个体化音乐干预对预期性恶心呕吐患者不良情绪及应对方式的影响  

Effect of individualized music on the unhealthy emotion and copying styles of patients with anticipatory nausea and vomiting

作　　者：王云[1] 杜春玲[1] 王学梅[1] 

机构地区：[1]江苏省连云港市第二人民医院肿瘤科,222023

出　　处：《中华现代护理杂志》2012年第36期4350-4353,共4页Chinese Journal of Modern Nursing

基　　金：连云港市卫生局立项项目（2009-09067）

摘　　要：目的探讨个体化音乐干预对预期性恶心呕吐患者不良情绪与应对方式的影响。方法选择60例发生预期性恶心呕吐的患者，按随机数字表法分为实验组与对照组各30例。两组均接受常规护理，实验组在常规护理的基础上运用个体化音乐干预，时间为21d，干预前后观察两组患者恶心呕吐情况，采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、简易应对方式问卷测定两组患者焦虑、抑郁、应对方式情况，并进行比较。结果两组患者干预前预期性恶心呕吐程度差异无统计学意义（U=0．000，P=1．000）；干预后两组患者恶心呕吐程度差异有统计学意义（U=2．583，P〈0．05）；干预前两组SAS、SDS、应对方式评分比较差异均无统计学意义（P〉0．05）；干预后实验组患者SAS、SDS、积极应对、消极应对评分分别为（40．34±4．49），（42．80±11．14），（27．57±5．99），（14．67±6．38）分，对照组分别为（46．86±4．73），（49．93±10．31），（23．53±6．76），（18．20±6．28）分，两组比较差异有统计学意义（t值分别为3．635，2．951，2．096，2．403；P〈0．05）。实验组患者干预前后SAS、SDS评分比较差异均有统计学意义（P〈0．05）。结论个体化音乐干预可以改善ANV患者的不良情绪及应对方式，缓解患者焦虑、抑郁，减轻预期性恶心呕吐的程度，提高患者的生活质量。Objective To observe the effect of individualized music on the unhealthy emotion and copying styles patients with anticipatory nausea and vomiting. Methods Totals of 60 patients suffered with ANV were selected and divided into the experimental group （ n = 30） and control group （ n = 30） according to the table of random number method. The control group received conventional care, while the experimental group received both conventional care and Individualized music. Self-rating anxiety scale （SAS）, self-rating depression scale （SDS）, simplified coping style questionnaire were used to investigate the patients before and after the intervention. Results The difference of nausea and vomiting in the control group and experimental group were not found before intervention （ U = 0. 000, P = 1. 000）, but that was found after intervention （ U = 2. 583, P 〈0.05）. No significant difference in SAS and SDS scores was found between two groups before intervention （P 〉 0. 05 ）. After intervention, the scores of SAS, SDS, positive copying and negative copying of experimental groups respectively were （40.34 ± 4.49）, （42.80 ± 11.14）, （ 27.57 ± 5.99）, （ 14.67 ±, 6.38 ）, and that of control group were （ 46.86 ± 4.73 ）, （49.93 ± 10.31 ）, （23.53 ± 6.76）, （ 18.20 ±, 6.28）, and the difference was statistically significant （t = 3. 635, 2.951, 2.096, 2.403, respectively ;P 〈 0.05）. And significant difference was found in the SAS and SDA scores before and after the intervention in experimental group （P 〈 0.05 ）. Conclusions Individualized music intervention not only can be used to improve the coping style in patients with ANV, relieve their anxiety and depression symptoms, but also alleviate the degree of ANV and improve their quality of life.

关 键 词：肿瘤 焦虑 抑郁 音乐干预 预期性恶心与呕吐 应对方式 

分 类 号：R473.73[医药卫生—护理学]