嗓音训练结合正念心理干预在嗓音疾病患者中的效果研究

Study on the effect of voice training combined with mindfulness-based psychological intervention in patients with voice disorders

目的探讨嗓音训练结合正念心理干预在嗓音疾病患者中的效果。方法78例嗓音疾病患者作为研究对象,采用抽签法分为对照组和观察组,各39例。对照组患者给予常规护理干预,观察组患者在对照组基础上给予嗓音训练结合正念心理干预。比较两组患者干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及嗓音障碍指数量表(VHI)评分。结果干预8周后,观察组患者的SAS、SDS评分分别为(36.90±2.56)、(44.14±3.12)分,均低于对照组的(44.61±3.51)、(49.23±4.65)分,差异有统计学意义(P<0.05)。干预8周后,观察组患者的功能、生理、情感评分及总分分别为(6.87±3.35)、(12.69±3.22)、(6.37±4.78)、(25.93±10.65)分,均低于本组干预前的(19.33±4.57)、(29.09±5.11)、(16.77±4.21)、(65.19±9.88)分及对照组的(16.21±3.92)、(25.83±4.66)、(15.88±3.01)、(57.92±7.88)分,差异具有统计学意义(P<0.05)。结论嗓音训练结合正念心理干预不仅可以改善嗓音疾病患者的焦虑、抑郁情绪,还可以降低患者嗓音的嘶哑程度,促进患者的身心健康,值得在临床进一步推广和应用。

Objective To discuss the effect of voice training combined with mindfulness-based psychological intervention in patients with voice disorders.Methods A total of 78 patients with voice disease were selected as the research subjects,and were divided into the control group and the observation group by drawing lots,with 39 cases in each group.Patients in the control group received conventional nursing intervention,while patients in the observation group received voice training combined with mindfulness-based psychological intervention on the basis of the control group.The Self-rating Anxiety Scale(SAS)score,Self-rating Depression Scale(SDS)score and Voice Handicap Index(VHI)score before and after the intervention were compared between the two groups.Results After 8 weeks of intervention,the SAS and SDS scores of the observation group were(36.90±2.56)and(44.14±3.12)points,which were lower than(44.61±3.51)and(49.23±4.65)points of the control group,and the differences were all statistically significant(P<0.05).After 8 weeks of intervention,the functional,physiological,emotional scores and total scores in the observation group were(6.87±3.35),(12.69±3.22),(6.37±4.78)and(25.93±10.65)points,which were lower than(19.33±4.57),(29.09±5.11),(16.77±4.21)and(65.19±9.88)points before intervention in this group,and(16.21±3.92),(25.83±4.66),(15.88±3.01)and(57.92±7.88)points in the control group,and the differences were all statistically significant(P<0.05).Conclusion Voice training combined with mindfulness-based psychological intervention can not only improve the anxiety and depression of patients with voice disease,but also reduce the degree of hoarseness of the patient's voice and promote the physical and mental health of the patient,which is worthy of further promotion and application in clinical practice.