歌唱疗法对社区稳定期慢性阻塞性肺疾病患者焦虑与抑郁的影响

Influence of singing therapy on anxiety and depression of community patients with stable COPD

目的探讨歌唱疗法对稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者焦虑、抑郁的影响。方法将56例COPD患者采用随机数字表法分为对照组和观察组,每组各28例,对照组患者给予常规健康教育及心理护理,观察组患者在对照组基础上给予歌唱疗法干预。干预前及干预24周后采用医院焦虑与抑郁量表(hospital anxiety and depression scale,HAD)进行评定。结果两组患者干预前HAD及焦虑分量表(HAD-A)及抑郁分量表(HAD-D)得分比较,差异无统计学意义(均P>0.05);两组患者干预后HAD及HAD-A、HAD-D得分比较,差异具有统计学意义(均P﹤0.01),观察组患者得分明显低于对照组;对照组患者干预前后HAD及HAD-A、HAD-D组内得分比较,差异无统计学意义(均P>0.05);观察组患者干预前后HAD及HAD-A与HAD-D组内得分比较,差异具有统计学意义(均P﹤0.001),干预后得分明显低于干预前。结论对稳定期COPD患者采用歌唱疗法干预,可有效改善其焦虑与抑郁情绪。

Objective To explore the influence of singing therapy on anxiety and depression of patients with stable COPD.Methods Toally 56 COPD patients were divided into intervention group and control group according to random digit table. The control group was provided health education and mental nursing. On the base of treatment for the control group, the intervention group received singing therapy for 24 weeks. The anxiety and depression scale was to measure the anxiety and depression before and 24 weeks after intervention. Results There were no differences in HAD score and HAD-A score and HAD-D score between the groups before intervention（P〉0.05）, but after intervention, the differences were significant in terms of the HAD score and HAD-A score and HAD-D score（P〈0.01）. The scores of intervention group were significantly lower than those of the control group. For the scores, there was no difference in the control group between pre- and post-intervention（P〉0.05）, but the scores after intervention were significantly lower than those before intervention in the intervention group（P〈0.001）. Conclusion Singing therapy can effectively alleviate anxiety and depression of COPD patients at the stable state.