催眠音乐疗法在糖尿病视网膜病变患者行全视网膜激光光凝术中的应用效果  

Effects of hypnotic music therapy in patients with diabetic retinopathy undergoing panretinal photocoagulation

作　　者：刘翠芳[1] 杨柳[1] 苏娅丽[1] 瞿远珍[1] 周慧颖 Liu Cuifang;Yang Liu;Su Yali;Qu Yuanzhen;Zhou Huiying(Ophthalmology Department,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)

机构地区：[1]首都医科大学附属北京天坛医院眼科,100070

出　　处：《中华现代护理杂志》2021年第16期2220-2223,共4页Chinese Journal of Modern Nursing

摘　　要：目的:探讨催眠音乐疗法减轻糖尿病视网膜病变患者行全视网膜激光光凝术(PRP)眼部疼痛的效果。方法:选取首都医科大学附属北京天坛医院2019年1月—2020年1月收治的60例糖尿病视网膜病变行PRP患者为研究对象,采用随机数字表法将患者分为对照组和干预组,每组30例。对照组行常规优质护理,干预组在对照组的基础上加用催眠音乐疗法。观察两组患者进行PRP后的疼痛程度(视觉模拟评分)、疼痛护理的满意度状况(疼痛护理满意度量表)、焦虑(SAS)及抑郁(SDS)状态。结果:干预组进行PRP后视网膜4个象限的疼痛评分均低于对照组,差异有统计学意义(P<0.05);干预后干预组SAS评分和SDS评分均低于对照组,患者的疼痛护理满意度评分高于对照组,差异均有统计学意义(P<0.05)。结论:应用催眠音乐疗法可降低糖尿病视网膜病变患者行PRP术中的疼痛程度,降低其焦虑、抑郁状态,提高患者护理满意度,使其能够更好地配合治疗。Objective To explore the effect of hypnotic music therapy in reducing eye pain in patients with diabetic retinopathy undergoing panretinal photocoagulation(PRP).Methods From January 2019 to January 2020,60 diabetic retinopathy patients undergoing PRP admitted to Beijing Tiantan Hospital,Capital Medical University,were selected as the research object.Patients were divided into the control group and intervention group using the random number table method,with 30 cases in each group.Control group carried out routine high-quality nursing,and intervention group implemented hypnotic music therapy on the basis of control group.We observed the pain(Visual Analogue Score,VAS),pain nursing satisfaction(Patient Satisfaction Scale),anxiety(Self-rating Anxiety Scale,SAS)and depression(Self-rating Depression Scale,SDS)of the two groups of patients after PRP.Results The pain scores of the 4 quadrants of the retina after PRP in intervention group were lower than those in control group,and the difference was statistically significant(P<0.05).The SAS score and SDS score of intervention group after intervention were lower than those of control group,the difference was statistically significant(P<0.05).The pain nursing satisfaction score of intervention group was higher than that of control group,and the difference was also statistically significant(P<0.05).Conclusions The application of hypnotic music therapy can reduce the degree of pain during the operation of diabetic retinopathy patients undergoing PRP,relieve anxiety and depression,improve nursing satisfaction,and enable patients to cooperate well with treatment.

关 键 词：糖尿病 视网膜病变 疼痛 催眠音乐 焦虑 抑郁 护理满意度 

分 类 号：R473[医药卫生—护理学]