音乐疗法对经皮冠状动脉血管成形术老年病人的干预

Intervention of music therapy on senile patients underwent percutaneous transluminal coronary angioplasty

[目的]探讨音乐疗法对经皮冠状动脉血管成形术(PTCA)老年病人的干预作用。[方法]将66例实施PTCA的老年病人随机分为两组,对照组采用常规护理,音乐组在常规护理基础上进行音乐疗法,治疗前后分别以Zung焦虑自评量表(SAS)、抑郁量表(SDS)和McGill疼痛强度指数(PPI)评估病人心理状态及术后伤口、腰背疼痛情况,并记录术后入睡困难和排尿困难情况。[结果]音乐组病人术后焦虑状态及术后疼痛、入睡困难和排尿困难等不适感均明显低于对照组(P<0.001或P<0.05)。[结论]音乐疗法可有效地降低PTCA老年病人的焦虑、抑郁程度,明显提高病人的舒适度。

Objective： To probe into intervention effect of music therapy on elder patients after underwent percutaneous transluminal coronary angioplasty （PTCA）. Method： A total of 66 patients underwent PTCA were divided into test and control group randomly. Patients of control were provided nursing care as in routine, while patients of test group were administrated music therapy on the base of routine nursing care. And psychological status, pain of wound and lumbodorsal pain of both group patients were evaluated by filling out Zung self-rating anxiety scale （SAS）, self- rating depression scale （SDS）, and McGill pain intensity index （PPI）. Both the difficulty falling asleep and dysuria of postoperative patients were recorded. Result： The upset like postoperative anxiety state, postoperative pain, difficulty falling asleep and dysuria of patients in test group were less than that of control（P （0. 001 or P（0.05）. Conclusion： Music therapy could relieve the degree of anxiety and depression of senile PTCA patients and promote their comfort effectively.