五音疗法对胃癌根治术后化疗患者焦虑、抑郁及生活质量的影响

【目的】观察五音疗法在减轻胃癌根治术后化疗患者焦虑、抑郁情绪及提高生活质量中的应用效果。【方法】将入院时存在焦虑、抑郁情绪的90例胃癌根治术后化疗患者随机分为观察组和对照组,每组各45例。在2组患者给予相同的化疗方案和基础护理措施上,观察组患者增加应用五音疗法进行干预,对照组增加应用音乐疗法进行干预。试验前后(即入院时及出院时)均采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和胃癌患者生活质量量表(QLQ-STO22)进行测评,以检验干预效果。【结果】2组患者试验后SAS量表标准分、SDS量表标准分及QLQ-STO22量表各维度评分均较试验前明显下降,差异均有统计学意义(P0.01);且观察组试验后的SAS、SDS量表标准分均明显低于对照组(P0.01),QLQ-STO22量表除味觉、身体外观、掉头发外,其他各维度评分均低于对照组,差异均有统计学意义(P0.05)。【结论】五音疗法能减轻胃癌根治术后化疗患者的焦虑、抑郁情绪,并提高患者的生活质量。

Effect of Five-tone Music Therapy on Anxiety,Depression and Quality of Life of Patients Treated with Chemotherapy After Gastric Cancer Radical Surgery

Objective To observe the effect of five-tone music therapy on relieving anxiety and depression and on improving the quality of life of patients receiving chemotherapy after gastric cancer radical surgery.Methods Ninety anxiety and depression in-patients treated with chemotherapy after gastric cancer radical surgery were randomly divided into observation group and control group,45 cases in each group.Patients of the two groups were treated with the same chemotherapy regimen and nursing,and additionally,the observation group was given fivetone musie therapy and the control group was given conventional music therapy.The intervention effects were evaluated by scoring with Self-rating Anxiety Scale (SAS),Self-rating Depression Scale (SDS) and questionnaire for the quality of life of gastric cancer patients (QLQ-STO22) at admission time and when discharging from hospital.Results The SAS and SDS standard scores and the scores of each dimension of QLQ-STO22 in the observation group were markedly decreased after intervention,the differences being statistically significant (P ＜ 0.01 compared with those before intervention).And the SAS and SDS standard scores of the observation group after intervention were lower than those of the control group (P ＜ 0.01).In the aspects of quality of life,the scores of all dimension of QLQ-STO22 except taste,appearance and hair loss in the observation group were lower than those in the control group (P ＜ O.05).Conclusion Five-tone music therapy is effective on relieving anxiety and depression and on improving the quality of life of patients receiving chemotherapy after gastric cancer radical surgery.