首页|五禽戏联合五行音乐疗法对维持性血液透析患者疲乏与睡眠的效果研究

五禽戏联合五行音乐疗法对维持性血液透析患者疲乏与睡眠的效果研究

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目的 探讨五禽戏联合五行音乐疗法对维持性血液透析患者疲乏与睡眠的效果.方法 选取 2023 年 1 月至 9月在四川省广安市中医医院行维持性血液透析的患者 96 例,通过随机数字表法分为对照组、五行音乐组、联合组(五禽戏联合五行音乐)三组,每组各 32 例;对照组给予常规治疗与护理;五行音乐组在对照组的基础上实施五音疗法干预,联合组则在五行音乐组的基础上实施五禽戏锻炼.在干预前与干预 12 周后,采用修订版piper疲乏量表(Revised Piper Fatigue Scale,RPFS)、匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分,观察三组患者疲乏与睡眠状况.结果 干预后三组在RPFS各维度得分及总分间的两两比较,差异均具有统计学意义(P<0.05);干预后联合组的RPFS总分为(3.57±0.47),显著低于对照组(4.71±0.34)、五行音乐组(4.25±0.53).干预后三组在PSQI各维度得分及总分间的两两比较,差异均具有统计学意义(P<0.05).干预后联合组的PSQI总分为(6.59±2.19),显著低于对照组(13.72±1.85)、五行音乐组(10.03±2.34).结论 五禽戏联合五行音乐疗法是缓解维持性血液透析患者疲乏、改善其睡眠的有效方法,可进一步推广.
Study on the effect of Wuqinxi combined with Five Elements music therapy on fatigue and sleep in patients with maintenance hemodialysis
Objective To explore the effect of Wuqinxi combined with Five Elements Music Therapy on fatigue and sleep of ma-intenance hemodialysis patients.Methods Ninety-six patients undergoing maintenance hemodialysis in Guang'an Hospital of Tradi-tional Chinese Medicine,Sichuan Province,from January to September 2023 were selected and randomly divided into the control group,the Wuqinxi group,and the combined group(Wuqinxi combined with five elements music),with 32 patients in each group.The control group was given routine treatment and nursing care;the Wuqinxi group was implemented with Wuqinxi on the basis of the control group,and the combined group implemented the five elements music therapy on the basis of the Wuqinxi group.Before and after 12 weeks of intervention,the Revised Piper Fatigue Scale(RPFS)and Pittsburgh Sleep Quality Index(PSQI)were used to assess the fatigue and sleep status of the three groups.Results Post-intervention comparisons among the three groups in RPFS dimension scores and total scores showed statistically significant differences(P<0.05).The total RPFS score of the combined group after the intervention was(3.57±0.47),which was significantly lower than that of the control group,(4.71±0.34)and that of the Wuqinxi group,(4.25±0.53)(P<0.05).Post-intervention comparisons among the three groups in PSQI dimension scores and total scores also showed statistically significant differences(P<0.05).The total PSQI score of the combined group after the intervention was(6.59±2.19),which was signif-icantly lower than that of the control group(13.72±1.85)and the Wuqinxi group(10.03±2.34)(P<0.05).Conclusion The combina-tion of Wuqinxi with Five Elements Music Therapy is an effective method to alleviate fatigue and improve sleep quality of maintenance hemodialysis patients,which can be further promoted.

Maintenance hemodialysisFatigueFive Elements Music TherapyWuqinxi

冯月、李玲、王芳

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成都中医药大学护理学院

四川省人民医院肝胆外科,四川 成都 610075

广安市中医医院,四川 广安 638000

维持性血液透析 疲乏 五行音乐疗法 五禽戏

2025

牡丹江医学院学报
牡丹江医学院

牡丹江医学院学报

影响因子:0.615
ISSN:1001-7550
年,卷(期):2025.46(1)