音乐疗法对脑卒中患者情绪的影响。
Effects of music therapy on mood in stroke patients.
机构信息
Department of Rehabilitation Medicine and Rehabilitation, Yonsei University College of Medicine, Seoul, Korea.
出版信息
Yonsei Med J. 2011 Nov;52(6):977-81. doi: 10.3349/ymj.2011.52.6.977.
PURPOSE
To investigate the effects of music therapy on depressive mood and anxiety in post-stroke patients and evaluate satisfaction levels of patients and caregivers.
MATERIALS AND METHODS
Eighteen post-stroke patients, within six months of onset and mini mental status examination score of over 20, participated in this study. Patients were divided into music and control groups. The experimental group participated in the music therapy program for four weeks. Psychological status was evaluated with the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) before and after music therapy. Satisfaction with music therapy was evaluated by a questionnaire.
RESULTS
BAI and BDI scores showed a greater decrease in the music group than the control group after music therapy, but only the decrease of BDI scores were statistically significant (p=0.048). Music therapy satisfaction in patients and caregivers was affirmative.
CONCLUSION
Music therapy has a positive effect on mood in post-stroke patients and may be beneficial for mood improvement with stroke. These results are encouraging, but further studies are needed in this field.
目的
探讨音乐疗法对脑卒中后患者抑郁情绪和焦虑的影响，并评估患者和照护者的满意度。
材料和方法
18 名脑卒中后患者，发病时间在 6 个月内，且简易精神状态检查评分大于 20 分，参与了本研究。患者分为音乐组和对照组。实验组参加了为期 4 周的音乐治疗方案。在音乐治疗前后，使用贝克焦虑量表（BAI）和贝克抑郁量表（BDI）评估心理状态。通过问卷评估对音乐治疗的满意度。
结果
音乐治疗后，BAI 和 BDI 评分在音乐组比对照组下降更明显，但只有 BDI 评分的下降具有统计学意义（p=0.048）。患者和照护者对音乐治疗的满意度均为肯定。
结论
音乐疗法对脑卒中后患者的情绪有积极影响，可能对改善脑卒中患者的情绪有益。这些结果令人鼓舞，但该领域仍需要进一步的研究。
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