| 桂锦萍,陈媛,汪婷.音乐疗法对创伤性脊髓损伤病人抗焦虑、抑郁的疗效观察.骨科,2020,11(6): 547-549. |
| 音乐疗法对创伤性脊髓损伤病人抗焦虑、抑郁的疗效观察 |
| Effect of music therapy on anxiety and depression of patients with traumatic spinal cord injury |
| 投稿时间：2020-01-22 |
| DOI：10.3969/j.issn.1674-8573.2020.06.015 |
| 中文关键词: 音乐疗法 创伤性脊髓损伤 焦虑 抑郁 |
| 英文关键词: Music therapy Traumatic spinal cord injury Anxiety Depression |
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| 中文摘要: |
| 目的 探讨音乐疗法对创伤性脊髓损伤（traumatic spinal cord injury, TSCI）病人焦虑、抑郁的干预效果。方法 回顾性分析2018年1月至12月在我科接受治疗的40例TSCI病人的临床资料。将2018年1月至6月采用常规护理管理的20例TSCI病人纳入对照组；2018年7月至12月采用常规护理管理联合音乐疗法的20例TSCI病人纳入观察组。观察并比较两组病人入院第1天和治疗结束后的汉密尔顿焦虑量表（Hamilton anxiety scale, HAMA）评分和汉密尔顿抑郁量表（Hamilton depression scale, HAMD）评分，以及两组病人治疗的依从性。结果 治疗结束后，观察组病人的HAMA和HAMD评分分别为（7.8±1.9）分和（9.4±1.6）分，均高于对照组的（10.4±2.3）分和（11.3±2.5）分，差异均有统计学意义（P均＜0.05）；观察组治疗依从率为95.0%（19/20），优于对照组的70.0%（14/20），差异有统计学意义（P＜0.05）。结论 音乐疗法能帮助TSCI病人改善其焦虑和抑郁的不良情绪，增强治疗的积极性和战胜疾病的信心，增强TSCI病人治疗的依从性。 |
| 英文摘要: |
| Objective To investigate the effect of music therapy on the anxiety and depression of patients with traumatic spinal cord injury (TSCI). Methods Patients with TSCI treated in our department from January 2018 to June 2018 were enrolled in the control group (20 cases), while patients from July 2018 to December 2018 were selected in the experimental group (20 cases). Routine management was used in control group. Music therapy plus routine management were given in experimental group. The Hamilton Anxiety Scale (HAMA) score and Hamilton Depression Scale (HAMD) score were observed and compared between the two groups on the first day of admission and after treatment, as well as the treatment compliance of the two groups. Results After the treatment, the HAMA and HAMD scores in the observation group were 7.8±1.9 and 9.4±1.6 respectively, which were significantly higher than those in the control group (10.4±2.3 and 11.3±2.5, P＜0.05). The treatment compliance rate in the observation group was 95.0% (19/20), significantly higher than 70.0% (14/20) in the control group (P＜0.05). Conclusion Music therapy can help TSCI patients to alleviate their anxiety and depression, enhance the enthusiasm of treatment and confidence to overcome the disease, and increase the treatment compliance of patients. |
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