音乐治疗对老年卒中患者情绪及康复自我效能的影响  

Effect of music therapy on mood and rehabilitation self-efficacy in elderly stroke patients

作　　者：孟桃 郑魁 凯赛尔·麦合木 王宝兰[2] 陈祢[2] MENG Tao;ZHENG Kui;KAYSARMahmut;WANG Baolan;CHEN Mi(School of Health Management,Xinjiang Medical University,Urumqi,830054;Department of Rehabilitation Medicine,The First Affiliated Hospital of Xinjiang Medical University,Urumqi,830054,China)

机构地区：[1]新疆医科大学健康管理学院,乌鲁木齐830054 [2]新疆医科大学第一附属医院康复医学科,乌鲁木齐830054

出　　处：《新疆医学》2022年第8期865-869,861,共6页Xinjiang Medical Journal

基　　金：新疆医科大学大学生创新计划项目(项目编号:CX2020061);国家自然科学基金资助项目(项目编号:81860407)

摘　　要：目的观察音乐治疗对老年脑卒中住院患者情绪及康复自我效能的干预效果。方法选取新疆医科大学第一附属医院康复医学科2021年11月-2022年4月的老年脑卒中住院患者80例,随机分为对照组和试验组(各组40例)。对照组采用常规康复治疗,试验组在常规康复基础上联合参与式团体音乐治疗。治疗前及治疗2周后采用焦虑自评量表(SelfRating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)及焦虑量表(Hamilton Anxiety Scale,HAMA)、脑卒中康复自我效能量表(Stroke Self-Efficacy Questionnaire,SSEQ)及自制调查问卷进行评价。结果两组治疗前SAS、SDS、HAMD、HAMA、SSEQ评分差异无统计学意义(P>0.05),治疗后试验组上述评分均较前明显改善(P<0.05),且SAS(t=6.601,P=0.000)、SDS(t=10.148,P=0.000)、HAMA(t=3.287,P=0.003)、HAMD(t=4.393,P=0.000)、SSEQ(t=-5.846,P=0.000)评分均优于对照组,而对照组仅SAS、SDS、SSEQ较治疗前有所改善。结论参与式团体音乐治疗不仅改善老年脑卒中住院患者焦虑、抑郁情绪,并有效提升其康复自我效能,促进患者主动参与康复治疗。Objective To observe the effect of music therapy intervention on the emotional and rehabilitation self-efficacy of elderly stroke inpatients.Methods Eighty elderly stroke inpatients admitted at the department of rehabilitation medicine of the first affiliated hospital of Xinjiang medical university from November 2021 to April 2022 were selected and randomly divided into control group and experimental group(40 cases in each group).The Self-Rating Anxiety Scale(SAS),the Self-Rating Depression Scale(SDS),the Hamilton Depression Scale(HAMD),the Hamilton Anxiety Scale(HAMA),the Stroke Self-Efficacy Questionnaire(SSEQ)and Self-administered questionnaires for evaluation were used before and after 2 weeks of treatment.Results The differences in SAS,SDS,HAMD,HAMA and SSEQ scores between the two groups before treatment were not statistically significant(P>0.05),and all of the above scores in the test group improved significantly after treatment(P<0.05),and SAS(t=6.601,P=0.000),SDS(t=10.148,P=0.000),HAMA(t=3.287,P=0.003),HAMD(t=4.393,P=0.000)and SSEQ(t=-5.846,P=0.000)scores were better than the control group,while only SAS,SDS and SSEQ improved in the control group compared to the pre-treatment period.Conclusion Participatory group music therapy not only improves the anxiety and depression of elderly stroke inpatients,but also effectively enhances their rehabilitation self-efficacy and promotes patients’active participation in rehabilitation treatment.

关 键 词：音乐治疗 脑卒中 情绪 康复自我效能 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]