Department of Nursing, Taipei Medical Hospital and School of Nursing, Taipei Medical University, Taipei, Taiwan.
Biol Res Nurs. 2012 Apr;14(2):197-206. doi: 10.1177/1099800411406258. Epub 2011 May 17.
This study aimed to explore the effectiveness of music therapy in reducing anxiety in hospitalized psychiatric patients.
The authors used a randomized clinical trial design and randomly allocated the 24 enrolled participants to the experimental or the control group. Patients in the experimental group received music therapy in a therapy room at a set time for 30 min each morning for 11 days. The authors administered the Beck Anxiety Inventory (BAI) and measured skin temperature and brain waves to determine anxiety level before, during, and after music therapy.
Experimental group participants had lower scores on the BAI than control participants, after the music therapy (z = -2.0, p < .05) and at 1-week follow-up (z = -2.2, p < .05), indicating that they were experiencing significantly less anxiety. The mean BAI anxiety score fell in the experimental group from 23.9 (SD = 9.9) at baseline to 13.9 (SD = 8.8), after music therapy, and 12.7. (SD = 10.5) at follow-up. The experimental group demonstrated a significant elevation in the average alpha electroencephalographic (EEG) percentage (from 38.1% to 46.7%) and a reduction in the average beta EEG percentage (from 61.9% to 53.4%) after the music therapy. After adjusting for change in patient finger temperature on the first day, mean change in finger temperature did not differ significantly between the experimental and control groups.
Music therapy can relieve anxiety in hospitalized psychiatric patients and help them achieve a state of relaxation.
本研究旨在探讨音乐疗法在减轻住院精神科患者焦虑中的有效性。
作者采用随机临床试验设计,将 24 名入组患者随机分配到实验组或对照组。实验组患者每天早上在治疗室接受音乐治疗,每次 30 分钟,共 11 天。作者采用贝克焦虑量表(BAI)和测量皮肤温度和脑电波来评估患者在音乐治疗前后的焦虑水平。
实验组患者在音乐治疗后(z = -2.0,p <.05)和 1 周随访时(z = -2.2,p <.05)的 BAI 评分低于对照组,表明他们的焦虑程度显著降低。实验组的平均 BAI 焦虑评分从基线时的 23.9(SD = 9.9)降至音乐治疗后的 13.9(SD = 8.8),随访时为 12.7(SD = 10.5)。实验组的平均α脑电图(EEG)百分比(从 38.1%升至 46.7%)显著升高,β EEG 百分比(从 61.9%降至 53.4%)显著降低。在调整第一天患者手指温度的变化后,实验组和对照组的手指温度变化平均值无显著差异。
音乐疗法可以减轻住院精神科患者的焦虑,帮助他们达到放松状态。