角调音乐疗法对抑郁症失眠患者心理状态及生活质量的影响  

Effects of melodic intonation therapy on psychological state and quality of life in patients with depression and insomnia

作　　者：杨菊丽 李玉华 赵黎萍[1] YANG Ju-li;LI Yu-hua;ZHAO Li-ping(Department of Nursing,Shanghai Baoshan District Mental Health Center,Shanghai 201999,CHINA)

机构地区：[1]上海市宝山区精神卫生中心护理部,上海201999

出　　处：《海南医学》2021年第7期949-952,共4页Hainan Medical Journal

摘　　要：目的探讨角调音乐疗法对抑郁症失眠患者心境状态及生活质量的影响。方法选择2017年11月1日至2019年4月30日在上海市宝山区精神卫生中心进行住院治疗的60例抑郁症失眠患者,按随机数表法分为观察组和对照组各30例。对照组患者实施抗抑郁等对症治疗及引导用药、心理护理、饮食护理等常规护理,观察组在对照组的基础上聆听角调音乐,每周7次,每次30 min,治疗2周。于干预前与干预后2周采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、匹兹堡睡眠质量量表(PSQI)及生活质量量表(SF-36)评价两组患者的治疗效果。结果干预前,两组患者的HAMD评分、HAMA评分、PSQI评分、SF-36评分比较差异均无统计学意义(P>0.05);干预2周后,两组患者的HAMD评分、HAMA评分、PSQI评分明显下降,而SF-36评分明显升高,观察组明显优于对照组,差异均有统计学意义(P<0.05)。结论开展角调音乐疗法能够有效改善抑郁症失眠患者抑郁、焦虑的心理状态,提高患者的睡眠质量以及生活质量。Objective To explore the effects of melodic intonation therapy on mood and quality of life of patients with depression and insomnia.Methods A total of 60 patients with depression and insomnia,who hospitalized at Shanghai Baoshan District Mental Health Center from November 1,2017 to April 30,2019,were selected and divided into the observation group and control group by random number table method,with 30 patients in each group.The patients in the control group were treated by anti-depression and other symptomatic routine nursing treatment such as guided medication,psychological care,and diet care,and the patients in the observation group were supplemented with melodic intonation therapy,7 times a week,30 min per time for 2 weeks.Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),Pittsburgh Sleep Quality Index(PSQI),and quality of life scale(SF-36)were used to evaluate the treatment effect of patients in the two groups before intervention and 2 weeks after the intervention Results Before intervention,the HAMD score,HAMA score,PSQI score,and SF-36 score of patients between the two groups were compared,and the differences were not statistically significant(all P>0.05).Two weeks after intervention,the HAMD scores,HAMA scores,and PSQI scores of patients in the two group decreased,while the SF-36 scores increased;the scores of the observation group were significantly better than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Melodic intonation therapy can effectively improve the depression and anxiety in patients with depression and insomnia,and increase the quality of sleep and quality of life in patients.

关 键 词：角调音乐疗法 抑郁症 失眠 心理状态 生活质量 

分 类 号：R749.4[医药卫生—神经病学与精神病学]