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瑜伽练习对精神分裂症住院患者社会功能的影响   总被引:1,自引:0,他引:1  
目的探讨瑜伽练习对精神分裂症住院患者社会功能的影响。方法将109例精神分裂症住院患者随机分为研究组(n=38)和对照组(n=71)。两组患者均接受抗精神病药物治疗和常规工娱疗法(体育项目、阅览、看电视等),1周后对照组接受书画、手工、音乐等工娱疗法,研究组进行为期8周的瑜伽练习。结果干预后两组患者的社会功能总分和5个因子分显著高于干预前(均P<0.05);干预8周后研究组社会功能总分及工作与学习、业余娱乐生活、婚姻与家庭3个因子分显著高于对照组(均P<0.05)。结论瑜伽练习较书画治疗、音乐治疗和手工治疗更能促进住院精神分裂症患者社会功能的恢复。  相似文献
2.
Primary objective: To examine changes in the relationship between intonation, voice range and mood following music therapy programmes in people with traumatic brain injury.

Research design: Data from four case studies were pooled and effect size, ANOVA and correlation calculations were performed to evaluate the effectiveness of treatment.

Methods and procedures: Subjects sang three self-selected songs for 15 sessions. Speaking fundamental frequency, fundamental frequency variability, slope, voice range and mood were analysed pre- and post-session.

Results: Immediate treatment effects were not found. Long-term improvements in affective intonation were found in three subjects, especially in fundamental frequency. Voice range improved over time and was positively correlated with the three intonation components. Mood scale data showed that immediate effects were in the negative direction whereas there weres increases in positive mood state in the longer-term.

Conclusions: Findings suggest that, in the long-term, song singing can improve vocal range and mood and enhance the affective intonation styles of people with TBI.  相似文献
3.
Context/Objective: Spinal Cord Injury (SCI) patients face unique identity challenges associated with physical limitations, higher comorbid depression, increased suicidality and reduced subjective well-being. Post-injury identity is often unaddressed in subacute rehabilitation environments where critical physical and functional rehabilitation goals are prioritized. Therapeutic songwriting has demonstrated prior efficacy in promoting healthy adjustment and as a means of expression for post-injury narratives. The current study sought to examine the identity narratives of therapeutic songwriting participants.

Design: Case-series analysis of the individual identity trajectories of eight individuals.

Setting: Subacute rehabilitation facility, Victoria, Australia.

Participants: Eight individuals with an SCI; 7 males and 1 female.

Intervention: Six-week therapeutic songwriting intervention facilitated by a music therapist to promote identity rehabilitation.

Outcome Measures: Identity, subjective well-being and distress, emotional state.

Results: Three participants demonstrated positive trajectories and a further three showed negative trajectories; remaining participants were ambiguous in their response. Injury severity differentiated those with positive trajectories from those with negative trajectories, with greater injury severity apparent for those showing negative trends. Self-concept also improved more in those with positive trajectories. Core demographic variables did not however meaningfully predict the direction of change in core identity or wellbeing indices.

Conclusion: Identity-focused songwriting holds promise as a means of promoting healthy identity reintegration. Further research on benefits for those with less severe spinal injuries is warranted.  相似文献

4.
目的 评价接受式音乐干预对ICU患者生理指标及情绪状态的影响.方法 将165例ICU患者随机分为音乐干预组55例,给予每天1次30 min接受式音乐干预;空白组55例予静卧休息30 min;耳机组55例在静卧基础上予佩戴耳机.连续3 d后比较心率、呼吸及血压的变化,采用状态焦虑问卷(S-AI)及抑郁自评量表(SDS)评定干预前后情绪的变化.结果 干预后30 min音乐组的血压、心率下降幅度显著优于耳机组和空白组(均P<0.05),呼吸的变化优于空白组(P<0.05);干预后三组焦虑及抑郁评分比较,差异有统计学意义(均P<0.01).结论 接受式音乐干预能稳定ICU患者心率、呼吸、血压水平,干预时间以30 min为宜,并可作为缓解焦虑和抑郁情绪的辅助治疗手段.  相似文献
5.
齐晋 《中国美容医学》2014,23(18):1571-1573
目的:观察在眼科美容整形手术中加用音乐疗法干预,对患者焦虑程度、血压及心率的影响.方法:将340例患者随机分为试验组和对照组各1 70例,对照组仅给予手术室常规护理,试验组在常规护理的基础上加用音乐疗法干预.结果:干预后,试验组焦虑程度显著低于对照组,与对照组相比血压、心率更加平稳.结论:在眼科美容整形手术中加用音乐疗法干预,可有效降低患者焦虑、紧张等不良情绪,使血压、心率平稳,能够为手术创造良好条件.  相似文献
6.
目的 观察聆听音乐及呼吸训练在缓解腹腔镜胆囊切除术患者不良反应的效果.方法 选择腹腔镜胆囊切除术患者80例,按随机数字表法随机分为干预组和对照组各40例.对照组术后常规中流量吸氧并协助早期下床活动,干预组在对照组处理的基础上给予聆听音乐及呼吸训练,采用视觉模拟评分(VAS)评估患者的疼痛开始时间及疼痛初始、术后12 h、术后24h及术后48 h的疼痛程度,观察患者不良反应发生率.结果 干预组患者疼痛开始时间较对照组明显延迟,疼痛初始、术后12 h、术后24 h及术后48 h的疼痛程度较对照组明显减轻,两者相比较(P<0.001),差异有统计学意义.患者不良反应的发生率较对照组明显减少,两者相比较(P<0.05),差异有统计学意义.结论 聆听音乐及呼吸训练有利于缓解全麻下腹腔镜胆囊切除术患者的术后疼痛及不良反应,提高患者舒适度.  相似文献
7.
为观察美珍颗粒剂灌肠配合音乐疗法治疗溃疡性结肠炎(UC)的临床疗效,选择78例肠镜检查确诊的UC患者,按简单随机分组法分为治疗组40例,对照组38例。治疗组患者给予美珍颗粒剂灌肠配合音乐疗法,同时口服美沙拉嗪肠溶片治疗,对照组单纯口服美沙拉嗪肠溶片,均以4周为一疗程。2个疗程后统计两组总有效率,并对比分析两组患者治疗前后血清IL-6、IL-8的水平。结果显示,治疗组总有效率(95.0%,38/40)明显高于对照组(68.4%,26/38),P〈0.01。治疗后,治疗组和对照组患者IL-6和IL-8表达水平均降低(P〈0.01),其中治疗组降低更明显(P〈0.01)。结果表明,美珍颗粒剂灌肠配合音乐疗法治疗UC具有更好的临床疗效,能更好地改善患者的临床症状,其作用机制可能与降低IL-6、IL-8表达水平有关。  相似文献
8.
目的探讨运用中西医结合配合音乐疗法改善乳腺增生患者焦虑症状的临床疗效。方法将160例乳腺增生患者随机分为治疗组、对照组,每组各80例,治疗组采用内服西药三苯氧胺、中药乳癖消颗粒配合音乐疗法综合治疗;对照组采用单纯内服三苯氧胺治疗,治疗前后观察两组患者疗效、卵泡期血清激素水平,应用贝氏焦虑量表定期对两组患者进行评定。结果治疗组总有效率为91.3%,优于对照组(68.8%)(P〈0.01)。两组治疗后E2、PRL水平明显下降(P〈0.05);PGN、TTE水平明显上升(P〈0.05)。治疗后治疗组的焦虑评分明显低于对照组(P〈0.05)。结论中西医结合配合音乐疗法治疗乳腺增生症,能显著改善患者焦虑症状,是一种受病人欢迎的治疗方法,收到较好临床疗效。  相似文献
9.
Primary objective: Examining the evidence from contrasting epistemological sources a case is made for the use of music as an assessment medium with patients in low awareness states. Profound brain damage can result in long-term states of altered consciousness such as vegetative and minimally conscious states. Differential diagnosis with this population is immensely complex requiring diverse approaches. Neuroimaging alone is not, as yet, sufficient to establish diagnosis in this population and must be supplemented by repeated behavioural observation methods from a skilled and diverse treatment team, as there are enormous medico-legal and ethical implications. Evidence from research in neuroimaging and the behavioural health sciences indicates that auditory stimulation can reveal residual functioning and elicit optimal behaviours in such patients, particularly when the stimulation has emotional significance.

Main outcomes and results: Behavioural assessment is complicated by limbic behaviours which can be misinterpreted as purposeful emotional responses. A case vignette using music therapy in a complex case illustrates such complications.

Conclusions: Given the evidence for residual auditory functioning in patients in low awareness states, music is recommended as a medium for assessment. However, professionals involved in diagnosis must take caution against misinterpreting limbic responses and attributing greater meaning to such behaviours.  相似文献
10.

Objective

Burn wound care procedures are very painful and lead to distress. Live music therapy has shown beneficial effects on distress and pain in specific pediatric patient populations. In this study we measured whether live music therapy has beneficial effects in terms of less distress and pain in children with burns after wound care procedures.

Methods

This randomized assessor-blinded controlled trial (RCT) took place at the burns unit of the Red Cross War Memorial Children’s Hospital, Cape Town, South Africa. It included newly admitted inpatients between the ages of 0 and 13 years undergoing their first or second wound care procedures. Excluded were children with a hearing impairment or low level of consciousness. The intervention group received one live music therapy session directly after wound care in addition to standard care. The control group received standard care only. The primary outcome was distress measured with the Observational Scale of Behavioral Distress-revised (OSBD-r). The secondary outcome was pain measured with the COMFORT-behavioral scale (COMFORT-B). In addition, in children older than 5 years self-reported distress with the validated Wong-Baker scale (FACES) and pain with the Faces Pain Scale-Revised (FPS-R) were measured. Patients in both groups were videotaped for three minutes before wound care; during the music therapy or the control condition; and for two minutes thereafter. Two researchers, blinded to the study condition, independently scored the OSBD-r and the COMFORT-B from the video footage before and after music therapy.

Results

We included 135 patients, median age 22.6 months (IQR 15.4–40.7 months). Change scores did not significantly differ between the intervention and the control groups for either distress (p = 0.53; d = 0.11; 95% CI ?0.23 to 0.45) or pain (p = 0.99; d = 0.04; 95% CI ?0.30 to 0.38). Self-reported distress in a small group of children (n = 18) older than 5 years indicated a significant reduction in distress after live music therapy (p = 0.05).

Conclusions

Live music therapy was not found effective in reducing distress and pain in young children after burn wound care. Older children might be more responsive to this intervention.  相似文献
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