Nursing Experience of Alleviating Depression and Anxiety in a Case of Type 2 Diabetes Mellitus Using Five-Element Music Therapy in Traditional Chinese Medicine Combined with Psychological Nursing Care

ZHANG Yaxin

doi:10.12209/CAIM202502280002

您当前的位置：

首页 >

文章列表页 >

Nursing Experience of Alleviating Depression and Anxiety in a Case of Type 2 Diabetes Mellitus Using Five-Element Music Therapy in Traditional Chinese Medicine Combined with Psychological Nursing Care

更新时间：2025-06-27

- Nursing Experience of Alleviating Depression and Anxiety in a Case of Type 2 Diabetes Mellitus Using Five-Element Music Therapy in Traditional Chinese Medicine Combined with Psychological Nursing Care
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  北京市昌平区中西医结合医院内分泌，北京， 102208
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202502280002
  CLC：
- Received：28 February 2025，
  
  Accepted：05 June 2025，
  
  Published Online：27 June 2025，
- 稿件说明：
移动端阅览
ZHANG Yaxin. Nursing Experience of Alleviating Depression and Anxiety in a Case of Type 2 Diabetes Mellitus Using Five-Element Music Therapy in Traditional Chinese Medicine Combined with Psychological Nursing Care[DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

ZHANG Yaxin. Nursing Experience of Alleviating Depression and Anxiety in a Case of Type 2 Diabetes Mellitus Using Five-Element Music Therapy in Traditional Chinese Medicine Combined with Psychological Nursing Care[DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202502280002.

摘要

本文总结中医五行音乐联合心理护理改善1例2型糖尿病患者抑郁焦虑情绪，从而达到控制血糖及提高主观幸福感的护理经验。在完善护理评估的基础上，通过中医五行音乐辅以心理护理及饮食护理，结果显示患者治疗前抑郁自评量表（SDS）评分65分，焦虑自评量表（SAS）评分62分，空腹血糖13.6 mmol/L，餐后2 h血糖20.5 mmol/L；护理后，SDS评分降至40分，SAS评分降至38分，空腹血糖降至6.28 mmol/L，餐后2 h血糖降至9.01 mmol/L，主观幸福感显著提升。综上所述，中医五行音乐结合心理护理可减轻抑郁与焦虑程度，提高主观幸福感及血糖控制效果，优化生活质量。

Abstract

This article summarizes the nursing experience of using Five-Element Music Therapy in Traditional Chinese Medicine （TCM） combined with psychological nursing to alleviate depression and anxiety in a patient with type 2 diabetes mellitus （T2DM）， thereby achieving improved glycemic control and enhanced subjective well-being. Based on comprehensive nursing assessments， interventions included TCM Five-Element Music Therapy supplemented by psychological nursing and dietary guidance. Results demonstrated significant improvements： the patient's Self-Rating Depression Scale （SDS） score decreased from 65 to 40， the Self-Rating Anxiety Scale （SAS） score reduced from 62 to 38， fasting blood glucose dropped from 13.6 mmol/L to 6.28 mmol/L， and 2-hour postprandial blood glucose decreased from 20.5 mmol/L to 9.01 mmol/L. Subjective well-being was markedly elevated. In conclusion， the integration of TCM Five-Element Music Therapy with psychological nursing effectively alleviates depression and anxiety， enhances subjective well-being， optimizes glycemic control， and improves overall quality of life.

关键词

Keywords

references

冯红云，赵媛媛，张哲，等 . 积极心理学对慢性心力衰竭伴2型糖尿病患者心理和心脏功能的影响［J］. 河北医药， 2023 ， 45 （ 10 ）： 1582 - 1585， 1589 .

FENG H Y ， ZHAO Y Y ， ZHANG Z ， et al . Effects of positive psychology on the mental toughness， self-management ability and cardiac function in elderly patients with chronic heart failure complicated by type 2 diabetes ［J］. Hebei Med J ， 2023 ， 45 （ 10 ）： 1582 - 1585， 1589 . （in Chinese）

蓝巧云，龚小琴，张汉萍 . 音乐联合前瞻性护理在子宫肌瘤合并糖尿病患者围术期中的应用价值［J］. 糖尿病新世界， 2023 ， 26 （ 4 ）： 164 - 167 .

LAN Q Y ， GONG X Q ， ZHANG H P . The value of music combined with prospective care in the perioperative period of patients with uterine fibroids combined with diabetes mellitus ［J］. Diabetes New World ， 2023 ， 26 （ 4 ）： 164 - 167 . （in Chinese）

冯素娟，张珀璇，桑圣梅，等 . 焦点解决短期疗法联合中医五行音乐疗法对血液透析患者的影响［J］. 心理月刊， 2022 ， 17 （ 23 ）： 130 - 132， 165 .

FENG S J ， ZHANG P X ， SANG S M ， et al . Effect of solution-focused brief therapy combined with traditional Chinese medicine five-element music therapy on hemodialysis patients ［J］. Psychological Monthly ， 2022 ， 17 （ 23 ）： 130 - 132， 165 . （in Chinese）

万艳，胡文丽，熊颖，等 . 五行音乐疗法联合心理护理在紧急宫颈环扎围术期的疗效研究［J］. 基层医学论坛， 2023 ， 27 （ 24 ）： 92 - 94 .

WAN Y ， HU W L ， XIONG Y ， et al . Study on the effect of five elements music therapy combined with psychological nursing in the perioperative period of emergency cervical cerclage ［J］. Med Forum ， 2023 ， 27 （ 24 ）： 92 - 94 . （in Chinese）

张冬冬，毕菲菲 . 中医五行音乐疗法联合疏肝健脾方治疗肝郁脾虚型糖尿病合并抑郁症的疗效观察［J］. 世界中西医结合杂志， 2022 ， 17 （ 5 ）： 917 - 921 .

ZHANG D D ， BI F F . Clinical value of five-element music therapy combined with Shugan Jianpi prescription in the treatment of diabetes complicated with depression（syndrome of liver depression and spleen deficiency）［J］. World J Integr Tradit West Med ， 2022 ， 17 （ 5 ）： 917 - 921 . （in Chinese）

侯守云，孟君，陈莉，等 . 个性化心理护理对老年糖尿病患者血糖和负面情绪的影响［J］. 国际精神病学杂志， 2022 ， 49 （ 5 ）： 919 - 922 .

HOU S Y ， MENG J ， CHEN L ， et al . Effects of individualized psychological nursing on blood glucose and negative emotions in elderly patients with diabetes mellitus ［J］. J Int Psychiatry ， 2022 ， 49 （ 5 ）： 919 - 922 . （in Chinese）

毕菲菲，姚岚，张冬冬，等 . 疏肝健脾方配合中医五行情志干预对糖尿病伴抑郁患者心境状态及血糖控制的影响［J］. 世界中西医结合杂志， 2020 ， 15 （ 10 ）： 1850 - 1854 .

BI F F ， YAO L ， ZHANG D D ， et al . Effects of Shugan Jianpi decoction and five elements emotional intervention in Chinese medicine on mood and blood glucose control of diabetic patients with depression ［J］. World J Integr Tradit West Med ， 2020 ， 15 （ 10 ）： 1850 - 1854 . （in Chinese）

路径，王婷 . 共情护理对老年脑梗死合并糖尿病患者负性情绪及治疗依从性的影响研究［J］. 贵州医药， 2022 ， 46 （ 9 ）： 1510 - 1511 .

LU J ， WANG T . Study on the influence of empathy nursing on negative emotions and treatment compliance of elderly patients with cerebral infarction complicated with diabetes mellitus ［J］. Guizhou Med J ， 2022 ， 46 （ 9 ）： 1510 - 1511 . （in Chinese）

吴珊，唐衍春 . 邓老八段锦联合五行音乐对于妊娠糖尿病糖脂代谢及妊娠结局的影响［J］. 江西医药， 2022 ， 57 （ 8 ）： 870 - 872， 875 .

WU S ， TANG Y C . Effect of Deng Lao Ba Duan Jin combined with Wuxing music on glucose and lipid metabolism and pregnancy outcome in gestational diabetes mellitus ［J］. Jiangxi Med J ， 2022 ， 57 （ 8 ）： 870 - 872， 875 . （in Chinese）

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Nursing Experience of a Patient with Lower Limb Erysipelas and Hypertension and Coronary Heart Disease of Large Body Weight

Nursing case report of the treatment of postoperative hyperglycemia in patients with type 2 diabetes mellitus complicated with multiple fractures of the lower extremities by ear point pressing needle based on midnight noon ebb flow timing

Nursing report of midnight noon ebb flow timing ear acupoint pressing pill in the treatment of insomnia in a patient with type 2 diabetes mellitus

Experience in Integrated Traditional Chinese and Western Nursing Care for a Case of Type 2 Diabetes Mellitus

Integrated traditional Chinese and western medicine nursing for a patient with type 2 diabetes mellitus complicated with multiple complications

Related Author

ZHOU Laifeng

LIU Na

JIANG Ping

HE Shenlan

YANG Shumei

LI Ying

GUO Jingjing

ZHANG Yazhe

Related Institution

Department of Infectious Diseases， Beijing Tiantan Hospital

Department of Orthopedics and Traumatology， Jiangbei District Hospital of traditional Chinese medicine

Department 2 of lung disease， Fangshan hospital Beijing University of t raditional Chinese medicine

Department of Endocrinology， Beijing University of Chinese Medicine Third Affiliated Hospital （Miyun）

Department of Emergency， Beijing Jian Gong Hospital

⁰