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音乐可能改善伴有吞咽障碍的脑卒中康复患者的负性心理:一项回顾性研究。

Music May Improve Negative Psychology of Stroke Rehabilitation Patients with Dysphagia: A Retrospective Study.

机构信息

Department II of Neurology, Wuwei People's Hospital, Wuwei City, Gansu Province 733000, P.R. China.

Department I of Neurology, Wuwei People's Hospital, Wuwei City, Gansu Province 733000, P.R. China.

出版信息

Noise Health. 2024;26(122):417-422. doi: 10.4103/nah.nah_81_24. Epub 2024 Sep 30.

Abstract

OBJECTIVE

This study aims to explore the effect of music therapy on improving the negative psychology of stroke rehabilitation patients with dysphagia.

METHODS

The medical records of 160 stroke rehabilitation patients with dysphagia admitted to Wuwei People's Hospital from June 2020 to May 2021 were retrospectively analyzed. Based on the different clinical management programs, these patients were divided into the control group (n = 77, receiving routine clinical rehabilitation management) and the research group (n = 83, receiving routine clinical rehabilitation management + music therapy). The scores of the Standard Swallowing Assessment Scale (SSA), Patient Health Questionnaire-9 (PHQ-9), and the World Health Organization Five-item Well-Being Index (WHO-5), as well as the levels of dopamine (DA) and 5-hydroxy tryptamine (5-HT), of the two groups were compared.

RESULTS

After treatment, there was no significant difference in SSA scores between the two groups (P > 0.05). After the treatment, the PHQ-9 score of the research group was lower than that of the control group, whereas the WHO-5 score was significantly higher than that of the control group (P < 0.05). After the treatment, the levels of DA and 5-HT in the research group were significantly higher than those in the control group (P < 0.05).

CONCLUSIONS

Music therapy for stroke rehabilitation patients with dysphagia can improve their negative emotions and quality of life to a certain extent, which may alleviate the condition of patients.

摘要

目的

本研究旨在探讨音乐疗法对改善吞咽困难的脑卒中康复患者负性心理的影响。

方法

回顾性分析 2020 年 6 月至 2021 年 5 月武威市人民医院收治的 160 例吞咽困难脑卒中康复患者的病历资料。根据不同的临床管理方案,将这些患者分为对照组(n=77,接受常规临床康复管理)和研究组(n=83,接受常规临床康复管理+音乐疗法)。比较两组的标准吞咽评估量表(SSA)评分、患者健康问卷-9(PHQ-9)评分和世界卫生组织五维健康量表(WHO-5)评分,以及两组的多巴胺(DA)和 5-羟色胺(5-HT)水平。

结果

治疗后,两组 SSA 评分无显著差异(P>0.05)。治疗后,研究组 PHQ-9 评分低于对照组,而 WHO-5 评分明显高于对照组(P<0.05)。治疗后,研究组 DA 和 5-HT 水平明显高于对照组(P<0.05)。

结论

音乐疗法可在一定程度上改善吞咽困难脑卒中康复患者的负性情绪和生活质量,可能改善患者的病情。

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