音乐疗法在重度子痫前期患者的临床效果分析

Analysis application effect of music therapy in patients with severe reeclampsia

目的探讨音乐疗法在重度子痫前期患者的临床效果。方法选择2019年1月至2020年8月成都市第三人民医院收治的重度子痫前期患者178例,按随机数字法分为对照组及实验组,对照组进行药物治疗及护理(n=91),实验组在对照组基础上加用音乐疗法治疗(n=87),比较产前及产后两个阶段监测血压控制达标的比率、焦虑自评量表(Self-rating Anxiety Scale,SAS)评分、患者满意度、分娩孕周、术中及术后24小时出血量。结果实验组产前及产后血压控制达标的比率、患者满意度评分高于对照组(P<0.05);实验组出院时SAS评分低于对照组(P<0.05);两组产后血压达标率均大于产前血压达标率(P<0.05),两组SAS评分均在出院时较入院时有所减低(P<0.05);两组分娩孕周、术中出血量及产后24小时内出血量差异均无统计学意义(P>0.05)。结论音乐疗法可明显改善对重度子痫前期患者的焦虑情绪,促进血压的控制,提高患者满意度,值得临床参考。

Objective To explore the clinical effect of music therapy on severe preeclampsia patients.Methods A total of 178 patients with severe preeclampsia who were admitted in the Department of Obstetrics and Gynaecology,The Central Hospital of Nanchong from January 2019 to August 2020 were selected.After random number grouping,the control group received medication and nursing(n=91),and the experimental group added music therapy on the basis of control group(n=87),the prenatal and postpartum blood pressure compliance rate,the self-rating anxiety scale(SAS)score,patient satisfaction,gestational weeks of childbirth,intraoperative and postoperative 24-hour blood loss were compared.Results The prenatal and postpartum blood pressure compliance rates and the patient satisfaction score of the experimental group were higher than those of the control group(P<0.05);the SAS score of the experimental group at discharge was lower than that of the control group(P<0.05);the postpartum blood pressure compliance rate of the two groups was higher than the prenatal blood pressure compliance rate(P<0.05),and the SAS scores of the two groups at discharge were reduced than at admission(P<0.05);There was no statistically significant difference in the gestational weeks of childbirth,the amount of bleeding and the amount of bleeding within 24 hours after delivery between the two groups(P>0.05).Conclusions Music therapy can significantly improve the anxiety of patients with severe preeclampsia,promote the control of blood pressure,and increase patient satisfaction,which is worthy of clinical reference.