摘要
目的探讨音乐疗法对乳腺癌根治术后患者焦虑的影响。方法采用随机数字表法将105例择期行根治术25～65岁女性乳腺癌患者分为干预组(n=54)和对照组(n=51),采用状态-特质焦虑问卷(State-Trait Anxiety Inventory,STAI)作为焦虑评估工具。干预组患者于术后第1天起在常规护理基础上接受音乐疗法(聆听法),每日2次(晨起和晚睡前),每次30 min,持续至第3次住院化疗。对照组患者除了不接受音乐疗法外,其他治疗与护理均与干预组相同。两组患者分别在术前一日、出院前一日、第2次和第3次住院化疗时完成状态-特质焦虑第1—第4次评分。比较分析两组间干预前后焦虑评分的差异。结果干预组患者状态-特质焦虑评分在出院前一日、第2次和第3次住院化疗时均低于对照组患者,差异有统计学意义(P<0.01)。结论音乐疗法能够改善乳腺癌根治术后患者状态焦虑和特质焦虑,术后住院期间及后续2个化疗周期的音乐干预均有较好的疗效。
Objective To discuss the effects of music therapy on anxiety of breast cancer patients after radical mastectomy.Methods 105 patients with breast cancer aged 25～65 hospitalized for radical mastectomy were randomly divided into experimental group（n=54）with music therapy（music listening）besides routine care and control group（n=51） with routine care only.The intervention of music therapy began from the first day after radical mastectomy to the third time of admission to hospital for chemotherapy,twice a day and 30 minutes per time.State and trait anxiety was measured on the day before radical mastectomy,the day before discharge,the second and third time of admission for chemotherapy by using State-Trait Anxiety Inventory（STAI）.The anxiety scores were compared and analyzed between two groups before and after music therapy.Results State and trait anxiety scores of experimental group were lower than those of the control group,which were of significant difference（P0.01） on the day before discharge,the second and third time of admission for chemotherapy.Conclusion Music therapy can improve both state and trait anxiety as well as has satisfied therapeutic impacts during the hospital stay after radical mastectomy and the following periods of chemotherapy.
出处
《护理学报》
2011年第1期8-11,共4页
Journal of Nursing（China）
关键词
音乐疗法
乳腺癌根治术
状态焦虑
特质焦虑
化学治疗
music therapy
radical mastectomy of breast cancer
state anxiety
trait anxiety
chemotherapy
