音乐疗法对手术室护士心理状态的影响

Influence of music therapy on nurses' psychology in surgical department

目的研究音乐疗法对手术室护士心理状态的影响。方法采用二阶段交叉设计方法,手术室护士随机分为两组倾听两种音乐—民族音乐和西洋音乐,术前、术后分别倾听20min,并于音乐治疗前、音乐治疗后第一阶段、第二阶段分别用SCL-90症状自评量表评价手术室护士的心理状态。结果音乐疗法前SCL-90各因子得分中,躯体化因子得分为(1.441±0.440)分,高于常模,说明护理人员存在身体不适感;根据二阶段交叉设计资料的方差分析,两阶段间SCL-90因子得分差异无统计学意义(F=0.75,P=0.391);两种音乐间SCL-90因子得分差异无统计学意义(F=0.52,P=0.473);第一阶段两组音乐与基线比较P﹤0.001,差异均有显著统计学意义。结论音乐疗法可有效改善手术室护理人员的心理状态,促进心理健康。

Objective To study the influence of music therapy to nurses＇ psychology in surgical department.Methods Using two stage cross-over designs method,nurses in surgical department listened to two different music—national music and western music for 20 minutes before and after operation respectively,SCL-90 scale was used to assess the nurses＇ psychology before music therapy,the first stage and the second stage after music therapy.Results Before music therapy,the score of the SCL-90 subscales somatization was higher than that in general crowd（1.441±0.440）,which indicated that nurses＇ bodies were uncomfortable;according to variance analysis of the two stage cross-over design material,there was no difference between two stage and no difference between two musics.Compared with the score before music therapy,two music in the first stage had significant difference respectively（p0.001）.Conclusion tMusic therapy can improve nurses＇ psychological state and promote nurses＇ psychologically more healthy in surgical department.