首页|认知行为疗法联合音乐治疗应用于帕金森病患者中的效果

认知行为疗法联合音乐治疗应用于帕金森病患者中的效果

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目的:探讨认知行为疗法联合音乐治疗应用于帕金森病患者中的效果.方法:选取 2022 年 1-12 月金昌市人民医院收治的 83 例帕金森病患者.根据随机数表法将其分为传统组(n=41)和联合组(n=42).传统组给予常规干预,联合组在传统组的基础上给予认知行为疗法联合音乐治疗.比较两组干预前及干预 3 个月后认知功能、负性情绪、生存质量.结果:干预 3 个月后,两组神经元特异性烯醇化酶(NSE)、S100B均降低,β淀粉样蛋白 1-42(Aβ1-42)、简易精神状态检查量表(MMSE)评分均升高,联合组NSE、S100B均低于传统组,Aβ1-42、MMSE评分均高于传统组,差异有统计学意义(P<0.05).干预 3 个月后,两组焦虑自评量表(SAS)及抑郁自评量表(SDS)评分均显著降低,联合组SAS评分、SDS评分均低于传统组,差异有统计学意义(P<0.05).干预 3 个月后,两组运动功能、日常生活、情感、耻辱感、社会支持、认知力、交往、身体不适评分均显著降低,联合组运动功能、日常生活、情感、耻辱感、社会支持、认知力、交往、身体不适评分均低于传统组,差异有统计学意义(P<0.05).结论:认知行为疗法联合音乐治疗能够改善帕金森病患者认知功能及焦虑等负性情绪,提高生存质量.
Effect of Cognitive Behavioral Therapy Combined with Music Therapy in the Application of Parkinson Disease Patients
Objective:To explore the effect of cognitive behavioral therapy combined with music therapy in the application of Parkinson disease patients.Method:A total of 83 patients with Parkinson disease treated in Jinchang People's Hospital from January to December 2022 were selected.They were divided into traditional group(n=41)and combined group(n=42)according to random number table method.The traditional group received conventional intervention,and the combined group received cognitive behavioral therapy combined with music therapy on the basis of traditional group.Cognitive function,negative emotion and quality of life were compared between the two groups before intervention and 3 months after intervention.Result:After 3 months of intervention,the neuron-specific enolase(NSE)and S100B were decreased in both groups,and the β amyloid 1-42(Aβ1-42)and mini mental state examination(MMSE)scores were increased in both groups,the NSE and S100B in the combined group were lower than those in the traditional group,and the Aβ1-42 and MMSE scores were higher than those in the traditional group,the differences were statistically significant(P<0.05).After 3 months of intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were significantly decreased in both groups,and the scores of SAS and SDS in the combined group were lower than those in the traditional group,the differences were statistically significant(P<0.05).After 3 months of intervention,motor function,daily life,emotion,shame,social support,cognition,communication,and physical discomfort scores of both groups were significantly decreased,and the motor function,daily life,emotion,shame,social support,cognition,communication and physical discomfort scores of the combined group were lower than those of the traditional group,the differences were statistically significant(P<0.05).Conclusion:Cognitive behavioral therapy combined with music therapy can improve cognitive function,anxiety and other negative emotions in patients with Parkinson disease,and improve the quality of life.

Cognitive behavioral therapyMusic therapyParkinson diseaseCognitive function

赵菊萍

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金昌市人民医院 甘肃 金昌 737100

认知行为疗法 音乐治疗 帕金森病 认知功能

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(11)
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