背景音乐疗法联合心理干预对行耳鼻喉内窥镜检查患者焦虑情绪及检查成功率的影响

Effects of background music therapy combined with psychological intervention on anxiety and examination success rate in patients undergoing otolaryngology endoscopy

目的:观察背景音乐疗法联合心理干预对行耳鼻喉内窥镜检查患者焦虑情绪及检查成功率的影响。方法:选取2016年4月-2018年4月我院门诊行耳鼻喉内窥镜检查患者80例,根据随机数字表法分为观察组与对照组各40例,对照组进行常规检查干预,观察组给予背景音乐疗法联合心理干预,比较两组干预前后焦虑情绪[焦虑自评量表(SAS)]及疼痛感受[视觉模拟评分(VAS)]、生命体征(血压、心率、呼吸)、检查总时间及检查成功率、检查满意度。结果:干预后,观察组SAS、VAS评分均显著低于对照组(t=-9.219,-5.352;P<0.05);观察组收缩压、舒张压、心率、呼吸均显著低于对照组(t=-3.750,-5.424,-4.348,-4.408;P<0.05);观察组检查总时间显著低于对照组(t=-4.430,P<0.05),检查成功率显著高于对照组(χ~2=4.505,P<0.05);观察组检查环境、服务态度、检查技术、医患沟通各项满意度得分均显著高于对照组(t=2.666,3.455,2.657,3.666;P<0.05)。结论:对行耳鼻喉内窥镜检查患者给予背景音乐疗法联合心理干预,可以缓解患者检查焦虑状态及疼痛感受,使患者生命体征更接近正常状态,缩短检查时间,提高检查成功率及检查满意度。

Objective:To observe the effects of background music therapy combined with psychological intervention on anxiety and examination success rate in patients undergoing otolaryngology endoscopy.Methods:A total of 80 cases of patients with otolaryngology endoscopy from April 2016 to April 2018 were selected.According to the random number table method,they were divided into observation group and control group with 40 cases in each group.Control group was given routine examination intervention,and observation group was given background music therapy combined with psychological intervention.The anxiety[self-rating anxiety scale(SAS)]and pain perception[visual analogue scale(VAS)],vital signs(blood pressure,heart rate,respiration),total examination time,examination success rate and examination satisfaction were compared between the two groups before and after intervention.Results:After intervention,the scores of SAS and VAS in observation group were significantly lower than those in the ontrol group(t=-9.219,-5.352;P<0.05).The systolic blood pressure,diastolic blood pressure,heart rate and respiration in observation group were significantly lower than those in control group(t=-3.750,-5.424,-4.348,-4.408;P<0.05).The total examination time in observation group was significantly lower than that of the control group(t=-4.430,P<0.05),and the examination success rate was significantly higher than that in control group(χ~2=4.505,P<0.05).The satisfaction scores of examination environment,service attitude,examination technique,and doctor-patient communication in observation group were significantly higher than those in control group(t=2.666,3.455,2.657,3.666;P<0.05).Conclusion:Background music therapy combined with psychological intervention in patients undergoing otolaryngology endoscopy can alleviate the anxiety state and pain perception,make the patients’vital signs closer to normal,shorten the examination time,and improve the examination success rate and examination satisfaction.