音乐疗法对重型肝炎患者的心理影响

Influence of Music Therapy on Psychological State of Inpatients with Severe Hepatitis

目的探讨音乐疗法对重型肝炎患者心理的影响。方法将186例重型肝炎患者按随机数字表法分为干预组和对照组,每组93例。干预组有1例患者在治疗2d后停止干预疗法,故干预组实际入组病例为92例。对照组患者给予常规护理,干预组患者在此基础上给予音乐疗法干预,3次/d,15～20min/次。入院当天及出院前,采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)对所有患者进行评估,比较两组患者干预前后SAS、SDS评分情况,并观察干预组患者的治疗依从情况。结果两组患者治疗前后的SAS、SDS评分比较差异有统计学意义(均P<0.05),干预组患者SAS、SDS评分优于对照组患者,差异有统计学意义(均P<0.01),且干预组患者的依从性较好。结论音乐疗法可以明显改善住院重型肝炎患者的心理状态和生活质量,提高治疗依从性。

Objective To investigate the influence of music therapy on the psychological state of inpatients with severe hepatitis.Methods A total of 186 patients were randomly divided into the interventional group and the control group.Each group consisted of 93 patients when the experiment started.After 2 days of the intervention therapy,one patient discontinued the treatment in the control group.Thus there were 92 patients enrolled in the control group.The interventional group received music therapy（15 to 20 min per time/tid） and regular nursing while the control group received regular nursing.All the patients were assessed by self-rating anxiety scale（SAS） and self-rating depression scale（SDS）.The differences in the scores of SAS and SDS of both groups before and after the intervention were compared and the therapy compliance situation of the interventional group was observed.Results Significant differences were observed in the scores of SAS and SDS between the two groups before and after the treatment（P〈0.05）.The scores of SAS and SDS were significantly higher in the interventional group than those in the control group（P〈0.01）.The patients in the intervention group had better compliance compared with those in the control group.Conclusion Music therapy can significantly improve the psychological state and life quality and promote treatment complicance for patients with severe hepatitis.