基于Swanson关怀理论的音乐放松疗法在乳腺癌患者中的应用

Application of music relaxation therapy based on Swanson's caring theory in breast cancer patients

目的探讨基于Swanson关怀理论的音乐放松疗法在乳腺癌患者中的应用效果。方法采用便利抽样法,选取2018年2月—2020年1月山西省人民医院收治的180例乳腺癌患者为研究对象,按照随机数字表法将其分为对照组(n=92)和观察组(n=88)。对照组实施常规护理,观察组在对照组基础上实施基于Swanson关怀理论的音乐放松疗法。比较两组患者干预前后医学应对问卷(MCMQ)和Herth希望量表(HHI)评分情况。结果干预前,两组患者的HHI、MCMQ评分比较,差异无统计学意义(P>0.05)。干预后,观察组患者HHI评分高于对照组,差异有统计学意义(P<0.05);观察组患者面对维度评分高于对照组,屈服、回避维度评分均低于对照组,差异均有统计学意义(P<0.05)。结论基于Swanson关怀理论的音乐放松疗法能有效改善乳腺癌患者的疾病应对方式,提高患者的希望水平。

Objective To explore the application effect of music relaxation therapy based on Swanson's caring theory in breast cancer patients.Methods A total of 180 breast cancer patients who were admitted to Shanxi Provincial People's Hospital from February 2018 to January 2020 were selected by the convenient sampling method.They were divided into the control group(n=92)and the observation group(n=88)according to the random number table method.The control group was given routine nursing,and the observation group was given music relaxation therapy based on Swanson's caring theory.The scores of Medical Coping Modes Questionnaire(MCMQ)and Herth Hope Index(HHI)were compared between the two groups before and after intervention.Results Before intervention,there were no statistically significant differences in HHI and MCMQ scores between the two groups(P>0.05).After the intervention,the HHI score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The face dimension score of the observation group was higher than that of the control group and the yield and avoidance dimension scores were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Music relaxation therapy based on Swanson's caring theory can effectively improve the coping style of breast cancer patients and improve their hope level.