音乐放松疗法对糖尿病视网膜病变焦虑抑郁情绪、应对方式及生活质量的干预效果

Effect of musical relaxation therapy on anxiety,depression,coping strategies and quality of life of patients with diabetic retinopathy

目的探讨音乐放松疗法干预对糖尿病视网膜病变(DR)患者焦虑抑郁情绪、应对方式及生活质量的影响。方法选择2015年3月至2016年3月,我院眼科收治的DR患者120例,按照随机数字原则分为对照组与观察组,每组60例。对照组予以常规护理,观察组在对照组基础上实施音乐放松疗法,对比两组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)、特质应对方式问卷(TCSQ)与中文版低视力患者生活质量量表(CLV-QOL)评分。结果干预后,观察组的SAS、SDS及TCSQ量表中消极应对(NC)评分显著低于干预前及对照组,积极应对(PC)评分及CLV-QOL量表评分均显著高于干预前及对照组,差异均具有统计学意义(P<0.05)。结论音乐放松疗法能够显著减轻DR患者的焦虑抑郁情绪及消极应对方式,增强积极应对方式,改善生活质量。

Objective To investigate the effect of musical relaxation therapy on anxiety, depression, coping strategies and quality of life of patients with diabetic retinopathy （DR） . Methods From March 2015 to March 2016, 120 patients with DR admitted to ophthalmology department in our hospital were randomly divided into the control group and the observation group, with 60 cases in each group. The control group received routine care, while the observation group received musical relaxation therapy on the basis of routine care. The Self-Rating Anxiety Scale （ SAS ） and Self-Sating Sepression Scale （ SDS ）, Trait Coping Style Questionnaire （ TCSQ ） and Chinese-Version Low Vision Quality of Life Questionnaire （CLV-QOL） scores between the two groups were compared. Results After intervention, the scores of SAS, SDS and Negative coping （ NC ） of TCSQ in the observation group were significantly lower than those in the pre-intervention and the control groups, the scores of positive coping （ PC ） of TCSQ and CLV-QOL were significantly higher, thedifferences mentioned above were all statistically significant （ P 〈 0.05 ） . Conclusion Musical relaxation therapy can significantly reduce the anxiety, depression and negative coping style of DR patients, enhance the positive coping style and improve the quality of life.