音乐疗法对重度烧伤患者创面换药疼痛、生活质量和恢复时间的影响

摘要

目的 探讨音乐疗法对重度烧伤患者创面换药疼痛、生活质量和恢复时间的影响.方法 选取延安大学附属医院烧伤整形美容科2014年3月至2016年2月收治的重度烧伤患者100例,按随机数表法分为对照组和音乐疗法组,每组50例,15 d为一个疗程.比较两组患者的创面换药疼痛分级、干预前后的睡眠质量评分、生活质量评分以及愈合时间.结果 音乐疗法组患者创面换药疼痛分级1级46.0%、2级54.0%、3级0,优于对照组的30.0%、40.0%、30.0%,差异均有统计学意义(P<0.05);两组患者干预前的睡眠质量评分、总体健康、生理功能、生理职能、躯体疼痛、活力状态、社会功能、情感职能、精神健康评分比较差异均无统计学意义(P>0.05);干预后两组患者的睡眠质量评分均低于干预前,且音乐疗法组干预后睡眠质量评分低于对照组,差异均有统计学意义(P<0.05);干预后两组患者的总体健康、生理功能、生理职能、躯体疼痛、活力状态、社会功能、情感职能、精神健康评分均高于干预前,且音乐疗法组的上述指标均高于对照组,差异有统计学意义(P<0.05);音乐疗法组患者的创面愈合时间为(22.0±5.2)d,低于对照组的(27.5±6.0)d,差异有统计学意义(P<0.05).结论 音乐疗法在重度烧伤患者中应用,可以改善患者创面换药疼痛,提高生活质量,缩短恢复时间,值得临床推广应用.%Objective To approach the influence of musicotherapy on wound pain during dressing change, life quality and recovery time of severe burn patients. Methods A total of 100 cases of severe burn patients, who admitted to Department of Plastic Surgery of our hospital from March 2014 to February 2016, were selected and divided into the control group and the musicotherapy group by random number table, with 50 cases in each group, 15 d as one treatment period. The wound pain during dressing change, sleep quality score before intervene and after intervene, quality of life score and healing time of severe burn patients were detected. Results The proportion of 1 grade, 2 grade, and 3 grade of wound pain during dressing change of the musicotherapy group were respectively 46.0%, 54.0%and 0, which were significantly better than corresponding 30.0%, 40.0%and 30.0%of the control group (P<0.05). There were no signifi-cant differences between the two groups in the sleep quality score, overall health, physiological function, physiologi-cal functions, body pain, dynamic state, social function, emotional function, mental health score of two groups before intervene (P>0.05). The sleep quality scores of the two groups after intervene were significantly lower than those be-fore intervene, and the sleep quality score of the musicotherapy group after intervene was significantly lower than those of the control group (P<0.05). The overall health score, physiological function score, physiological functions score, body pain score, dynamic state score, social function score, emotional function score, mental health score of the control group and the musicotherapy group after intervene were significantly higher than those before intervene (P<0.05). The overall health, physiological function, physiological functions, body pain, dynamic state, social function, emotional function, mental health score of the musicotherapy group after intervene were significantly higher than those of the con-trol group (P<0.05). The wound healing time of the musicotherapy group was (22.0 ± 5.2) d, which was significantly shorter than (27.5±6.0) d in the control group (P<0.05). Conclusion The application of musicotherapy in severe burn patients can improve wound pain during dressing change for patients, increase living quality, cut down recovery time, which is worthy of clinical application.