音乐放松疗法对炎症性肠病患者负性情绪和生活质量的影响

Effects of music relaxation therapy on negative emotion and quality of life among inflammatory bowel disease patients

目的探讨音乐放松疗法对炎症性肠病患者焦虑、抑郁情绪和生活质量的影响，为提高护理质量、促进炎症性肠病患者康复提供参考。方法采用便利抽样法，选取2016年12月-2017年12月人住无锡市第二人民医院消化内科且符合条件的炎症性肠病患者108例为研究对象，按随机数字表分为对照组和观察组，每组各54例。对照组患者给予常规护理和药物治疗，观察组患者在此基础上指导其进行音乐放松疗法。于干预前后分别评估两组患者的焦虑、抑郁状况及生活质量。结果干预前两组患者焦虑、抑郁评分、生活质量各个维度及总评分比较差异无统计学意义（P〉0．05）。干预后观察组焦虑、抑郁评分分别为（41．50±8．87）、（41．20±6．43）分，低于对照组的（54．27±8．88）、（53．89±10．33）分，差异有统计学意义（P〈0．05）；干预后观察组生活质量总分为（212．47±7．38）分，对照组为（193．32±16．03）分，差异有统计学意义（P〈0．05）。结论音乐放松疗法能够有效缓解炎症性肠病患者焦虑、抑郁情绪，提高炎症性肠病患者生活质量。

Objective To explore the effects of music relaxation therapy on anxiety, depression and quality of life among inflammatory bowel disease （IBD） patients so as to provide a reference for improving nursing quality and promoting IBD patients＇ rehabilitation. Methods From December 2016 to December 2017, we selected 108 eligible IBD patients of Department of Gastroenterology in Wuxi Second People＇s Hospital by convenience sampling. All of the patients were divided into control group and observation group according to the random number table, 54 cases in each group. Patients of control group received routine nursing and drug therapy. On the basis of that in control group, patients of observation group were treated with music relaxation therapy. Anxiety, depression and quality of life of patients between two groups were compared before and after intervention. Results Before intervention, there was no statistical difference in the scores of anxiety, depression, dimensions and the total of life quality （P 〈 0.05）. After intervention, the scores of anxiety and depression of observation group were （41.50 ± 8.87） and （41.20 ± 6.43） lower than those [ （54.27 ±8.88）, （53.89 ± 10.33） ] of control group with significant differences （P 〈 0.05）. The total score of life quality of observation group and control group was （212.47 ± 7.38） and （193.32± 16.03） respectively after intervention with a significant difference （P 〈 0.05）. Conclusions Music relaxation therapy can effectively relieve anxiety and depression of IBD patients, and improve their quality of life.