多维度协同护理配合五行音乐疗法干预老年冠心病患者临床研究

Clinical Study on Multi-dimensional Collaborative Nursing Combined with Five-element Music Therapy in Intervening Senile Patients with Coronary Heart Disease

目的:探讨多维度协同护理配合五行音乐疗法在老年冠心病患者中的应用效果。方法:选取老年冠心病患者92例,按随机数字表法分为观察组和对照组各46例。对照组给予多维度协同护理,观察组在对照组基础上给予五行音乐疗法,比较2组护理效果。结果:护理后,2组焦虑自评量表(SAS)、抑郁自评量表(SDS)、抑郁、强迫、敌对、偏执、恐怖、焦虑、人际敏感、躯体化、精神病性评分较护理前降低,且观察组各项评分均低于对照组,差异均有统计学意义(P<0.05)。护理后,2组社会关系领域、生理领域、心理领域、环境领域评分较治疗前升高,且观察组各项评分均高于对照组,差异均有统计学意义(P<0.05)。结论:多维度协同护理配合五行音乐疗法在老年冠心病患者中应用效果较佳,可显著改善患者焦虑、抑郁情绪及临床症状,提高患者生活质量,值得在临床上推广应用。

Objective: To discuss the clinical effect of multi-dimensional collaborative nursing combined with fiveelement music therapy in intervening senile patients with coronary heart disease. Methods: Selected 92 cases of senile patients with coronary heart disease,and divided them into the observation group and the control group according to random number table, 46 cases in each group. The control group received multi-dimensional collaborative nursing, while the observation group additionally received five-element music therapy. Compared the effect of nursing in both groups. Results:After nursing,the scores of Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),depression,obsessivecompulsive,hostility,paranoid ideation,phobic anxiety,anxiety,interpersonal sensitivity,somatization and psychoticism in both groups were lower than those before nursing,and each score above in the observation group was respectively lower than that in the control group, differences being significant(P<0.05). After nursing, the scores in the domains of social relationships, physical health, psychological health and environment in both groups were higher than those before treatment,and each score above in the observation group was respectively higher than that in the control group,differences being significant(P<0.05). Conclusion: The application of multi-dimensional collaborative nursing combined with fiveelement music therapy has good application effect in treating senile patients with coronary heart disease. It can significantly improve such emotions as anxiety and depression, relieve clinical symptoms, and promote the quality of life, which is worthy of clinical promotion and application.