五行音乐联合情志护理疗法对双胎妊娠剖宫产术后患者疼痛及心境状态的影响  

Effect of five-element music combined with emotional nursing therapy on pain and mood states in gemellary pregnancy

作　　者：陈彩云 李园 高霞 危凤 CHEN Caiyun;LI Yuan;GAO Xia;WEI Feng(Department of Obstetrics,Ganzhou Women and Children's Health Care Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市妇幼保健院产科,江西赣州341000

出　　处：《中国当代医药》2024年第24期162-165,170,共5页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2021A077)。

摘　　要：目的探讨五行音乐联合情志护理疗法对双胎妊娠剖宫产术患者疼痛、心境状态影响。方法选择2020年12月至2022年12月赣州市妇幼保健院收治的双胎妊娠剖宫产术后患者80例作为研究对象。采用随机数字表法分为对照组和观察组,各40例。对照组给予常规护理,观察组在对照组的基础上采用五行音乐联合情志护理疗法。比较两组干预前后产妇视觉模拟量表(VAS)评分及简式简明心境问卷(POMS-SF)评分的差异。结果观察组患者在术后12、24、72 h的疼痛评分均低于对照组,差异有统计学意义(P<0.05)。两组产妇干预前心境状态各维度评分比较,差异无统计学意义(P>0.05);干预后观察组的心境状态中抑郁-沮丧、迷惑-混乱、紧张-焦虑维度、疲乏-迟钝评分低于对照组,精力-活力维度评分高于对照组,差异有统计学意义(P<0.05)。结论五行音乐联合情志护理疗法能够有效缓解双胎妊娠剖宫产术后患者疼痛,减轻焦虑、抑郁等负性情绪,改善产妇心境状态。Objective To explore the effect of five-element music combined with emotional nursing therapy on pain and mood states in patients with gemellary pregnancy undergoing cesarean section.Methods A total of 80 patients with gemellary pregnancy after cesarean section admitted to Ganzhou Women and Children's Health Care Hospital from December 2020 to December 2022 were selected as the research objects.They were divided into control group and observation group with 40 cases in each group by random number table method.The control group was given routine nursing,and the observation group was given five-element music combined with emotional nursing therapy on the basis of the control group.The differences of visual analogue scale(VAS)score and profile of mood states-short form(POMS-SF)score between the two groups before and after intervention were compared.Results The pain scores of the patients in the observation group were lower than those in the control group at 12,24,72 h after operation,and the differences were statistically significant(P<0.05).There was no significant difference in the scores of each dimension of mood state between the two groups before intervention(P>0.05).After intervention,the scores of depression-frustration,confusion-chaos,tension-anxiety dimension and fatigue-impairment in the mood state of the observation group were lower than those of the control group,and the score of energy-vitality dimension was higher than that of the control group,and the differences were statistically significant(P<0.05).Conclusion Five-element music combined with emotional nursing therapy can effectively relieve the pain of patients with gemellary pregnancy after cesarean section,reduce negative emotions such as anxiety and depression,and improve the mood states of parturients.

关 键 词：五行音乐疗法 情志护理 双胎妊娠 剖宫产 疼痛 心境状态 

分 类 号：R714[医药卫生—妇产科学]