音乐干预缓解颌面部癌症患者焦虑状态的护理研究

目的探讨音乐干预对颌面部癌症患者焦虑状态的影响。方法选择2004年3月-2005年11月在头颈肿瘤外科住院治疗的癌症患者140例，随机分为实验组和对照组各70例。实验组患者在常规护理的基础上提供音乐干预，于入院时（T1）、手术前1d（T2）、术后第1天（T3）、术后第3天（T4）听完音乐后即刻评估焦虑程度（SAS）。对照组患者只接受常规护理。比较2组患者不同时点的焦虑情况。结果2组患者T2、T3、T4时点焦虑分值（SAS）比较差异有统计学意义（P〈0．05）。2组患者不同时点焦虑程度组内比较：实验组T1-T2，T1—T3，T1-T4比较，差异均有统计学意义，P〈0．05；对照组T1—T2，T1—T3比较，P〉0．05，T1-T4比较，差异有统计学意义，P〈0．05。结论音乐干预有助于缓解癌症患者的焦虑状态。

Study on application of music therapy on anxiety control of patients with maxillofacial cancer

Objective To discuss the effect of music therapy on anxiety control of patients with maxillofacial cancer. Methods 140 cases in head and neck surgery department were divided into the test group and the control group with 70 cases in each group from March 2004 to November 2005.The test group received music intervention based on routine nursing.The degree of anxiety was evaluated on the first day of hospitalization（T1 ）,the previous day before the operation（T2）,the first day after operation（T3 ） and the third day after operation after listening to music.The control group only received routine nursing.The condition of anxiety at different time points was evaluated and compared. Results The scores of anxiety （SAS） in the two groups were statistically different （P 〈 0.05）.The intra-group comparison of anxiety degree in the test group （T1-T2,T1-T3,T1-T4） had statistical difference （P 〈 0.05）. The intra-group comparison of anxiety degree in the control group（T1-T2,T1-T3） had no statistical difference（P 〉 0.05）.While evident difference existed in T1-T4 in the control group, P 〈 0.05. Conclusion Music intervention facilitated the rehabilitation of anxiety condition in cancer patients.