理性情绪疗法联合音乐干预对腹主动脉瘤患者术后恐惧情绪、自尊状况及睡眠质量的影响

Effects of rational emotive therapy combined with music intervention on postoperative fear, self-esteem and sleep quality in patients with abdominal aortic aneurysm

目的探究与分析理性情绪疗法联合音乐干预对腹主动脉瘤患者术后恐惧情绪、自尊状况及睡眠质量的影响。方法选取哈尔滨医科大学附属第一医院(以下简称“我院”)2014年7月~2018年4月收治的80例腹主动脉瘤手术患者,采用随机数字表法将其分为对照组与观察组,每组各40例。对照组术后给予常规医疗干预,观察组在对照组的基础上给予理性情绪疗法联合音乐干预。比较两组患者术后恐惧情绪、自尊状况、睡眠质量变化及患者的满意度。结果与干预前比较,两组患者干预后恐惧视觉模拟评分(FAVS)降低,且观察组干预后FAVS评分低于对照组,差异有统计学意义(P<0.05)。与干预前比较,观察组患者干预后行为自尊、社会自尊及外表自尊评分均升高,且观察组干预后上述评分显著高于对照组,差异有统计学意义(P<0.05)。与干预前比较,两组干预后睡眠时间、睡眠障碍、入睡时间、睡眠效率、日间功能、安眠药物评分均降低,且观察组干预后上述评分均显著低于对照组,差异有统计学意义(P<0.05)。观察组满意度高于对照组,差异有统计学意义(P<0.05)。结论理性情绪疗法联合音乐干预可改善腹主动脉瘤患者术后的恐惧情绪、自尊情况,同时可提高患者的睡眠质量和满意度。

Objective To explore and analyze the effects of rational emotive therapy combined with music intervention on postoperative fear mood,self-esteem status and sleep quality of patients with abdominal aortic aneurysm.Methods Eighty cases of abdominal aortic aneurysm surgery patients admitted to the First Affiliated Hospital of Harbin Medical University (“our hospital” for short) from July 2014 to April 2018 were selected,all the patients were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was given the routine medical intervention after operation,and the observation group was given the rational emotional therapy combined with music intervention on the basic of the control group.The postoperative fear,self-esteem,sleep quality changes and patients′ satisfaction were compared between the two groups.Results Compared with before intervention,the scores of fear visual analogue scale (FAVS) in the two groups were decreased after intervention,and the FAVS scores in the observation group were lower than those of the control group after intervention,the differences were statistically significant (P < 0.05).Compared with before intervention,the scores of behavioral self-esteem,social self-esteem and external self-esteem in the observation group were all increased after intervention,and the scores of indicators above in the observation group were higher than those of control group,the differences were statistically significant (P < 0.05).After intervention,the scores of sleep time,sleep disorder,time of falling asleep,sleep efficiency,daytime function and sleeping drugs in the two groups were lower than those before intervention,and the scores of the observation group were lower than those of the control group after intervention,the differences were statistically significant (P < 0.05).The degree of satisfaction in the observation group was higher than that of the control group,the difference was statistically significant (P < 0.05).Conclusion Rational emotive therapy combined with music intervention can improve the postoperative fear and self-esteem of patients with abdominal aortic aneurysm,and enhance the sleep quality and satisfaction of patients.