改良音乐疗法对急性冠脉综合征患者介入治疗术后生活质量的影响

Effects of improvement music therapy on ACS patients＇ quality of life after PCI

目的探讨改良音乐疗法对急性冠脉综合征（ACS）患者介入治疗术后生活质量的影响。方法将2009年7—12月介入治疗术后的ACS患者108例进行随机分为干预组54例和对照组54例。对照组给予常规的治疗与护理，干预组除给予常规治疗与护理外，还应用改良音乐疗法即音乐运动处方给予干预，患者住院期间应用音乐运动处方干预每次10—15min，3次／d。患者出院后根据个人喜好选择不同的有氧运动方式同时聆听放松音乐，每次15～30min，2次／d。比较两组患者住院期间的焦虑、抑郁程度及左室射血分数及出院1个月的生活质量等。结果干预1周后干预组的左室射血分数、焦虑、抑郁程度与对照组比较差异有统计学意义（P〈0．01）；出院1个月时干预组的生活质量SF-36及SAQ评分及抑郁程度显著优于对照组，差异有统计学意义（P〈0．05或P〈0．01）。结论改良音乐疗法可以改善ACS患者介入治疗术后的焦虑、抑郁和生活质量水平。

Objective To study the effect of improvement music therapy on ACS patients after PCI. Methods From July to December 2009,108 patients who were hospitalized after emergency PCI were divided into the experimental group （EG） and the control group （CG） randomly, with 54 patients in each group. The EG received improvement music therapy for 3 times per day, 10 - 15 min for once in-patient; and continue improvement music therapy out-patient for 2 times per day, 15 - 30 min for once. The LVEF, the scale of anxiety and depression and SF-36, SAQ et al were compared between the two groups using t and X^2 test. Results The scale of anxiety and depression, the LVEF and SF-36,SAQ in the EG was statistically significant different from those of the CG （ P 〈 0.01 ）. Conclusions Improvement music therapy could significantly influence the patients＇ rehabilitation effect after PCI.