情感宣泄结合音乐疗法对双相情感障碍患者的影响

目的:探讨情感宣泄结合音乐疗法对双相情感障碍患者的影响。方法:选取2017年1月1日~2019年6月30日收治的双相情感障碍患者80例,采用随机数字表法分为对照组和观察组各40例,两组均给予常规抗精神病药物治疗,对照组给予精神科常规护理,观察组在精神科常规护理基础上给予情感宣泄及音乐疗法;采用焦虑自评量表(SAS)、躁狂评分量表(BMRS)、抑郁自评量表(SDS)比较两组干预前后焦虑、躁狂、抑郁状况,比较两组干预前后的服药依从性、冲动行为发生情况及生活质量,采用社会功能缺陷筛选量表(SDSS)比较两组干预前后社会功能缺陷情况。结果:干预后,两组SAS、BMRS、SDS评分均较干预前降低(P<0.05),且观察组低于对照组(P<0.01);干预后,观察组服药依从性优于对照组(P<0.05),冲动行为发生率低于对照组(P<0.05);干预后,两组生活质量评分高于干预前(P<0.05),且观察组高于对照组(P<0.05);干预后,两组SDSS评分较干预前降低(P<0.01),且观察组低于对照组(P<0.01)。结论:情感宣泄结合音乐疗法可明显改善双相情感障碍患者的焦虑、躁狂及抑郁情绪,提高患者依从性及生活质量,减少冲动行为发生率,减轻社会功能缺陷。

Effects of Emotional Catharsis combined with Music Therapy on Patients with Bipolar Disorder

Objective:To explore the effects of emotional catharsis combined with music therapy on patients with bipolar disorder.Methods:A total of 80 patients with bipolar disorder admitted from January 1,2017 to June 30,2019 using the random number table method were divided into control group and observation group with 40 cases each.Both of the two groups were given conventional antipsychotic medication.The control group was given routine nursing care,and the observation group was given emotional catharsis and music therapy on the basis of routine care.The anxiety,mania and depression status were compared using self-anxiety scale(SAS),Bech-rafaelsen mania rating scale(BMRS),and self-depression scale(SDS)between the two groups before and after the intervention.The medication adherence,impulsive behavior and the quality of life were compared between the two groups before and after the intervention.The social function defect was compared using the social function defect screening scale(SDSS)between the two groups before and after the intervention.Results:After intervention,the SAS,BMRS and SDS scores of the two groups were lower than before intervention(P<0.05),and the observation group was lower than the control group(P<0.01).After intervention,the medication compliance of the observation group was better than that of the control group(P<0.05),and the incidence of impulsive behavior was lower than that of the control group(P<0.05).After intervention,the quality of life score of the two groups was higher than that before intervention(P<0.05),and that of the observation group was higher than that of the control group(P<0.05).After intervention,SDSS scores in the two groups were lower than those before intervention(P<0.01),and those in the observation group were lower than those in the control group(P<0.01).Conclusion:Emotional catharsis combined with music therapy can significantly improve anxiety,mania and depression in patients with bipolar communication,promote patient compliance and quality of life,reduce the incidence of impulsive behavior,and alleviate social dysfunction.