不同类型音乐对缓解乳腺癌患者化疗焦虑、抑郁的效果研究  

Effect of different types of music to alleviate the chemotherapy anxiety and depression of the patients with breast cancer

作　　者：胡淑贤[1] 石搏[2] 黄可欣[2] 

机构地区：[1]内蒙古民族大学附属医院 [2]吉林大学白求恩医学院形态学中心,吉林长春130021

出　　处：《中国妇幼保健》2013年第2期359-361,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨不同类型音乐对缓解乳腺癌术后患者化疗焦虑、抑郁的作用。方法:将首次接受化学治疗的乳腺癌改良根治术后120例患者分为莫扎特音乐干预组(莫扎特音乐+化疗)40例、梁祝音乐干预组(梁祝音乐+化疗)40例和对照组(单纯化疗)40例,检测3组肿瘤患者的抑郁及焦虑自评量表(SDS、SAS)、汉密尔顿抑郁及焦虑量表(HAMD、HAMA)和生活质量评定(QLQ-CCC)指标的变化。结果:对照组化疗后SDS、SAS、HAMD和HAMA与化疗前比较差异无统计学意义(P>0.05),化疗后QLQ-CCC明显低于化疗前差异有统计学意义(P<0.01);莫扎特音乐干预组化疗后SDS、SAS、HAMD和HAMA低于化疗前但差异无统计学意义(P>0.05),化疗后QLQ-CCC与化疗前差异无统计学意义(P>0.05);梁祝音乐干预组化疗后SDS、SAS、HAMD和HAMA明显低于化疗前差异有统计学意义(P<0.01),化疗后QLQ-CCC与化疗前差异无统计学意义(P>0.05)。结论:梁祝音乐能明显降低乳腺癌化疗患者的焦虑、抑郁及提高患者生活质量;莫扎特音乐降低乳腺癌化疗患者的焦虑、抑郁不明显,但不会降低患者生活质量。Objective： To explore the effect of different types of music to ease the breast cancer patients after chemotherapy anxiety and depression. Methods： A total of 120 patients who would be received the first chemotherapy after modified radical mastectomy were ran- domly divided into 3 groups： Mozart intervention group （Mozart ＋ chemotherapy） （40 cases）, lovers music intervention group （Butterfly music ＋ chemotherapy） （40 cases） and control group （chemotherapy alone） （40 cases）. The self- rating scale of depression and anxiety （SDS, SAS）, the scale of Hamilton depression and anxiety （HAMD, HAMA） and the assessment of life quality （QLQ -ccc） were ob- served in the three groups. Results： In control group, the differences of SDS, SAS, HAMD and HAMA between before and after chemo- therapy were not statistically significant （P 〉 0. 01 ）, but QLQ - CCC after chemotherapy was significantly lower than those before chemother- apy （P〈0. 01 ）. In Mozart music intervention group, SDS, SAS, HAMD and HAMA after chemotherapy were lower than those before chemotherapy, but the differences were not significant （ P 〉 0. 01 ）, the QLQ - CCC was also without significant difference between before and after chemotherapy （P 〉 0. 01 ）. In butterfly music intervention group, SDS, SAS, HAMD and HAMA after chemotherapy were signifi- cantly lower than before chemotherapy, the differences were significant （P 〈0.01 ）, QLQ - CCC was no significant difference between be- fore and after chemotherapy （P 〉 0. 01 ） . Conclusion： Butterfly music can significantly reduce anxiety, depression of breast cancer patients after chemotherapy, and improve life quality of the patients; Mozart music can reduce anxiety, depression of breast cancer patients after chemotherapy, but not reduce the life quality of the patients.

关 键 词：音乐 抑郁 焦虑 乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]