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音乐治疗对血液透析患者焦虑和抑郁的影响:一项随机对照的初步研究。

The effectiveness of live music in reducing anxiety and depression among patients undergoing haemodialysis. A randomised controlled pilot study.

机构信息

Universitat Politècnica de València, Valencia, Spain, Conservatorio Profesional de Música de Buñol, Valencia, Spain.

Universitat Politècnica de Valencia, Valencia, Spain.

出版信息

PLoS One. 2024 Aug 26;19(8):e0307661. doi: 10.1371/journal.pone.0307661. eCollection 2024.

Abstract

BACKGROUND

Anxiety and depression are highly prevalent disorders among individuals undergoing chronic haemodialysis. For patients with kidney disease, the haemodialysis process often exacerbates these conditions. This study aims to investigate the effects of listening to live classical music on anxiety and depression scales during haemodialysis sessions.

METHODS

A randomised clinical trial was conducted with a group of patients who listened to live classical music during haemodialysis sessions, while the control group received treatment as usual. Anxiety and depression levels were assessed at baseline and after 4 weeks of listening to live music. The study comprised 90 patients.

RESULTS

The results demonstrated a significant decrease in anxiety and depression among the intervention group, who listened to music, compared to the control group, who did not receive this intervention. Specifically, the intervention group, presented a decrease in score on the anxiety scale of -5.35 (p < 0.001) points on average and a decrease in score on the depression scale of -5.88 (p < 0.001) points on average, while in the control group the levels worsened with the progression of time.

CONCLUSION

It is concluded that listening to live classical music during haemodialysis sessions reduces anxiety and depression levels in HD patients. This conclusion adds value to listening to live music in the hospital context, specifically in this case, in haemodialysis rooms.

摘要

背景

焦虑和抑郁是接受慢性血液透析的个体中高度普遍的疾病。对于患有肾脏疾病的患者,血液透析过程常常会加重这些情况。本研究旨在探讨在血液透析期间聆听现场古典音乐对焦虑和抑郁量表的影响。

方法

进行了一项随机临床试验,其中一组患者在血液透析期间聆听现场古典音乐,而对照组则接受常规治疗。在基线和聆听现场音乐 4 周后评估焦虑和抑郁水平。研究包括 90 名患者。

结果

结果表明,与未接受此干预的对照组相比,聆听音乐的干预组的焦虑和抑郁程度显著降低。具体而言,干预组的焦虑量表评分平均降低了-5.35 分(p<0.001),抑郁量表评分平均降低了-5.88 分(p<0.001),而对照组的水平随着时间的推移而恶化。

结论

可以得出结论,在血液透析期间聆听现场古典音乐可降低血液透析患者的焦虑和抑郁水平。这一结论为在医院环境中聆听现场音乐增加了价值,特别是在血液透析室中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/75c2/11346941/74e33c514437/pone.0307661.g001.jpg

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