放松训练配合聆听音乐对维持性血液透析患者负性情绪的影响

The effect of relaxation training with listening to music on negative emotions of patients with main- tenance hemodialysis

目的探讨放松训练配合聆听音乐对血液透析患者负性情绪的影响。方法将70例血液透析患者按随机数字表法分为干预组和对照组各35例，对照组患者在透析期间由责任护士给予常规的护理、健康教育及常规出院指导。干预组患者在常规护理的基础上进行放松训练配合聆听音乐，分别于干预前及干预后3个月采用汉密尔顿抑郁量表（Hamiltondepressionscale，HAMD）作为评定工具评价2组患者的负性情绪。结果干预前2组患者HAMD评分比较无差异；干预3个月后2组患者HAMD评分比较有差异，可见干预组患者在负性心理方面较对照组有明显改善。结论放松训练配合聆听音乐能明显改善透析患者的不良情绪，值得临床推广应用。

Objective To explore the effect of relaxation training with listening to music on negative emotions of hemodialysis patients. Methods 70 hemodialysis patients were divided into the intervention group and the control group by random number table, and each group had 35 cases. The control group was given routine care, health education and routine discharge guidance during dialysis by the responsible nurs- es. The intervention group had relaxation training with listening to music on the basis of routine care. Before the intervention and three months after the intervention the Hamilton Rating Scale for Depression was used as an assessment tool to evaluate negative emotion of patients. Results Before intervention, the HAMD scores of the two groups showed no significant differences. 3 months after intervention, HAMD scores had significant difference between two groups. Conclusions Relaxation training with listening to music can significantly improve patients＂ negative emotions, and is worthy of clinical application.