阿尔法脑波音乐联合正念冥想改善脑外伤患者焦虑状态的效果观察  

Effect of combined Alfa brainwave music treatment and meditation intervention treatment on anxiety state of patients with traumatic brain injury

作　　者：彭缨婷 陈萍[1] PENG Ying-ting;CHEN Ping(Department of Nursing Department,Huashan Hospital,Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华山医院东院康复科,上海200120

出　　处：《当代护士（下旬刊）》2020年第9期1-4,共4页Modern Nurse

基　　金：上海市科学技术委员会项目(编号:16411955400,17411953900);上海市卫计委重要薄弱学科建设项目(编号:2015ZB0401)。

摘　　要：目的探讨阿尔法脑波音乐联合正念冥想对改善脑外伤患者焦虑状态的治疗价值。方法选取我院2016年10月—2017年7月脑外伤后焦虑症患者76例作为研究对象,随机分为研究组(n=38)与对照组(n=38),对照组采取常规干预措施,研究组在常规干预基础上采取阿尔法脑波音乐治疗+正念冥想治疗,两组均每天治疗2次,上下午各1次,每次60 min,每周干预5天,连续干预1个月,干预1个月后采用HAMA、SAS评定患者的焦虑状态,采用SF-36量表评定患者的生活质量。结果干预1个月后,两组HAMA及SAS分值均较干预前降低,焦虑程度有改善,研究组改善程度更大,并与对照组比较有统计学差异(P<0.05)。干预前两组SF-36分值比较无统计学差异(P>0.05),干预1个月后,两组SF-36得分均较干预前增高,生活质量提高;同时,与对照组相比,研究组改善程度更大,差异有统计学意义(P<0.05)。结论阿尔法脑波音乐联合正念冥想可有效缓解脑外伤后焦虑症患者焦虑程度及临床症状,提高患者生活质量。Objective To explore the value of combined mindfulness meditation and Alfa brainwave music treatment in traumatic brain patients with anxiety.Methods 76 patients with anxiety disorder after brain trauma were selected from October 2016 to July 2017 in our hospital.All the patients had no anxiety situations before the brain trauma and were in mild anxiety state after the onset(HAMA score≤29,SAS score≤59)of brain injury.They were randomly divided into study group(n=38)and control group(n=38).Before intervention,there was no significant difference in the scores of HAMA and SAS between the two groups(P>0.05).The control group patients were received routine intervention,while the study group patients were received meditation intervention and Alfa brain wave music treatment besides routine intervention,and all intervention lasted for one month.The anxiety scores(HAMA,SAS)and quality of life scores(SF-36)were statistically analyzed before and one month after intervention.Results One month after the intervention,HAMA and SAS scores of the two groups were lower than before the intervention,and anxiety level was improved.Compared with the control group,the improvement degree of the study group was greater,and there was statistical difference between the study group and the control group(P<0.05).There was no significant difference in SF-36 scores between the two groups before the intervention(P>0.05).After one month of intervention,SF-36 scores of the two groups were higher than before the intervention,and the quality of life was improved.At the same time,compared with the control group,the improvement degree of the study group was greater,and there was a statistical difference with the control group(P<0.05).Conclusion The combination of mindfulness meditation and Alfa brainwave music intervention could effectively relieve the post-traumatic anxiety disorder and clinical symptoms as well asimprove the quality of life.

关 键 词：阿尔法脑波音乐 正念冥想 焦虑状态 脑外伤 

分 类 号：R473.6[医药卫生—护理学]