摘要
目的探讨音乐疗法对肺癌术后化疗患者的效果。方法于2015年4月—2016年4月选择就诊于上海交通大学附属胸科医院的400例肺癌术后化疗患者,按病区分为观察组和对照组各200例,对照组予以常规护理,观察组给予化疗前晚、化疗当日、化疗当晚三个时段的音乐聆听,对比两组患者化疗后心理、恶心呕吐反应、活动度及血氧饱和度的情况。结果观察组患者焦虑自评量表(Self-Rating Anxiety Scale,SAS)得分、恶心呕吐分级、活动度KPS得分、血氧饱和度较对照组有不同程度的改善,差异有统计学意义(P<0.05)。结论音乐疗法应用于肺癌术后化疗患者能指导其主动参与化疗疗程,进行住院与居家自我调适,有的放矢地降低焦虑情绪、维持生命体征、缓解胃肠不适反应,促进患者自身机体康复,更积极地接受后续治疗并重返社会。
Objective To discuss the effect of music therapy on lung cancer patients with postoperative chemotherapy. Methods A total of 400 lung cancer patients with postoperative chemotherapy were collected from Shanghai Chest Hospital , Shanghai Jiao Tong University from April 2015 to April 2016. They were divided into the observation group and control group （200 cases in each group ）. The control group was given the conventional chemotherapy nursing and health guidance. The observation group was given additional music therapy at the night before chemotherapy, the day of chemotherapy and the night of chemotherapy. The psychological reaction, nausea and vomiting after chemotherapy, activity, blood oxygen saturation were analyzed. Results The score of Self-Rating Anxiety （SAS）, nausea and vomiting grading, Karnofsky Performance Status Scale （KPS） score, blood oxygen saturation in the observation group were significantly improved than those in the control group （P 〈 0.05）. Conclusion Music therapy could effectively guide lung cancer patients with postoperative chemotherapy to actively participate in self-adaptation practice in hospital and at home, reduce anxiety, maintain vital signs, relieve gastrointestinal discomforts, and promote the rehabilitation.
出处
《上海护理》
2018年第3期31-33,共3页
Shanghai Nursing
基金
上海市护理学会科研课题项目(2015MS-B10)
上海交通大学护理高原学科建设项目(h1gy16049kygg)
关键词
肺癌
术后化疗
音乐疗法
Lung cancer
Postoperative chemotherapy
Music therapy
