摘要
目的 探索五行音乐对患肝硬化疾病的患者焦虑程度的临床效果。方法 将2024年7月至12月收治的74例肝硬化患者随机分为对照组（n=37）和试验组（n=37）。对照组接受消化内科常规护理，试验组在对照组基础上接受为期3周的五行音乐干预（每日2次，共75分钟）。采用SAS焦虑自评量表、Kolcaba舒适状况量表、肝功能Child-Pugh分级标准在患者干预前后进行评估，比较两组患者的焦虑水平、舒适程度和肝功能分级。结果 试验组患者SAS评分，还是Kolcaba评分均优于对照组，差异具统计学意义（P＜0.05）。但两组患者在肝功能分级的比较上差异无统计学意义（P＞0.05）。结论 五行音乐疗法能够改善肝硬化患者焦虑状态，增加患者舒适程度，该方法安全可靠，值得在临床中进行推广。
关键词： 五行音乐；肝硬化；焦虑状态；舒适状况；肝功能分级
Abstract
Objective To explore the clinical effect of Five Elements Music on anxiety levels in patients with cirrhosis. Methods Seventy-four patients with cirrhosis admitted from July to December 2024 were randomly divided into a control group (n=37) and an experimental group (n=37). The control group received routine gastroenterology care, while the experimental group received Five Elements Music intervention (twice daily, 75 minutes) for 3 weeks in addition to the routine care. The Self-Rating Anxiety Scale (SAS), Kolcaba Comfort Scale, and Child-Pugh classification of liver function were used to assess patients before and after the intervention. Anxiety levels, comfort levels, and liver function classifications were compared between the two groups. Results The SAS and Kolcaba scores in the experimental group were significantly better than those in the control group (P<0.05). However, there was no significant difference in liver function classification between the two groups (P>0.05). Conclusion Five Elements Music Therapy can improve anxiety and increase comfort levels in patients with cirrhosis. This method is safe and reliable and worthy of clinical promotion.
Key words： Five Elements Music; Liver cirrhosis; Anxiety state; Comfort state; Liver function classification
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