放松训练联合音乐疗法对造血干细胞移植患者极期疼痛和焦虑的影响  

Effects of Relaxation Training Combined with Music Therapy on Pain and Anxiety in Patients After Hematopoietic Stem cell Transplantation

作　　者：胡艳 张川莉 卢丹 Hu Yan;Zhang Chuanli;Lu Dan(Department of Hematology,West China Hospital,Sichuan University·West China School of Nursing,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院血液科·四川大学华西护理学院,成都610041

出　　处：《成都医学院学报》2021年第3期315-319,共5页Journal of Chengdu Medical College

基　　金：四川省卫生厅课题(No:150115)。

摘　　要：目的探讨放松训练联合音乐疗法对造血干细胞移植(HSCT)患者极期疼痛和焦虑的影响。方法选取四川大学华西医院112例HSCT患者极期为研究对象,按照随机数字表法分为试验组与对照组,每组56例。对照组采用常规护理,试验组在对照组基础上加用放松训练联合音乐疗法。比较干预前及干预1周后,两组患者疼痛[数字评分法(NRS)]评估变化;分析干预前及干预1周后,两组患者焦虑[状态-特质焦虑问卷(STAI)]、生活质量[中国癌症患者化学生物治疗生活质量量表(QOL-CCC)]及睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]评分变化。结果干预1周后,试验组患者NRS评分较干预前降低(P<0.05),且低于对照组(P<0.05);干预1周后,试验组患者STAI、PSQI评分较干预前降低(P<0.05),且低于对照组(P<0.05);试验组患者QOL-CCC评分较干预前升高(P<0.05),且高于对照组(P<0.05)。结论放松训练联合音乐疗法有助于缓解HSCT患者极期疼痛感与焦虑心理,提升其整体生活质量与睡眠质量。Objective To explore the effects of relaxation training combined with music therapy on pain and anxiety in patients in the critical phase after hematopoietic stem cell transplantation(HSCT).Methods A total of 112 patients in the critical phase after HSCT in West China Hospital of Sichuan University were enrolled and divided into experimental group and control group according to random number table method,with 56 cases in each group.The control group was given routine nursing,while the experimental group was additionally given relaxation training combined with music therapy on the basis of routine nursing.The changes in pain(Numeric Rating Scale,NRS),anxiety(State-Trait Anxiety Inventory,STAI),quality of life(Quality of Life Questionnaire for Chinese Cancer Patients Receiving Chemobiotherapy,QOL-CCC),quality of sleep(Pittsburgh Sleep Quality Index,PSQI)before and 1 week after intervention were compared and analyzed.Results After 1 week of intervention,the NRS scores in the experimental group were lower than those before intervention(P<0.05),and lower than those in the control group(P<0.05).The scores of STAI and PSQI in the experimental group were lower than those before intervention(P<0.05),and lower than those in the control group(P<0.05).The QOL-CCC scores in the experimental group were higher than those before intervention(P<0.05),and higher than those in the control group(P<0.05).Conclusion Relaxation training combined with music therapy can relieve the pain and anxiety in patients in the critical phase after HSCT,and improve the overall quality of life and sleep.

关 键 词：放松训练 音乐疗法 造血干细胞移植 极期 疼痛 焦虑 

分 类 号：R733.3[医药卫生—肿瘤]