个体化音乐干预对乳腺癌化疗期患者抑郁的影响

Effects of personalized music intervention depression in patients of breast cancer during chemotherapy period

目的探讨个体化音乐干预对乳腺癌患者化疗期抑郁的影响。方法随机抽取湖南省长沙市2所三甲医院乳腺癌化疗期伴有抑郁情绪的患者64例,并将患者随机分为干预组和对照组,每组各34例。对照组接受常规的治疗和护理,干预组在接受常规治疗和护理的基础上,还接受为期9周的个体化音乐干预。在干预前和干预后分别使用抑郁自评量表(SDS)对两组患者的抑郁情绪进行评价,分析个体化音乐干预的效果。结果①对照组干预前、后SDS得分差异无统计学意义(P>0.05),干预组SDS得分差异有统计学意义(P<0.01)。②干预前2组的抑郁发生率没有差异(P>0.05)。干预后干预组抑郁发生率低于对照组,且差异有统计学意义(P<0.01)。③SDS得分的干预主效应、干预效应均有统计学意义(P<0.01,P<0.05),且二者存在交互作用(P<0.05)。交互轮廓图显示,随着时间的变化,干预组患者SDS得分的下降幅度大于对照组。结论个体化音乐干预可显著改善乳腺癌患者康复期化疗期抑郁情绪。

【Objective】 To examine the effects of personalized music intervention on depression among breast cancer patients during chemotherapy period. 【Method】 This study used a quasi-experimental study. Sixty-four breast cancer patients with depression during chemotherapy period were assigned to intervention group （n =34） and control group （n =34） randomly. The former received regular nursing care plus 9-week personalized music intervention, while the latter only received regular nursing care. Before and after intervention, both groups of patients were tested on SDS【.Results】The score of anxiety and depression in both groups decreased after intervention, but the difference of intervention group had significance （P 0.01） while the one of control group didn＇t （P 0.05）. The depression rate was not significant before intervention in both groups （P 0.05）. But after intervention, the depression rate in intervention group was significant lower control group （P 0.01）. 【Conclusion】 Personalized music intervention could relieve depression in breast cancer patients during chemotherapy period significantly.