音乐治疗对胃癌患者术前焦虑的研究

Study for effect on preoperative anxiety for patients with gastric cancer by music therapy

目的观察音乐治疗对缓解胃癌患者术前焦虑的作用。方法将60例早期胃癌患者随机分成音乐组和对照组。音乐组在给予支持性治疗的基础上,于术前4d开始每日进行音乐治疗,每次20～30min,每日2次,直至手术日停止;而对照组的患者只给予解释、指导、鼓励、安慰等支持性治疗,不给予音乐治疗。同时,应用Zung氏焦虑自评量表(SAS)对两组患者治疗前后的焦虑状况进行评估。结果两组患者在给予音乐治疗前SAS量表平均分为(40.08±6.97)分,略高于国内常模(37.23±0.58)分,差异无显著意义;而音乐组患者在给予音乐治疗后其焦虑值与对照组比较差异有显著意义(P<0.05)。结论音乐治疗能缓解胃癌患者术前的焦虑紧张情绪,有利于胃癌患者术后的恢复。

Objective To study the effect of music therapy to reduce pre-operative anxiety of gastric cancer patients. Method 60 cases of patients with early stage of gastric cancer was randomly divided into experiment and control groups. Patients in experiment group were given daily music therapy, in order to tune up the patients＇ spirit, 4 days prior the operation, 20 to 30 minutes per time and twice a day, till the operation day, together with supportive treatment. While patients in control group were only provided supportive treatments such as explanation, guidance, encouragement and comforting. Zung Silf Rating Anxiety Scale （SAS） was applied before and after the therapy for patients of both experiment and control groups. Result Average SAS score of 60 patients in both groups before the operation is 40.08± 6.97, which is slightly higher than the national norm 37.23±0.58. The difference has no significance in statistics. However, a significant difference is observed by comparison of SAS scores for patients of experiment group, which is processed with statistic method, and those of control group （P〈0.05）. Conclusion Music therapy has effectively relieve the pre-operative anxiety for cancer patients. It has very good benefits to the recovery of cancer patients.