Abstract
OBJECTIVE: The aim of the study was to explore the effects of five-element music-based psychological intervention combined with respiratory specialty care on negative emotions and lung function in patients with chronic obstructive pulmonary disease (COPD). METHODS: A retrospective analysis was conducted on the clinical data of 170 COPD patients admitted to Second Affiliated Hospital of Naval Medical University (Shanghai Changzheng Hospital) from February 2022 to February 2023. The patients were divided into three groups in accordance with nursing care methods. The control group (n = 55) received conventional nursing care, group A (n = 58) received respiratory specialty care and group B (n = 57) received five-element music-based psychological intervention combined with respiratory specialty care. Nursing effectiveness was evaluated 6 months after discharge. Medical compliance, inflammatory indicators, lung function indicators [vital capacity (VC), peak expiratory flow (PEF) rate, forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC)], 6-minute walk test (6MWT) distance, negative emotions, and quality of life were compared among the three groups. RESULTS: Groups A and B received higher scores in medical compliance and had higher VC, PEF, and FEV1/FVC levels than the control group (P < 0.05). The serum C-reactive protein, interleukin-6, and procalcitonin levels in groups A and B were lower than those in the control group (P < 0.05). In addition, their 6MWT distance was longer than that of the control group (P < 0.05). No significant difference was found in inflammatory indicators, lung function indicators, and 6MWT distance between group A and group B (P > 0.05). The scores of the Hamilton Anxiety Scale, Hamilton Depression Scale, and St. George's Respiratory Questionnaire in group B were lower than those in group A and the control group (P < 0.05). CONCLUSION: Five-element music-based psychological intervention combined with respiratory specialty care can significantly alleviate negative emotions in COPD patients and improve their quality of life.