《新中医》杂志稿约

目的:观察中医五行音乐疗法对重症监护室(ICU)重症肺炎患者谵妄和负性情绪的影响。方法:将收治的符合纳入标准的重症肺炎患者86例分为2组,对照组43例给予常规护理,观察组43例在此基础上加用中医五行音乐疗法。观察比较2组患者谵妄发生率、谵妄类型、谵妄发生时间、谵妄持续时间、护理舒适度,比较2组干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、理查兹坎贝尔睡眠问卷(RCSQ)评分,比较2组护理舒适度。结果:观察组发生谵妄7例,谵妄发生率16.28%,对照组发生谵妄16例,谵妄发生率为37.21%,观察组谵妄发生率低于对照组,差异均有统计学意义(P<0.05);观察组谵妄持续时间短于对照组,差异均有统计学意义(P<0.05);2组谵妄发生时间比较,差异无统计学意义(P>0.05)。干预后,2组SAS、SDS、RSCQ评分均比干预前降低,且观察组SAS、SDS、RCSQ评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组Kolcaba量表生理领域、心理领域、精神领域、社会和环境领域以及总分均低于对照组,差异均有统计学意义(P<0.0...

Effect of Chinese Medicine Five- Element Music Therapy on Delirium and Negative Emotions of ICU Patients with Severe Pneumonia

Objective:To observe the effect of Chinese medicine five-element music therapy on delirium and negative emotions of patients with severe pneumonia in intensive care unit(ICU).Methods:A total of 86 cases of patients with severe pneumonia who met the inclusion criteria were randomly divided into two groups,with 43 cases in each group.The control group was given routine nursing,and the observation group was additionally given Chinese medicine five-element music therapy based on the treatment of the control group.Nursing comfort rates as well as the incidence rates,types,occurrence time and duration of delirium were observed and compared between the two groups.Before and after intervention,scores of Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)and Richards Campbell Sleep Questionnaire(RCSQ)were compared between the two groups.Results:There were seven cases of delirium in the observation group and 16 cases in the control group,and the incidence was 16.28%in the observation group,lower than that of 37.21%in the control group,differences being significant(P<0.05).The duration of delirium in the observation group was shorter than that in the control group,differences being significant(P<0.05).There was no significant difference being found in the comparison of occurrence time of delirium between the two groups(P>0.05).After intervention,scores of SAS,SDS and RSCQ in the two groups were decreased when compared with those before intervention,and the scores in the observation group were lower than those in the control group,differences being significant(P<0.05).After intervention,scores of physiological dimension,psychological dimension,mental dimension,social and environmental dimension as well as the total score in Kolcaba scale in the observation group were lower than those in the control group,differences being significant(P<0.05).Conclusion:Chinese medicine five-element music therapy can reduce the incidence of delirium of patients with severe pneumonia undergoing mechanical ventilation in ICU,and improve their sleep quality,negative emotions and nursing comfort.