Objective To explore the effect of preoperative music therapy combined with muscular relaxation training on the negative emotion and pain degree in the patients with uterine fibroids surgery .Methods Eighty-four cases of uterine fibroids in our hospital from March 2015 to February 2016 were selected and divided into the study group and control group according to the ran-dom number table method ,42 cases in each group .The control group carried out the routine nursing work ,while the study group implemented the music therapy combined with muscular relaxation training on the basis of the control group .The SAS ,SDS and VAS scores in the two groups were recorded at different time points .Results The SAS and SDS scores at preoperative 2 h had no statistical difference between the two groups (P<0 .05);the SAS score on postoperative 2 d in the study group was (46 .2 ± 2 .4) points ,which was lower than (52 .0 ± 3 .1)points in the control group ,the SDS score in the study group was (45 .3 ± 3 .9)points , which was lower than (52 .3 ± 4 .4)points in the control group ,the differences were statistically significant (P<0 .05) .The VAS score at preoperative 2 h and postoperative 2 h had no statistically significant difference between the two group (P> 0 .05);the VAS score at postoperative 6 h in the study group was (5 .2 ± 1 .3)points ,which was lower than (7 .8 ± 1 .5)points in the control group ,the VAS score at postoperative 24 h in the study group was (4 .8 ± 1 .1)points ,which was lower than (7 .0 ± 1 .3)points in the control group ,the differences were statistically significant (P<0 .05) .The first exhaust time and first off-bed time in the study group were shorter than those in the control group ,the difference was statistically significant (P<0 .05) .Conclusion The music therapy combined with muscular relaxation training in the patients with uterine fibroids can effectively alleviate their anxiety and de-pression emotion ,reduces the pain degree and has obvious clinical effect .%目的 研究子宫肌瘤手术患者术前实施音乐疗法联合肌肉放松训练对其负性情绪及疼痛程度的影响.方法 选取该院2015年3月至2016年2月收治的84例子宫肌瘤患者,以随机数字表法分为研究组和对照组,各42例.对照组开展常规护理工作,研究组在对照组基础上实施音乐疗法联合肌肉放松训练.记录2组患者在不同时间点的焦虑自评量表(SAS)、抑郁自评量表(SDS)及视觉疼痛模拟(VAS)评分.结果 术前2 h,2组患者SAS和SDS评分差异无统计学意义(P>0.05);术后2 d,研究组SAS评分(46.2±2.4)分低于对照组(52.0±3.1)分,研究组SDS评分(45.3±3.9)分低于对照组(52.3±4.4)分,差异均有统计学意义(P<0.05).术前2 h和术后2 h,2组患者VAS评分差异无统计学意义(P>0.05);术后6 h研究组的VAS评分(5.2±1.3)分低于对照组(7.8±1.5)分,术后24 h研究组的VAS评分(4.8±1.1)分低于对照组(7.0±1.3)分,差异均有统计学意义(P<0.05).研究组肛门首次排气时间及首次下床时间均短于对照组,差异有统计学意义(P<0.05).结论 音乐疗法联合肌肉放松训练应用于子宫肌瘤患者,能有效减轻其焦虑及抑郁情绪,降低其疼痛程度,具有可观的临床成效.
展开▼
