in control group（P〈0.05）.The experimental group patients were happy to take traditional Chinese medicine and music therapy,they claimed that music can comfort them,altering their emotions and cheering them up.Conclusion The application of traditional Chinese medicine and music therapy can improve the psychological state of patients with systemic lupus erythematosus melancholia and bring patients relax,comfort and easy recovery.