Ibáñez-Del Valle Vanessa, Sánchez-Martínez Vanessa, Silva Josep
Department of Nursing, Faculty of Nursing and Podiatry, University of Valencia, 46010 Valencia, Spain.
Frailty and Cognitive Impairment Organized Group (FROG), University of Valencia, 46010 Valencia, Spain.
Nurs Rep. 2024 Mar 22;14(2):695-706. doi: 10.3390/nursrep14020053.
Anxiety is an important and recurrent problem in people with severe mental illness (SMI). The aim of this work is to measure the effectiveness of the Music Therapy nursing intervention in reducing anxiety in outpatients diagnosed with SMI (bipolar disorder and schizophrenia). The intervention was structured over five weeks (ten 1-h sessions, twice weekly). Objective measures (blood pressure, heart rate, and respiratory rate) and subjective measures (anxiety response and the subjective perception of relaxation) were taken before and after every session. Our results show that this nursing intervention entails an objective reduction of the respiratory rate ((-4.5, -0.5) breaths per minute), the heart rate ((-5.80, -2.13) bpm), and it evidences a reduction in the subjective perception of anxiety (16.08% mean reduction in state anxiety). Considering all the sessions, the subjective perception of relaxation increased 97.33% of the time. This study provides evidence that the Music Therapy intervention can effectively promote relaxation and reduce anxiety symptoms in people with SMI. This study was retrospectively registered at Clinical Trials with Protocol Identifier NCT06315049.
焦虑是重度精神疾病（SMI）患者中一个重要且反复出现的问题。这项工作的目的是衡量音乐疗法护理干预对减轻被诊断为SMI（双相情感障碍和精神分裂症）的门诊患者焦虑的效果。干预为期五周（共十次，每次1小时，每周两次）。在每次治疗前后都进行了客观测量（血压、心率和呼吸频率）和主观测量（焦虑反应和放松的主观感受）。我们的结果表明，这种护理干预使呼吸频率客观降低（每分钟（-4.5，-0.5）次呼吸），心率降低（（-5.80，-2.13）次/分钟），并且证明主观焦虑感受有所减轻（状态焦虑平均降低16.08%）。综合所有治疗来看，97.33%的时间里放松的主观感受有所增强。这项研究证明，音乐疗法干预可以有效促进SMI患者的放松并减轻焦虑症状。本研究已在临床试验中进行回顾性注册，协议标识符为NCT06315049。
