摘要
目的探讨双耳节拍音乐疗法对脑卒中偏瘫患者焦虑、抑郁及疲劳的应用效果。方法选取2021年9月—2022年5月在华北理工大学附属医院住院的脑卒中偏瘫患者141例,采用随机数字表法将其分为对照组(n=47)、普通音乐组(n=47)和双耳节拍音乐组(n=47)。对照组给予常规的护理措施,普通音乐组在常规护理措施的基础上增加普通音乐训练,双耳节拍音乐组在常规护理措施的基础上实施双耳节拍音乐疗法的训练,干预前、干预14 d末及干预28 d末,观察比较3组脑卒中偏瘫患者焦虑、抑郁及疲劳评分情况。结果3组脑卒中偏瘫患者焦虑评分比较,差异有统计学意义(F=21.232,P<0.001);不同时间点脑卒中偏瘫患者焦虑评分、抑郁评分、疲劳各维度得分及总分比较,差异有统计学意义(P<0.001);组与时间点间具有交互作用(P<0.001)。进一步单独效应,干预前3组脑卒中偏瘫患者焦虑评分、抑郁评分、疲劳各维度得分及总分比较,差异均无统计学意义(P>0.05);干预14 d末和干预28 d末,3组脑卒中偏瘫患者焦虑评分、抑郁评分、疲劳各维度得分及总分比较,差异均有统计学意义(P<0.05);随着时间变化3组脑卒中偏瘫患者焦虑评分、抑郁评分、疲劳各维度得分及总分均呈下降趋势。两两比较结果显示,干预28 d末双耳节拍音乐组脑卒中偏瘫患者焦虑评分、抑郁评分、疲劳各维度得分及总分均低于普通音乐组和对照组,且普通音乐组低于对照组,差异均有统计学意义(P<0.05)。结论双耳节拍音乐疗法能有效改善脑卒中偏瘫患者焦虑、抑郁情绪,缓解其疲劳感。
Objective To investigate the application effect of binaural beat music therapy on anxiety,depression and fatigue in patients with hemiplegia with stroke.Methods A total of 141 stroke patients with hemiplegia hospitalized in the Affiliated Hospital of North China University of Science and Technology from September 2021 to May 2022 were selected and divided into control group with routine nursing(n=47),ordinary music group with ordinary music training and routine nursing(n=47)and binaural beat music group with binaural beat music therapy and routine nursing(n=47)by random number table method.Anxiety,depression and fatigue score of the three groups were observed and compared before the intervention,at the end of 14 and 28 days.Results The anxiety score of the three groups was significantly different(F=21.232,P<0.001);the score of anxiety,depression,and fatigue and the total score at different time points were statistically significant(P<0.001),and there was interaction between the groups and time points(P<0.001).Simple effects,the score of anxiety,depression,and fatigue and the total score of the three groups before the intervention were not statistically significant(P>0.05),and those were statistically significant(P<0.05)at the end of 14 and 28 days of intervention.Pairwise comparison showed that the score of anxiety,depression,and fatigue and the total score in the binaural beat music group 28 days after the intervention were lower than those in the ordinary music group and the control group,and the ordinary music group was lower than that in the control group,showing statistical significance difference(P<0.05).Conclusion Binaural beat music therapy can effectively improve the anxiety,depression and fatigue of stroke patients with hemiplegia.
作者
郑思琪
陈璐
马晴
王钰涵
成杰
王云龙
ZHENG Si-qi;CHEN Lu;MA Qing;WANG Yu-han;CHENG Jie;WANG Yun-long(North China University of Science and Technology Tangshan 063000,China;Affiliated Hospital of North China University of Science and Technology,Tangshan 063000,China)
出处
《护理学报》
北大核心
2023年第5期72-78,共7页
Journal of Nursing（China）
基金
河北省医学科学研究项目(20221544)。
关键词
双耳节拍音乐疗法
脑卒中
偏瘫
焦虑
抑郁
疲劳
binaural beat music therapy
stroke
hemiplegia
anxiety
depression
fatigue
