耳穴压豆配合五行音乐疗法对冠状动脉介入患者术前焦虑的影响  

Effect of ear acupressure therapy combined with five element music therapy on preoperative anxiety in patients with intervention

作　　者：宋霈[1] 王孟赞[1] 

机构地区：[1]山东省聊城市人民医院心内科,252000

出　　处：《中华现代护理杂志》2017年第29期3775-3779,共5页Chinese Journal of Modern Nursing

摘　　要：目的 探讨耳穴压豆配合五行音乐疗法对冠状动脉介入患者术前焦虑的影响.方法 于2015年5月—2016年5月选取在山东省聊城市人民医院心内科接受择期冠状动脉介入治疗的150例患者,将其随机分为对照组和观察组,每组各75例.对照组进行常规术前指导,观察组在常规术前指导的基础上进行耳穴压豆和五行音乐疗法.运用汉密顿焦虑量表（HAMA）对两组患者的焦虑水平进行评估,同时测量两组患者的心率和血压.结果 干预后,观察组的HAMA精神性焦虑因子焦虑心境、紧张、害怕、失眠、认知功能、抑郁心境、会谈时行为表现评分及总分分别为（1.21±0.36）、（0.20±0.06）、（1.20±0.26）、（0.97±0.29）、（0.15±0.05）、（0.39±0.07）、（0.26±0.07）、（4.38±0.78）分,分别低于对照组的（1.49±0.61）、（0.49±0.12）、（1.39±0.51）、（1.21±0.37）、（0.26±0.06）、（0.59±0.19）、（0.53±0.08）、（5.96±1.08）分,差异均有统计学意义（t值分别为3.418、2.809、2.552、2.935、1.410、1.875、2.565、3.874;P〈0.05）,其中认知功能和抑郁心境2项因子的差异没有统计学意义（P〉0.05）.干预后观察组的心率为（81.0±8.9）次/min,血压收缩压和舒张压分别为（118.6±8.6）、（70.8±7.8）mmHg,分别低于对照组的（86.8±8.6）次/min、（130.6±8.7）、（82.6±6.7）mmHg,差异有统计学意义（P〈0.05）.结论 耳穴压豆配合五行音乐疗法可有效降低冠状动脉介入患者术前焦虑状态,确保患者生命体征保持平稳.Objective To explore the effect of ear acupressure therapy combined with five element music therapy on preoperative anxiety in patients with percutaneous coronary intervention （PCI）.Methods A total of 150 patients with selective PCI in Cardiovascular Department at Liaocheng People＇s Hospital of Shandong Province were recruited from May 2015 to May 2016. They were randomly divided into control group （n=75, routine preoperative instruction） and observation group （n=75, routine preoperative instruction ＋ ear acupressure therapy combined with five element music therapy）. Anxiety of patients between two groups was evaluated with the Hamilton Anxiety Scale （HAMA）. At the time, heart rates and blood pressure of patients were also measured between two groups.Results After intervention, the scores of dimensions （anxious mood, feeling of tension, fears, insomnia, cognitive function, depressive mood, behavior at interview） of HAMA and the total score of HAMA were （1.21±0.36）, （0.20±0.06）, （1.20±0.26）, （0.97±0.29）, （0.15±0.05）, （0.39±0.07）, （0.26±0.07）, （4.38±0.78） in observation group lower than those [（1.49±0.61）, （0.49±0.12）, （1.39±0.51）, （1.21±0.37）, （0.26±0.06）, （0.59±0.19 ）, （0.53±0.08）, （5.96±1.08）]in control group with significant differences （t=3.418, 2.809, 2.552, 2.935, 1.410, 1.875, 2.565, 3.874;P〈0.05）. However, there were no statistically significant differences in scores of cognitive function and depressive mood （P〉0.05）. The heart rate, systolic pressure and diastolic pressure of patients in observation group [（81.0±8.9）beats/min, （118.6±8.6）, （70.8±7.8） mmHg]were lower than those [（86.8±8.6）beats/min, （130.6±8.7）, （82.6±6.7） mmHg] in control group with significant differences （P〈0.05）.Conclusions Ear acupressure therapy combined with five element music therapy can effectively reduce preoperative anxiety in patients with PCI and ensure that vital sign of patie

关 键 词：焦虑 冠状动脉介入 术前 耳穴压豆 五行音乐疗法 

分 类 号：R248.1[医药卫生—中医临床基础]