音乐干预对脑卒中偏瘫患者焦虑情绪的影响

目的探讨音乐干预对脑卒中偏瘫患者焦虑情绪的影响。方法将110例焦虑状态的脑卒中偏瘫患者随机分为实验组和对照组各55例。对照组采用药物、康复治疗及常规护理,实验组在对照组基础上,采用音乐干预及康复训练依从性指导。于干预前及干预14 d后采用焦虑自评量表（self rating anxiety scale ,SAS）进行测评,并观察两组患者治疗依从性情况。结果干预前两组患者SAS得分比较,P 〉 0.05,差异无统计学意义;干预后两组患者SAS得分比较,P 〈 0.001 ,差异具有统计学意义,实验组患者得分明显低于对照组;两组患者治疗依从性比较,均P 〈 0.05,差异具有统计学意义,实验组患者治疗依从性明显高于对照组。结论音乐干预配合治疗依从性指导,可明显改善脑卒中偏瘫患者焦虑心理状态,提高患者治疗依从性,从而促进患者康复。

Effect of music intervention on anxiety in stroke hemiplegic patients Lin Jiayi, Zhang Dongqiong

Objective To observe the effect of music intervention on anxiety in stroke hemiplegic patients. Methods 110 hemiplegic patients with anxiety were randomly divided into two groups in equal number： the control group treated with medicine, rehabilitation care and routine care and the treatment group treated with music intervention as well as treatment compliance instructions of rehabilitation training. The self rating anxiety scale （SAS） was used in both groups to measure the anxiety levels before treatment and after 14 days. The treatment compliance was observed and compared between the two groups. Results The difference in SAS scores was insignificant between the groups before the music intervention （P 〉 0.05）, but the treatment group was significantly lower in the SAS scores than the control group after the intervention （P 〈 0.001）. The treatment compliance in the treatment group was significantly better than that of control group. Conclusion Music intervention with instruction on treatment compliance may obviously lower the degree of anxiety, promote the treatment compliance and thus propel the recovery from stroke.