摘要
目的评价引导性想象音乐疗法在老年口腔癌患者中的应用效果。方法将2019年2月至2020年8月在宜宾市第一人民医院颌面外科住院的120例老年口腔癌患者按照随机数字表分为试验组和对照组,各60例。试验组实施引导性想象音乐疗法,对照组实施常规护理。两组在干预前、干预第2周、第4周和干预结束后第2周采用心理痛苦温度计(DT)、匹兹堡睡眠质量指数量表(PSQI)和综合医院焦虑抑郁量表(HADS)评价心理痛苦程度、睡眠质量和焦虑抑郁程度。结果①不同时间点DT、HA(除干预第2周)、HD评分组间比较差异有统计学意义(P<0.05);干预第2周仅睡眠效率组间比较,差异有统计学意义(P<0.05);干预第4周入睡时间、睡眠效率、催眠药物及PSQI总分组间比较,差异有统计学意义(P<0.05);干预结束后第2周PSQI总分及7个维度得分组间比较均差异有统计学意义(P<0.05)。②重复测量方差分析:两组DT得分、PSQI总分及HADS各维度得分组间效应(HA,F=8.311;HD,F=30.103)、时间效应(HA,F=322.836;HD,F=197.948)及两者交互效应(HA,F=20.493;HD,F=7.619)均差异有统计学意义(P<0.05)。结论引导性想象音乐疗法可提高老年口腔癌患者睡眠质量,减轻患者心理痛苦及焦虑抑郁程度,效果优于常规护理,且随时间的增加效果增强。
Objective To evaluate the effect of guided imaginative music therapy in elderly patients with oral cancer.Methods A total of 120 elderly patients with oral cancer hospitalized in the Department of Maxillofacial Surgery of Yibin First People's Hospital from February 2019 to August 2020 were randomly divided into experimental group and control group according to the random number table method,with 60 cases in each group.The experimental group carried out guided imaginative music therapy,and the control group carried out routine nursing.Psychological distress thermometer(DT),Pittsburgh Sleep Quality Index(PSQI)and General Hospital Anxiety and depression Scale(HADS)were used to evaluate the degree of psychological distress,sleep quality and anxiety and depression in both groups before intervention,at week 2,week 4 and week 2 after intervention.Results①There were statistically significant differences in DT,HA(except the second week of intervention)and HD scores among groups at different time points(P<0.05).At the second week of intervention,only the comparison of sleep efficiency between groups was statistically significant(P<0.05).At the fourth week of intervention,there were statistically significant differences in sleep time,sleep efficiency,hypnotic drugs and PSQI groups(P<0.05).At the second week after the intervention,there were statistically significant differences in the total score of PSQI and the score composition of 7 dimensions(P<0.05).②Repeated measure variance analysis:Intergroup effect(HA,F=8.311),(HD,F=30.103),time effect(HA,F=322.836),(HD,F=197.948)and interaction effect(HA,F=20.493),(HD,F=7.619)were statistically significant(P<0.05).Conclusion Guided imaginative music therapy can improve the sleep quality of elderly patients with oral cancer,relieve their psychological pain and anxiety and depression,the effect is better than conventional nursing,and the effect is enhanced with time.
作者
李迎春
段燕
唐淑蓉
郎颖
赵铟
Li Yingchun;Duan Yan;Tang Shurong;Lang Ying;Zhao Yin
出处
《中国疗养医学》
2021年第12期1244-1249,共6页
Chinese Journal of Convalescent Medicine
关键词
老年
引导性想象
音乐治疗
心理痛苦
睡眠障碍
Elderly
Guided imaginative
Music therapy
Psychological distress
Sleep disorder
