音乐放松训练对癌症放疗患者的心理干预

目的 探讨音乐放松训练对癌症患者在放射治疗期间抑郁、焦虑情绪的影响.方法 61名接受放射线治疗的癌症住院患者按照接受放射治疗的时间先后分为两组,其中一组30名患者在放疗过程中接受音乐放松训练的心理干预(干预组),另一组31名患者不予干预(对照组).且在放疗的不同时期采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)对患者进行心理问卷调查.结果 HAMA、HAMD评分结果显示:干预组与对照组相比,放疗开始第0周焦虑、抑郁差异不显著,无统计学意义[HAMA分(t=0.026,P=0.979);HAMD分(t=0.906,P=0.369)];放疗开始后第4周的焦虑、抑郁差异有统计学意义[HAMA分(t=2.763,P=0.008);HAMD分(t=2.134,P=0.037)];放疗开始后第8周的焦虑、抑郁差异有统计学意义[HAMA分(t=2.468,P=0.016);HAMD分(t=2.578,P=0.012)].结论 在临床上对于癌症放疗患者给予音乐放松训练进行心理干预,对缓解或减轻患者焦虑、抑郁等情绪有一定的帮助,从而增加其癌症治疗的依从性.

Psychological Intervention of Music-relaxation-training on Cancer Patients Undergoing Radiotherapy

Objective To investigate the effect of music-relaxation-training on cancer patients with depression and anxiety during different radiation therapy stages.Methods A total of 61 hospitalized patients with cancer were divided into two groups by the order of time when they began to accept the radiotherapy.One group of 30 patients（intervention group） received music-relaxation-training and the other group of 31 patients（control group） did not.All patients filled out Hamilton Anxiety Scale（HAMA）and Hamilton Depression Scale（HAMD） during different radiotherapy stages.Results The scores of HAMA and HAMD showed that there were no differences of anxiety and depression between the intervention group and the control group at week 0 of radiotherapyt=0.026,P=0.979）;HAMD（t=0.906,P=0.369）],which were significantl at week 4t=2.763,P=0.008）;HAMD（t=2.134,P=0.037）] and week 8t=2.468,P=0.016）;HAMD（t=2.578,P=0.012）].Conclusion The music-relaxation-training in clinical can help the cancer patients undergoing radiotherapy to relieve anxiety and depression,and increase the patients＇ compliance with the cancer treatment.