个体化音乐干预对乳腺癌患者术前焦虑的影响  

Effect of Personalized Music Intervention on the Preoperative Anxiety in Patients Undergoing Breast Cancer Surgery

作　　者：吕红梅[1] 陈捷[1] 陈君华[1] 彭顺秀[1] 杨小平[1] 

机构地区：[1]南方医科大学附属深圳宝安医院手术室,广东深圳518101

出　　处：《护理学杂志》2008年第10期4-6,共3页

基　　金：深圳市宝安区科技局科技计划项目(2007147)

摘　　要：目的缓解乳腺癌手术患者术前焦虑情绪。方法将80例乳腺癌手术患者采用随机数字表法分成观察组和对照组各40例,对照组术前1d按常规进行心理干预,不进行乐曲的选择和试听;术前1h嘱患者静卧于病床,放松躯体。观察组予个体化音乐干预,即术前1d在常规心理干预的同时指导患者选择乐曲和试听,术前1h患者静卧于病床时通过MP3播放机欣赏选定的音乐,持续30min。比较两组干预前后的焦虑评分、血压、心率和唾液皮质醇。结果观察组干预后焦虑评分、收缩压及唾液皮质醇含量与对照组比较,差异有显著性意义(P<0.05,P<0.01)。结论个体化音乐干预可减轻乳腺癌手术患者的术前焦虑,为手术创造良好的条件。Objective To relieve the preoperative anxiety in patients undergoing breast cancer surgery. Methods Eighty patients undergoing breast cancer surgery were randomly divided into two groups. The control group （n=40） received routine psychological intervention, and 1 hour before operation, they were asked to lie relaxed on bed. The patients in the experimental group （n=40） were asked to select and listen to musical pieces when they received routine psychological care 1 day before operation. One hour before operation, the patients lay relaxed on bed, listening to the pieces they had selected for 30 min. The anxiety scores, blood pressure, beart rate and cortisol in saliva were compared between the two groups before and after intervention. Results There were significant differences in anxiety scores, systolic blood pressure, and cortisol in saliva between the two groups after intervention （P〈0. 05,P〈0.01）. Conclusion The personalized music intervention can reduce the preoperative anxiety in patients undergoing breast cancer surgery, and better prepare the patients for operation.

关 键 词：乳腺癌 音乐 焦虑 手术前护理 

分 类 号：R473.6[医药卫生—护理学] R749.055[医药卫生—临床医学]