主被动音乐治疗对包皮环扎术儿童心理及依从性的影响研究

Effect of active and passive music therapy on psychology and compliance of the children with circumcision

目的:探讨主被动音乐治疗对局麻下包皮环扎术儿童恐惧焦虑心理及手术配合满意度(依从性)的影响。方法:89例喜欢音乐的患儿随机分为干预组与对照组,对照组聆听轻音乐,干预组聆听并主动随着音乐吟唱自己选择的喜欢的歌曲。对两组儿童疼痛、恐惧程度、手术配合满意度等进行比较。结果:患儿术中VAS疼痛评分干预组为(4.96±1.11)分,低于对照组(5.84±1.24)分,两组差异有统计学意义(t=-3.55,P<0.01);手术前两组HAMA总分差异无统计学意义(P>0.05),手术后,干预组HAMA总分为(3.21±0.60)分,低于对照组(7.20±1.67)分,差异有统计学意义(t=17.87,P<0.05);护士测评的患儿手术配合满意度,干预组好于对照组,差异有统计学意义(t=6.75,P<0.01);术者测评的患儿手术配合满意度干预组好于对照组,差异有统计学意义(t=3.72,P<0.01)。结论:主被动音乐治疗能有效降低儿童术中疼痛程度及恐惧心理,提高手术配合满意度。

Objective： To study the effect of active and passive music therapy on anxiety and operational compliance in children with local anesthetic foreskin cerclage. Methods： 89 cases of music-loving children were randomly divided into intervention group and control group. Children in control were given light music, and those in intervention group were allowed to choose their favorite music and encouraged to sing with it. The degree of fear, pain scale, and compliance during operation were compared between groups. Results： Compared to the control group, the pain was much less （t = -3.55, P 〈 0.01）, the levels of anxiety was significantly lower （t = 17.87, P 〈 0.05）, and the compliance during operation was more satisfactory as assessed by nurses （t = 6.75, P 〈 0.01）and by surgeons （t = 3.72, P 〈 0.01） in the intervention group. Conclusion： Active music therapy can effectively reduce pain and fearness, and improve compliance during surgery in children.