五行音乐联合正念减压疗法对急腹症急性应激性障碍100例的干预效果  

Intervention effect of five-element music combined with mindfulness decompression therapy on 100 cases of acute stress disorder in acute abdomen

作　　者：金亚军[1] 王明君[2] 张青松[2] 郑景珍[2] JIN Yajun;WANG Mingjun;ZHANG Qingsong;ZHENG Jingzhen(Department of General Surgery,Tangshan Third Hospital,Tangshan,Hebei 063100,China;Department of General Surgery,Kailuan General Hospital,Tangshan,Hebei 063100,China)

机构地区：[1]唐山市第三医院普外科,河北唐山063100 [2]开滦总医院普外科,河北唐山063100

出　　处：《安徽医药》2023年第12期2429-2433,共5页Anhui Medical and Pharmaceutical Journal

基　　金：河北省卫生厅科研计划项目任务(20211328)。

摘　　要：目的探讨五行音乐联合正念减压法对急腹症急性应激性障碍病人的干预效果。方法选取2021年1—12月唐山市第三医院普外科急腹症急性应激性障碍病人200例,按随机数字表法分为试验组(100例)和对照组(100例)。对照组实施常规治疗和护理,试验组在对照组的基础上实施五行音乐联合正念减压训练法。比较两组病人干预前后的斯坦福急性应激反应问卷(SASRQ)评分、自尊水平、正念水平、焦虑评分、生命质量评分和干预前、干预1周、干预结束时的疼痛评分,以及住院时间和住院费用。结果干预后两组病人SASRQ评分以及焦虑评分均低于干预前(P<0.05),且试验组[(29.13±13.62)分、(6.52±3.17)分]低于对照组[(47.83±17.04)分、(8.33±3.11)分](P<0.05);干预后两组病人自尊水平、正念水平及各维度生命质量评分均高于干预前(P<0.05),且试验组[(31.62±2.33)分、(68.67±9.66)分]高于对照组[(28.55±2.11)分、(58.26±10.24)分](P<0.05);两组病人干预1周、干预结束时视觉模拟评分法(VAS)评分均低于干预前(P<0.05),干预结束时VAS评分低于干预1周(P<0.05),且VAS评分试验组干预1周(5.17±1.11)分、干预结束(4.12±1.22)分均低于对照组[(6.17±2.04)分、(4.78±1.26)分](均P<0.05);试验组住院时间和住院花费均低于对照组(P<0.05)。结论五行音乐联合正念减压疗法对急腹症急性应激性障碍病人干预效果显著,能促进病人术后康复,是值得临床推广的干预手段。Objective To explore the intervention effect of five-element music combined with mindfulness decompression on patients with acute stress disorder in acute abdomen.Methods A total of 200 patients with acute abdominal stress disorder in the Department of General Surgery of Tangshan Third Hospital were selected from January to December 2021 and were divided into the experimental group(100 cases)and the control group(100 cases)by the randomized numerical table method.The control group implemented routine treatment and nursing care,and the experimental group was implemented by the five elements of music combined with the mindfulness decompression training method on the basis of the control group.The Stanford Acute Stress Response Questionnaire(SASRQ)scores,self-esteem levels,mindfulness levels,anxiety scores,quality of life scores,and pain scores before intervention,1 week after intervention and at the end of the intervention,as well as the hospitalization time and hospitalization costs were compared between the two groups.Results After the intervention,the SASRQ scores and anxiety scores of the two groups were lower than those before the intervention(P<0.05),and the scores of the experimental group[(29.13±13.62)and(6.52±3.17)]were lower than those of the control group[(47.83±17.04)and(8.33±3.11)](P<0.05).After the intervention,the level of self-esteem,level of mindfulness and quality of life scores in all dimensions were higher in both groups than before the intervention(P<0.05),and the scores of the experimental group[(31.62±2.33)and(68.67±9.66)]were higher than those of the control group[(28.55±2.11)and(58.26±10.24)](P<0.05).VAS scores of patients in both groups were lower than before intervention at 1 week and at the end of intervention(P<0.05),and VAS scores at the end of intervention were lower than at 1 week of intervention(P<0.05).The VAS scores of the experimental group at 1 week of intervention and at the end of intervention[(5.17±1.11)and(4.12±1.22)]were lower than those of the control group[(6.17

关 键 词：急腹症 应激 生理学 创伤和应激相关障碍 焦虑 正念 五行音乐 干预效果 

分 类 号：R473.6[医药卫生—护理学]