接受式音乐干预对ICU患者生理与情绪状态的影响

Effects of receptive music intervention on physiological and emotional state among patients in intensive care unit

目的评价接受式音乐干预对ICU患者生理指标及情绪状态的影响。方法将165例ICU患者随机分为音乐干预组55例,给予每天1次30min接受式音乐干预;空白组55例予静卧休息30min;耳机组55例在静卧基础上予佩戴耳机。连续3d后比较心率、呼吸及血压的变化,采用状态焦虑问卷(S-AI)及抑郁自评量表(SDS)评定干预前后情绪的变化。结果干预后30min音乐组的血压、心率下降幅度显著优于耳机组和空白组(均P<0.05),呼吸的变化优于空白组(P<0.05);干预后三组焦虑及抑郁评分比较,差异有统计学意义(均P<0.01)。结论接受式音乐干预能稳定ICU患者心率、呼吸、血压水平,干预时间以30min为宜,并可作为缓解焦虑和抑郁情绪的辅助治疗手段。

Objective To assess the effects of receptive music intervention on physiological and emotional state among patients in in- tensive care unit. Methods A total of 165 patients in intensive care unit were randomly and evenly assigned to either music listening group, headphone group or control group. Music listening group received 30--min receptive music intervention once per day for three days, control group had rest in bed for 30 rain and headphone group had rest in bed wearing headphones for 30 rain. Three days later, heart rates, respiratary and blood pressure were compared. Emotional changes were evaluated by the State-Trait Anxie- ty Scale （S-TAS） and the Self-rating Depression Scale （SDS）, Results Blood pressure decreased more significantly in the headphone group and the control group than in the music listening group （P〈0.05 ,P〈0.01）. Heart rates and respirat rates significantly de- creased in the music listening group as compared with the control group （P〈0.05 for both）. There were significant differences in S-TAS and SDS among the three groups （P〈0.01 for both）. Conclusion Receptive music intervention can stabilize heart rates, res- piration, and blood pressure. Approp-riate intervention time and depression. is 30 min. It can be used as a conventional therapy to relieve anxiety