音乐疗法对乳腺癌患者化疗期间焦虑及抑郁的影响

Effect of music therapy on anxiety and depression of breast cancer patients during chemotherapy

目的为了提高乳腺癌患者化疗质量,分析和探讨化疗期间实施音乐疗法对患者负面情绪如焦虑及抑郁的影响。方法选取2017年4月至2017年6月新疆医科大学第三临床医学院诊治的120例乳腺癌化疗患者作为研究对象。通过计算机相关软件将其平均分为观察组和对照组,每组各60例。入组患者均按照常规方案进行化疗,且同时接受常规护理措施的设定为对照组,接受常规护理措施的同时辅以音乐疗法的设为观察组,根据焦虑自评量表(SAS)和抑郁自评量表(SDS)比较不同护理措施对两组患者负面情绪以及对其生活质量的影响。结果观察组患者护理前SAS和SDS评分分别为(53.86±2.70)分和(56.18±2.33)分,而对照组患者护理前SAS和SDS评分分别为(53.39±2.39)分和(55.97±2.13)分,组间比较差异无统计学意义(P>0.05);护理后观察组患者SAS和SDS评分分别为(43.44±3.40)分和(46.88±3.33)分,对照组患者SAS和SDS评分分别为(51.58±1.89)分和(54.88±2.08)分,观察组患者SAS和SDS评分明显降低且组间差异比较具有统计学意义(P<0.05);和对照组相比,观察组患者护理后的生活质量各维度评分以及健康总评分明显占优势,且组间比较差异具有统计学意义(P<0.05)。结论乳腺癌患者在化疗和常规护理的基础上辅以音乐疗法,不仅能够减少患者负面情绪对疗效的影响,还能在一定程度上改善患者的生活质量,减轻患者痛苦,疗效确切,可以在临床推广应用。

Objective To improve the quality of chemotherapy in patients with breast cancer, and explore the effects of music therapy on the negative emotions such as anxiety and depression during chemotherapy. Methods 120 patients with breast cancer treated in our hospital from May 2017 to May 2018 were selected as the research object and divided into the observation group and the control group randomly, 60 cases in each group. All the patients received chemotherapy according to the routine regimen and received routine nursing care at the same time. Patients in the observation group received additionaly music therapy. The effects of different nursing measures on the negative emotions [Self-rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS)] and the quality of life in the two groups were compared. Results The SAS and SDS scores of patients in the observation group were(53.86±2.70) and(56.18±2.33) points before nursing, while the SAS and SDS scores in the control group were(53.39±2.39) and(55.97±2.13) points before nursing, with no statistically significant differences between the two groups(P>0.05). After treatment, the SAS and SDS scores in the observation group were(43.44±3.40) and(46.88±3.33) points respectively, while those in the control group were(51.58±1.89) and(54.88±2.08) respectively, with statistically significant differences(P<0.05). Compared with the control group, the score of quality of life and total health score in the observation group were significantly predominant, with statistically significant difference(P<0.05). Conclusions Music therapy on the basis of chemotherapy and conventional nursing not only can reduce the impact of negative emotions on the curactive effect, but also to some extent, improve the quality of life of breast cancer patients, worthy of clinical application.