音乐疗法对自发性气胸患者术后疼痛及心理状态的影响  

The efect of music therapy on postoperative pain and psychological status of patients with spontaneous pneumothorax

作　　者：刘倩倩 郭军 郭香 LIU Qianqian;GUO Jun;GUO Xiang(Department of Thoracic and Cardiovascular Surgery,Lanling County People's Hospital,Linyi 277700,China;Operating Room,Lanling County People's Hospital,Linyi 277700,China)

机构地区：[1]兰陵县人民医院,胸心血管外科,山东临沂277700 [2]兰陵县人民医院,手术室,山东临沂277700

出　　处：《心理月刊》2024年第24期211-213,共3页

摘　　要：目的 探究音乐疗法对自发性气胸患者术后疼痛及心理状态的影响。方法 2021年3月~2024年3月,选择兰陵县人民医院收治的82例自发性气胸患者,按随机数字表法分两组,各41例。对照组予以常规护理,观察组联合音乐疗法。比较两组术后疼痛、心理状态、心理弹性水平、舒适度、护理满意度。结果 观察组术后6 h、术后12 h、术后24 h、术后48 h视觉模拟评分法(VAS)评分均较对照组低,差异有统计学意义(P<0.05);观察组护理后抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均较对照组低,心理弹性量表(CD-RISC)中坚韧(37.74±5.08)、自强(23.52±3.07)、乐观(13.04±1.25)评分均较对照组高,舒适状况量表(GCQ)中生理维度(80.11±5.32)、环境维度(78.30±5.54)、心理维度(82.23±5.01)、社会文化维度(81.37±4.76)评分均较对照组高,差异有统计学意义(P<0.05);与对照组护理满意度(80.49%)相比,观察组(95.12%)较高,差异有统计学意义(P<0.05)。结论 音乐疗法能够减轻自发性气胸患者术后疼痛及负性情绪,提高心理弹性水平及舒适度,提升护理满意度。Objective To explore the effect of music therapy on postoperative pain and psychological status of patients with spontaneous pneumothorax.Methods From March 2021 to March 2024,82 patients with spontaneous pneumothorax admitted to Lanling County People's Hospital were randomly divided into two groups of 41 each using a random number table method.The control group received routine care,while the observation group received a combination of music therapy.Compare the postoperative pain,psychological state,psychological resilience level,comfort level,and nursing satisfaction between two groups.Results The visual analog scale(VAS)scores of the observation group at 6 hours,12 hours,24 hours,and 48 hours after surgery were lower than those of the control group,with statistical differences(P<0.05);The self-rating depression scale(SDS)and selfrating anxiety scale(SAS)scores of the observation group were lower than those of the control group.The Connor-Davidson resilience scale(CDRISC)scores of resilience(37.74±5.08),self strengthening(23.52±3.07),and optimism(13.04±1.25)were higher than those of the control group.The general comfort questionnaire(GCQ)scores of physiological dimension(80.11±5.32),environmental dimension(78.30±5.54),psychological dimension(82.23±5.01),and sociocultural dimension(81.37±4.76)were higher than those of the control group,with statistical differences(P<0.05);Compared with the control group(80.49%),the observation group(95.12%)had higher nursing satisfaction,with a statistically significant difference(P<0.05).Conclusion Music therapy can alleviate postoperative pain and negative emotions in patients with spontaneous pneumothorax,improve psychological resilience and comfort,and enhance nursing satisfaction.

关 键 词：自发性气胸 音乐疗法 疼痛 心理状态 心理弹性水平 舒适度 

分 类 号：R47[医药卫生—护理学]