摘要
目的探讨音乐疗法改善乳腺癌及宫颈癌患者焦虑及抑郁心理的作用。方法将240例乳腺癌及宫颈癌患者采用随机数字表法分为干预组和对照组各120例,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30min,持续至术后3个月;对照组接受常规护理。比较两组患者术前1d和术后30、60及90d状态-特质焦虑问卷(state-trait anxiety inventory,STAI)及抑郁自评量表(self-rating depression scale,SDS)的评分。结果两组患者术后30、60及90d焦虑、抑郁评分随时间变化均呈下降趋势,并且干预组的焦虑、抑郁评分均低于对照组。经线性固定模型重复测量方差分析比较,不同测量时间及两组患者间的焦虑、抑郁评分差异均有统计学意义(P<0.01),并且两者间存在交互作用(P<0.01)。结论音乐疗法能够改善乳腺癌及宫颈癌患者焦虑及抑郁的负性心理状态,具有较好的组间效应及时间效应,长期干预效果满意。
Objective To explore the effect of music therapy in improving anxiety and depression for patients with breast or cervical cancer.Methods Totally 240 patients with breast cancer or cervical cancer were recruited and randomly allocated to the intervention group（n=120） and control group（n=120）.state-trait anxiety inventory（STAI） and self-rating depression scale（SDS） were used as data collection instruments.Based on the routine nursing care,patients of the intervention group accepted music therapy（music listening）,twice a day（one is in the early morning and the other is in the evening）,30min per session from the first day before surgery to the third month after surgery;whereas the control group patients only received the routine nursing care.The scores of STAI and SDS were compared on the day before surgery,and the 30 d,60 d,90 d after surgery respectively.Results The scores of anxiety and depression at 30 d,60 d,90 d after surgery showed a downward trend over time in both groups.The scores of anxiety and depression in the intervention group were significantly lower than those in the control group.Linear mixed model analysis of repeated measurements showed significant differences on anxiety and depression score at different intervals（P0.01） as well as an interaction effect between the two groups（P0.01）.Conclusion Music therapy can improve the negative psychological state of anxiety and depression for patients with breast cancer or cervical cancer,and have satisfied measure time and group effects and long-term therapeutic effects.
出处
《解放军护理杂志》
2011年第24期9-12,41,共5页
Nursing Journal of Chinese People's Liberation Army
关键词
音乐疗法
乳腺癌
宫颈癌
焦虑
抑郁
music therapy
breast cancer
cervical cancer
anxiety
depression
