Effects of music therapy combined with psychological counseling on negative emotion and quality of life in patients with chronic obstructive pulmonary disease (商调音乐联合心理疏导对慢性阻塞性肺疾病患者负性情绪及生活质量的影响)

Abstract

Objective To investigate the effect of music therapy combined with psychological counseling on negative emotion and quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods Totally 120 COPD patients were randomly divided into the observation group and the control group, with 60 cases in each group. All patients were given routine drug treatment including drugs acting on relieving cough and reducing sputum, bronchodilator, glucocorticoids, anti-Infective agents and drugs given by oral inhalation. Patients in the observation group received music therapy combined with psychological counseling. After discharge, regular telephone follow-up visits were used to urge them to adhere to music therapy and psychological counseling. Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA) were used to evaluate the depression and anxiety status of patients, and COPD assessment test (CAT) and quality of life assessment scale (QOLAS) were used to evaluate the quality of life of patients. The relevant data between the two groups were compared before and after a twelve-week course of therapy. Results After 12 weeks of intervention, HAMD score ［(10. 44 ± 0. 58) vs. (12. 26 ± 2. 06), t＝ 6. 587, P＜0. 001］, HAMA score ［(8. 54 ± 2. 24) vs. (11. 55 ± 1. 78), t ＝ 8. 149, P＜0. 01］, CAT score ［(14. 32 ± 5. 13) vs. (18. 77 ± 6. 95), t＝3. 990, P＜0. 01］ and QOLAS score ［physiological domain (125. 33 ± 4. 87) score vs. (113. 22 ± 5. 12) score, t = -13. 275, P＜0. 01; psychological domain (110. 42 ± 4. 16) score vs. (98. 44 ± 4. 78) score, t = -14. 644, P＜0. 01; social relationship domain (75. 38 ± 4. 03) score vs. (68. 55 ± 3. 46) score, t = -9. 960, P＜0. 01; environmental domain (98. 73 ± 4. 57) score vs. (92. 75 ± 4. 38) score, t = 7. 318, P＜0. 01］ of the observation group were significantly different from those of the control group. Conclusion Music therapy combined with psychological counseling can relieve the negative emotions of depression and anxiety in COPD patients, and can effectively improve their quality of life. (目的 探讨商调音乐联合心理疏导对慢性阻塞性肺疾病(COPD)患者抑郁、焦虑状态及生活质量的影响。方法 采用前瞻性研究方法, 选取2019年1月—2020年7月呼吸中心住院的COPD患者, 按数字随机法分为观察组和对照组, 各60例。两组均给予常规药物治疗, 包括止咳化痰药、支气管舒张剂、糖皮质激素等, 若合并感染给予抗感染药物, 经治疗病情改善出院后序贯吸入性及口服性药物。观察组在此基础上给予商调音乐联合心理疏导, 出院后采用定期电话回访方式督促其坚持音乐疗法及进行心理疏导。采用汉密尔顿抑郁量表-17项(HAMD)、汉密尔顿焦虑量表(HAMA)来评价患者抑郁及焦虑状态, 同时采用慢性阻塞性肺病评估测试(CAT)及生活质量评估量表 (QOLAS)来评价患者的生活质量。干预12周为1个疗程, 干预前后比较两组间相关数据。结果 干预12周后, 观察组与对照组HAMD评分［(10. 44±0. 58)分 vs. (12. 26±2. 06)分, t＝6. 587, P＜0. 01］、HAMA评分［(8. 54±2. 24)分 vs. (11. 55±1. 78)分, t＝8. 149, P＜0. 01］、CAT评分［(14. 32±5. 13)分 vs. (18. 77±6. 95)分, t＝3. 990, P＜0. 01］、QOLAS评分［生理领域: (125. 33±4. 87)分 vs. (113. 22±5. 12)分, t＝-13. 275, P＜0. 01; 心理领域: (110. 42±4. 16)分 vs. (98. 44±4. 78)分, t＝-14. 644, P＜0. 01; 社会关系领域: (75. 38±4. 03)分 vs. (68. 55±3. 46)分, t＝-9. 960, P＜0. 01; 环境领域: (98. 73±4. 57)分 vs. (92. 75±4. 38)分, t＝7. 318, P＜0. 01］比较, 差异有统计学差异。结论 商调音乐联合心理疏导能减轻COPD患者抑郁及焦虑负面情绪, 有效提高其生活质量, 值得临床借鉴。)

Keywords

• chronic obstructive pulmonary disease
• music therapy
• psychological counseling
• depression
• anxiety
• quality of life
• 慢性阻塞性肺疾病
• 商调音乐
• 心理疏导
• 抑郁
• 焦虑
• 生活质量