Abstract:

Objective To explore the effect of Traditional Chinese Medicine’s five-element music therapy combined with individualized emotional counseling intervention in patients with autoimmune liver disease of liver depression and spleen deficiency type. Methods 74 patients with autoimmune liver disease of liver depression and spleen deficiency type who were admitted to the hepatology department of a tertiary hospital from January 2021 to February 2022 were selected as research subjects，and they were divided into an experimental group and a control group by a random number table with 37 cases in each group. The control group was given routine treatment and nursing care，as well as Traditional Chinese Medicine’s emotional nursing. The experimental group received Traditional Chinese Medicine’s five-element music therapy combined with individualized emotional counseling intervention on the basis of routine treatment and nursing care，with an intervention period of 4 weeks. The Generalized Anxiety Disorder Scale （GAD-7），Patient Health Questionnaire Depression Scale （PHQ-9） and Pittsburgh Sleep Quality Index（PSQI） were used to evaluate patients within 24 hours after admission and after 4 weeks of intervention. Results A total of 72 patients completed the study，with 36 in the experimental group and 36 in the control group. Before and after intervention，the scores of GAD-7，PHQ-9，and PSQI in the experimental group were compared，and the differences were statistically significant （P<0.001）. After the intervention，the GAD-7 score in the experimental group was （7.89±3.15），which was lower than （10.14±4.41） in the control group. The PHQ-9 score was （12.33±4.08） in the experimental group，which was lower than （14.64±5.34） in the control group. The PSQI score was （12.39±3.06） points，which was lower than （14.22±3.37） in the control group，and the differences were statistically significant （P<0.05）. Conclusion The application of Traditional Chinese Medicine’s five-element music therapy combined with individualized emotional guidance intervention can effectively improve the sleep quality and help alleviate negative emotions in patients with liver depression and spleen deficiency type of autoimmune liver disease.

Key words: Autoimmune Liver Disease, Anxiety, Depression, Music Therapy, Emotional Nursing, Traditional Chinese Medicine Nursing

摘要：

目的 探讨中医五音疗法联合个案化情志疏导干预在肝郁脾虚型自身免疫性肝病患者中的应用效果。 方法 选取2021年1月—2022年2月北京市某三级甲等医院肝病科住院的74例肝郁脾虚型自身免疫性肝病患者作为研究对象，采用随机数字表法分为试验组和对照组，每组各37例。试验组在常规护理及中医情志护理的基础上予以中医五音疗法联合个案化情志疏导干预，干预周期为4周；对照组给予常规护理及中医情志护理。采用广泛性焦虑量表、患者健康问卷抑郁量表、匹兹堡睡眠质量指数分别在患者入组24 h内、干预4周后进行评估。 结果 共72例患者完成研究，试验组36例，对照组36例。干预前后，试验组广泛性焦虑量表评分、患者健康问卷抑郁量表评分及匹兹堡睡眠质量指数评分比较，差异均具有统计学意义（均P<0.001）。干预后，试验组广泛性焦虑量表评分为（7.89±3.15）分，低于对照组的（10.14±4.41）分；试验组患者健康问卷抑郁量表评分为（12.33±4.08）分，低于对照组的（14.64±5.34）分；试验组匹兹堡睡眠质量指数评分为（12.39±3.06）分，低于对照组的（14.22±3.37）分，差异均具有统计学意义（均P<0.05）。 结论 应用中医五音疗法联合个案化情志疏导干预可有效提高肝郁脾虚型自身免疫性肝病患者的睡眠质量，有助于改善其负性情绪。

关键词: 自身免疫性肝病, 焦虑, 抑郁, 音乐疗法, 情志护理, 中医护理学