"辨志-调神-固本"情志管理路径在痰湿中阻型眩晕患者中的应用OA
Application of the"Identifying Emotions-Regulating Spirit-Consolidating the Foundation"Emotional Management Pathway in Patients with Vertigo of Phlegm-Dampness Middle Obstruction Syndrome
目的:探讨"辨志-调神-固本"情志管理路径对痰湿中阻型眩晕患者的影响.方法:采用随机对照试验设计,选取2023年1月～2024年12月收治的痰湿中阻型眩晕患者120例,采用随机数字表法分为对照组(n=60)和观察组(n=60).对照组采用常规管理,观察组接受"辨志-调神-固本"情志管理路径干预,该路径首先通过"五志评估法"将患者分为"忧思伤脾型"与"郁怒乘土型",继而依据分型采用五音疗法、情志相胜、移情易性、穴位按压等中医特色技术进行干预,最终通过健康契约、家庭及同伴支持等方式予以巩固.对比两组眩晕症状量表(VSS)评分(包括前庭症状子量表VSS-VER、焦虑-自主神经症状子量表VSS-AA)、SF-36生活质量评分、情绪状态评分(焦虑自评量表SAS、抑郁自评量表SDS).结果:干预前,两组患者VSS评分差异无统计学意义(P>0.05);干预后,观察组VSS-VER评分、VSS-AA评分、VSS总分均低于对照组(P<0.05).干预前,两组患者SF-36量表各维度评分差异均无统计学意义(P>0.05);干预后,观察组SF-36量表各维度评分均高于对照组(P<0.05).干预前,两组患者SDS评分、SAS评分差异均无统计学意义(P>0.05);干预后,观察组SDS评分、SAS评分均低于对照组(P<0.05).结论:"辨志-调神-固本"情志管理路径可有效缓解痰湿中阻型眩晕患者的临床症状,全面提升生活质量,改善情绪状态.
Objective:To explore the clinical effect of the"Identifying Emotions-Regulating Spirit-Consolidating the Foundation"emotional management pathway on patients with vertigo of phlegm-dampness middle obstruction syndrome.Methods:A randomized controlled trial design was adopted.A total of 120 patients diagnosed with phlegm-dampness middle obstruction vertigo admitted from January 2023 to December 2024 were enrolled and randomly divided into a control group and an observation group,with 60 cases in each group via digital randomization.The control group received routine clinical management,while the observation group was intervened with the targeted emotional management pathway.According to the TCM Five-Emotion Assessment Method,patients were classified into two types:anxiety and overthinking impairing the spleen,and depression and anger overwhelming the spleen.Corresponding individualized interventions were implemented,including five-tone music therapy,emotion restraint therapy,attention diversion,interest cultivation,and acupoint pressing.Consolidated intervention effects were maintained through health management contracts,family support and peer companionship support.The Vertigo Symptom Scale(VSS)(including VSS-VER and VSS-AA subscales),SF-36 quality of life scale,Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were compared between the two groups before and after intervention.Results:There were no significant differences in baseline VSS,SF-36,SAS and SDS scores between the two groups before treatment(P>0.05).After intervention,the observation group showed significantly lower VSS-VER,VSS-AA and total VSS scores than the control group(P<0.05).All dimension scores of the SF-36 scale in the observation group were significantly higher than those in the control group(P<0.05).Additionally,the SAS and SDS scores of the observation group were markedly decreased compared with the control group(P<0.05).Conclusion:The"Identifying Emotions-Regulating Spirit-Consolidating the Foundation"emotional management pathway can effectively relieve vertigo symptoms,improve quality of life,and alleviate anxiety and depression in patients with phlegm-dampness middle obstruction vertigo,which is worthy of clinical promotion.
周洁;陆彩艳;农思琦;赵玉枝
百色市中医医院,广西 百色 533000百色市中医医院,广西 百色 533000百色市中医医院,广西 百色 533000百色市中医医院,广西 百色 533000
医药卫生
"辨志-调神-固本"情志管理路径痰湿中阻型眩晕情绪状态生活质量
"Identifying Emotions-Regulating Spirit-Consolidating the Foundation"emotional management pathwayphlegmdampness middle obstruction syndromevertigoemotional statequality of life
《中医康复》 2026 (7)
51-56,6
百色市科学研究与技术开发计划(百科20233609)
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