摘要
目的 了解室性早搏患者是否存在心理、情绪障碍，并对音乐能否改善室性早搏患者的心理、情绪障碍进行探讨。方法 对50例室性早搏患者进行音乐治疗，并在音乐治疗前后进行精神症状自评量表（SCL-90）测试。结果 本组室性早搏患者SCL-90症状自评量表中的9个因子分均值高于国内常模，其中躯体化、强迫、人际关系、抑郁、焦虑、恐怖、精神病性等因子分均值经t检验（P〈0．05），有显著性差异；经过音乐治疗后SCL-90量表中9个因子分均值都低于治疗前均值，经t检验（P〈0．05），有显著性差异。结论 室性早搏患者存在心理、情绪障碍，他们的心理健康水平低于国内常模水平，在护理工作中不能忽视心理护理。音乐疗法能改善室性早搏患者的心理、情绪障碍，从而使其心理健康水平明显提高。
Objective To investigate whether a psychical obstacle and an emotional disorder occur in patients with premature ventricular extrasystole （PVE）, and to explore the possibility whether musicotherapy could ameliorate the psychical obstacle and emotional disorder of PVE patients. Methods 50 PVE patients had taken music therapy and undertaken the test of ＂SCL-90 psychiatric symptom self- test scale＂, before and after the treatment. Results As to the 9 factors of ＂SCL-90 psychiatric symptom self-test scale＂, such as somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, photic anxiety and psychoticism, the average scores of the PVE patients were higher than those of domestic normal. There was a significant difference through t-test （P 〈 0.05）. The scores after music therapy became lower than the level before music therapy, with a significant difference through t- test （P 〈 0. 05）. Conclusions Psychical obstacle and emotional disorder occur in PVE patients whose psychological health levels are lower than those of domestic normal. So we could not neglect the psychological nursing during the service. The musicotherapy could ameliorate psychical obstacle and emotional disorder, thereby obviously improving the mental health of PVE patients.
基金
医院内科科研项目资助（03E4）
关键词
室性早搏
心理障碍
心理护理
音乐治疗
Premature ventricular extrasystole
Psychologic disorder
Psychologic nursing
Musicotherapy
