音乐疗法对外科手术术前患者不良情绪的影响

the Effect of Music Therapy Intervention on Negative Emotion of Patients before Surgery

目的探讨音乐疗法对外科手术术前患者不良情绪的影响。方法随机收集2015年9月—2016年3月在该院接受外科手术的患者90例作为研究对象,随机分为护理组和对照组,每组各45例。两组均采用外科常规护理,护理组在常规护理的基础上,介入音乐疗法。同时使用Zung抑郁量表(SDS)、焦虑自测量表(SAS)评价患者的抑郁和焦虑情况,并记录护理前后的评分变化情况及术后满意度。结果两组患者性别比、年龄、疾病构成比均差异无统计学意义(P>0.05)。护理前,护理组和对照组的SDS分数分别为(62.32±5.98)分和(62.45±6.23)分,SAS分数分别为(55.12±4.68)分和(54.76±4.39)分,两组间数据比较差异无统计学意义(P>0.05)。护理后,护理组的SDS评分和SAS评分(40.78±2.37)分、(44.03±3.65)分均明显低于对照组(54.63±3.62)分、(50.27±5.91)分,差异有统计学意义(P<0.05)。手术结束后,护理组的患者满意度(93.33%)显著高于对照组(75.6%),差异具有统计学意义(P<0.05)。结论音乐疗法能改善外科手术术前患者的不良情绪的产生,降低手术患者的焦虑和忧虑水平,并能提高患者对手术的满意度。

Objective To investigate the effect of music therapy intervention on negative emotion of patients before surgery.Methods Random collected 90 cases of surgical patients from September 2015 to March 2016 in our hospital as the research object.They were randomly divided into nursing group and control group, each group was 45 cases. Two groups were treated with routine surgical nursing, nursing group added music therapy on the basis of routine nursing. While we used Zung self rating depression table（SDS） and self rating anxiety volume table（SAS） to evaluate of depression and anxiety in patients, and recorded the scores before and after nursing and postoperative satisfaction. Results There were no significant differences in gender, age and disease between the two groups（P〉0.05）. Before nursing, the SDS scores of nursing group and control group were（62.32 ± 5.98）points and（62.45 ±6.23）points respectively. The SAS scores were（55.12 ± 4.68）points and（54.76 ± 4.39）points, and there was no statistical difference between the two groups（P〉0.05）. After nursing care, the SDS score and SAS score（40.78 ± 2.37）points,（44.03±3.65）points were significantly lower than those in the control group（54.63± 3.62）points,（50.27±5.91）points, and the difference was statistically significant（P〈0.05）. After the operation, the patients＇ satisfaction（93.33%） in the nursing group was significantly higher than that in the control group（75.6%）, and it was statistically significant（P〈0.05）. Conclusion Music therapy improve negative emotions of patients with surgery, reduced the surgical patients with anxiety and worry, and can improve the satisfaction of patients for surgery.