Imani Mohammad, Jalali Amir, Salari Nader, Abbasi Parvin
Department of Nursing, Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Substance Abuse Prevention Research Center, Research Institute for Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
J Educ Health Promot. 2021 Aug 31;10:305. doi: 10.4103/jehp.jehp_1472_20. eCollection 2021.
Hemodialysis patients suffer from mental disorders such as anxiety and depression. One of the known nonpharmacological methods to eliminate these disorders is music therapy. The present study aimed to investigate the effect of instrumental music on state depression and anxiety in hemodialysis patients.
This study was a clinical trial. The population was hemodialysis patients in Hamedan in 2017 and 50 patients were selected and randomly divided into experimental and control groups. The duration each time of the instrumental music intervention for the experimental group was 3 weeks, 3 times a week for 20 min. Data were measured by beck depression inventory and SpeilBerger State-Trait Anxiety Inventory-Y1 before the intervention and immediately after the last intervention and analyzed using Yates correction, Chi-square test, Mann-Whitney -test, independent -test, and Wilcoxon test.
No significant difference between the intervention and control groups was observed before the study in terms of demographic variables ( > 0.05). In the intervention group, the mean and standard deviation of the depression score before the intervention was 8.99 ± 23.68 and after the intervention reached 7.54 ± 14.88, which shows that the variable was significant ( = 0.001); however, no significant difference was observed in the control group. In the intervention group, the mean of state anxiety before the intervention was 10.05 ± 53.76 and after the intervention reached 9.76 ± 42.48, which was statistically significant ( = 0.004), while no significant difference was observed in the control group.
The results indicate the positive effect of instrumental music on reducing anxiety and depression in hemodialysis patients. It is recommended that this therapy be used as a nursing method to reduce state anxiety and depression in hemodialysis patients.
血液透析患者患有焦虑和抑郁等精神障碍。已知消除这些障碍的非药物方法之一是音乐疗法。本研究旨在调查器乐对血液透析患者状态性抑郁和焦虑的影响。
本研究为一项临床试验。研究对象为2017年哈马丹的血液透析患者，选取50例患者并随机分为实验组和对照组。实验组器乐干预每次持续3周，每周3次，每次20分钟。在干预前和最后一次干预后立即使用贝克抑郁量表和斯皮尔伯格状态-特质焦虑量表-Y1进行数据测量，并使用耶茨校正、卡方检验、曼-惠特尼检验、独立样本t检验和威尔科克森检验进行分析。
在研究前，干预组和对照组在人口统计学变量方面未观察到显著差异（P>0.05）。在干预组中，干预前抑郁评分的平均值和标准差为8.99±23.68，干预后降至7.54±14.88，表明该变量具有显著性（P=0.001）；然而，对照组未观察到显著差异。在干预组中，干预前状态焦虑的平均值为10.05±53.76，干预后降至9.76±42.48，具有统计学显著性（P=0.004），而对照组未观察到显著差异。
结果表明器乐对降低血液透析患者的焦虑和抑郁有积极作用。建议将这种疗法作为一种护理方法，以减轻血液透析患者的状态性焦虑和抑郁。
