2种个性化音乐疗法对改善ICU患者焦虑状况的对比研究

目的 通过2种不同音乐疗法对改善重症监护室(ICU)患者焦虑状况的比较,探索最佳个性化音乐的设置,提高音乐治疗的效率.方法 将入住ICU超过1周的患者60例,按入院先后顺序随机分为实验组和对照组各30例,2组除常规护理外,实验组每日播放不同的音乐曲目,且不定时播放;对照组每日播放固定的音乐曲目,并定时播放.2组干预前后,分别采用焦虑自评量表(SAS)测评患者焦虑情绪并进行比较.结果 实验组干预后SAS的评分下降明显,与干预前评分比较差异有统计学意义(P＜0.01),对照组干预后SAS的评分也降低,但与干预前比较差异无统计学意义(P＞0.05);干预结束后,实验组的SAS评分低于对照组,其差异有统计学意义(P＜0.01).结论 非固定曲目不定时播放的音乐疗法,对减轻ICU患者焦虑的效果优于固定曲目定时播放.

Contrastive study on two kinds of individual music therapy to improve the anxiety of ICU patients

Objective To compare two kinds of music therapy to improve the anxiety of ICU patients in order to explore the best setting of individual music therapy and improve efficiency of music therapy.Methods According to enrolling order,60 patients who had been in ICU for more than 1 week were divided into the test group and the control group with 30 cases in each group.The two groups both received conventional nursing.The test group listened to different music without time constrain every day.The control group received fixed music timing every day.Before and after intervention,the two groups were investigated with self-rating anxiety scale(SAS).Results The SAS score of the test group significantly decreased after intervention,showing statistical difference(P＜0.01).The SAS score of the control group decreased after intervention as well,but showing no statistical difference(P＞0.05).The score of the test group was lower than that of the test group after intervention,showing statistical difference(P＜0.01).Conclusions The therapy using different music without time constrain has better effect on reducing the anxiety of ICU patients than that using timing and fixed music.