音乐疗法对冠状动脉搭桥术后患者疼痛、焦虑和抑郁的影响。
The effect of music therapy on pain, anxiety and depression in patients after coronary artery bypass grafting.
作者信息
Dai Wang-Sheng, Huang Shu-Ting, Xu Ning, Chen Qiang, Cao Hua
机构信息
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China.
出版信息
J Cardiothorac Surg. 2020 May 11;15(1):81. doi: 10.1186/s13019-020-01141-y.
OBJECTIVE
The purpose of this study was to explore the effects of music therapy on pain, anxiety and depression in patients after coronary artery bypass grafting.
METHODS
A retrospective study of 99 patients after coronary artery bypass from January 2017 to January 2019 was conducted in a cardiac center in China. According to the different interventions, all the participants were divided into 3 groups: group A: music therapy; group B: rest without music therapy; and group C: conventional treatment. The Numerical Rating Scale (NRS), Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) were used to measure the patient's pain, anxiety and depression before and after 30 min of the intervention.
RESULTS
There were no significant differences in the NRS, SDS and SAS scores between the three groups of patients before the intervention. After 30 min of music therapy, the NRS, SDS and SAS scores of patients in group A were significantly lower than those before music therapy, and the differences were statistically significant. However, before and after the intervention in groups B and C, the NRS, SDS and SAS scores were not statistically significant. By comparison among the three groups after 30 min of intervention, the NRS, SDS and SAS scores in patients in group A were significantly lower than those in groups B and C, and the differences were statistically significant. The scores were not significantly different between groups B and C.
CONCLUSION
Music therapy can effectively alleviate the pain, anxiety and depression of patients after coronary artery bypass grafting.
目的
本研究旨在探讨音乐疗法对冠状动脉搭桥术后患者疼痛、焦虑和抑郁的影响。
方法
对中国某心脏中心2017年1月至2019年1月99例冠状动脉搭桥术后患者进行回顾性研究。根据不同干预措施，将所有参与者分为3组：A组：音乐疗法；B组：无音乐疗法的休息；C组：常规治疗。采用数字评定量表（NRS）、焦虑自评量表（SAS）和抑郁自评量表（SDS）在干预30分钟前后测量患者的疼痛、焦虑和抑郁情况。
结果
干预前，三组患者的NRS、SDS和SAS评分无显著差异。音乐疗法30分钟后，A组患者的NRS、SDS和SAS评分显著低于音乐疗法前，差异有统计学意义。然而，B组和C组干预前后，NRS、SDS和SAS评分无统计学意义。干预30分钟后三组比较，A组患者的NRS、SDS和SAS评分显著低于B组和C组，差异有统计学意义。B组和C组评分无显著差异。
结论
音乐疗法可有效缓解冠状动脉搭桥术后患者的疼痛、焦虑和抑郁。
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