音乐疗法缓解焦虑、抑郁脊髓损伤患者不良情绪的效果观察

摘要

Objective To investigate the effect of music therapy on anxiety and depression in patients with spinal cord injury. Methods Forty anxious and depressive patients with spinal cord injury were selected as the control group from December 2012 to October 2013, and another 40 anxious and depressive patients with spinal cord injury as the observation group from November 2013 to September 2014. Patients in the observation group were given the following metheds after admiting for 3 days besides psychological nursing; music therapy once a day, 1 hours one time for 4 weeks. The two groups were compared in terms of the scores by Hamilton anxiety scale (HAMA) scores and Hamilton depression scale (HAMD) before and after treatment. Results There were insignificant differences in HAMA scores and HAMD scores between the two groups before music therapy (P>0.05), but the scores by HAMA and HAMD in the observation group were both significantly lower than those in the control group. Conclusion Music therapy can alleviate anxiety and depression of patients with spinal cord injury, and promote the functional recovery.%目的：探讨音乐疗法对缓解焦虑、抑郁脊髓损伤患者不良情绪的效果。方法将2012年12月～2013年10月本院收治的发生焦虑、抑郁的脊髓损伤患者40例设为对照组，2013年11月～2014年9月本院收治的发生焦虑、抑郁的脊髓损伤患者40例设为观察组，两组患者均给予常规心理护理，观察组在对照组基础上，于患者入院3 d开始每日进行音乐治疗，1 h／次，4周为1个疗程。比较两组患者入院2 d内、治疗2周和治疗4周，汉密尔顿焦虑量表（Hamilton anxiety scale， HAMA）和汉密尔顿抑郁量表（Hamilton depression scale，HAMD）得分情况。结果治疗前两组患者HAMA、HAMD评分比较，差异无统计学意义（均P＞0．05）；治疗后2周与4周两组患者HAMA、HAMD评分比较，差异具有统计学意义（均P＜0．01），观察组患者评分明显低于对照组。结论音乐疗法能缓解脊髓损伤患者焦虑、抑郁不良情绪，增强其治疗主动性。