五行音乐疗法对脑卒中患者焦虑、抑郁及希望水平的影响

目的探讨五行音乐疗法对脑卒中患者焦虑、抑郁以希望水平的影响。方法选取2018年1~12月在华北理工大学附属医院神经外科治疗的70例脑卒中患者,并将其随机分为两组,每组35例,对照组实施常规护理,实验组在常规护理的基础上进行五行音乐疗法,连续干预一个疗程,采用焦虑(SAS)、抑郁(SDS)及Herth希望量表(HHI)比较两组干预前后焦虑、抑郁的差异及希望水平情况。结果两组干预后,干预组的SAS、SDS总得分较对照组低,希望水平得分及积极行为、行为态度、积极关系三个维度得分较对照组高(均P<0.05)。干预组SAS、SDS得分较干预前有所下降、希望水平及三个维度得分较干预前增加(均P<0.05);对照组SAS、SDS得分较干预前稍有所下降,希望水平较干预前增加较少(均P<0.05)。结论五行音乐疗法可有效改善患者的焦虑、抑郁情绪,提高其希望水平,减弱或消除疾病对患者造成的身心痛苦。

Influence of five elements music therapy on anxiety,depression and hope level in patients with cerebral apoplexy

Objective To explore the influence of five elements music therapy on anxiety,depression and hope level in patients with cerebral apoplexy.Methods Seventy patients with cerebral apoplexy treated in the neurosurgery department of this hospital from January to December 2018 were selected and randomly divided into two groups with 35 patients in each group.The control group received routine nursing,while the experimental group received five-element music therapy on the basis of routine nursing.Both groups were continuously treated for a course of treatment.Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)and Herth Hope Index(HHI)were used to compare the differences of anxiety,depression and hope level between the two groups before and after intervention.Results The total score of SAS and SDS in the intervention group was lower than that in the control group,and the scores of hope level,positive behavior,behavior attitude and positive relationship in the intervention group were higher than those in the control group(P<0.05).The scores of SAS and SDS in the intervention group decreased compared with before intervention,while the scores of hope level and three dimensions increased compared with before intervention(P<0.05).The scores of SAS and SDS in the control group were slightly lower than those before the intervention,but the hope level was less increased than that before the intervention(P<0.05).Conclusions Five elements of music therapy can effectively improve the anxiety and depression of patients,improve their hope level,and reduce or eliminate the physical and mental pain caused by diseases.