音乐疗法在外科重症监护病房中的应用效果  

Effects of Music Treatment in Surgical Intensive Care Unit

作　　者：陈宇革[1] 杨亚平[1] 朱莉[1] 商慧兰[1] 龚蔚[1] 

机构地区：[1]上海市杨浦区中心医院外科,上海200090

出　　处：《解放军护理杂志》2011年第10期17-18,70,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨音乐疗法对改善外科重症监护病房患者不良情绪及疼痛的效果。方法将90例全身麻醉手术后进入外科重症监护室的患者随机分为观察组(44例)和对照组(46例),对照组术后采用专科常规护理,观察组在此基础上采用音乐疗法,比较两组患者术前及术后第1、3、5天的抑郁量表(self-rating depression scale,SDS)评分、视觉模拟评分法(visual analogous scale,VAS)、收缩压和舒张压。结果治疗前和术后第1天,两组患者的SDS、VAS评分及血压差异无统计学意义(P>0.05);术后第3天和第5天,观察组患者的SDS、VAS评分及舒张压和收缩压均低于对照组,差异有统计学意义(P<0.05或P<0.01)。结论音乐疗法可减轻ICU患者的抑郁情绪,稳定血压,减轻疼痛,增加患者的舒适感。Objective To evaluate the effect of music treatment in improving negative emotions and pains of patients in surgical intensive care unit（ICU）.Methods Ninety surgical ICU patients under general anesthesia were randomly divided into experimental group（n=44）and control group（n=46）.All the patients received the specialized routine nursing after operation.Then the patients in the experimental group underwent music treatment.Comparisons were conducted on the scores of self-rating depression scale（SDS）,visual analogous scale（VAS）,systolic pressure and diastolic pressure before operation and at 1st,3rd and 5th days after operation.Results The two groups had no significant difference on the systolic pressure and the scores of SDS,VAS and at 1st day after operation（P0.05）.The values of SDS,VAS,systolic pressure and diastolic pressure at 3rd and 5th day after operation were significantly lower in the experimental group than in the control group（P0.01）.Systolic pressure and diastolic pressure also had statistics significance（P0.05 or P0.05）.Conclusion Music treatment can reduce patient＇s depressed emotion,maintain blood pressure,relieve pain and increase the comfort of ICU patients.

关 键 词：音乐疗法 外科重症监护病房 抑郁 疼痛 血压 

分 类 号：R454.3[医药卫生—治疗学]