【作者】 杨琳；

【导师】 金瑞华；

【作者基本信息】 山西医科大学 ， 护理学， 2018， 硕士

【摘要】 目的:通过对慢性疼痛患者进行为期4周的五行音乐干预,探讨五行音乐疗法对慢性疼痛患者疼痛情况、心理状况及生活质量的影响,为慢性疼痛的临床治疗和护理及五行音乐疗法在临床上的推广应用提供依据。方法:选取山西省针灸研究所2016年7月-2016年12月收治的慢性疼痛患者66例,随机分为试验组和对照组,各33例。对照组患者实施常规治疗护理和健康教育,试验组患者在常规组基础上加用五行音乐疗法。两组患者均进行连续4周的护理,之后行1个月的随访。观察两组患者护理前后的疼痛水平、焦虑、抑郁情况及生活质量状况。结果:1、基线比较干预前两组患者一般资料(年龄、性别、职业、文化程度、婚姻状况、家庭经济状况、疼痛部位数目和病程)比较,差异无统计学意义(p>0.05),具有可比性。干预前两组患者简化疼痛问卷(SF-MPQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、简式生活质量调查表(SF-12)各维度评分比较,差异均无统计学意义(p>0.05),具有可比性。2、疼痛水平组内比较:试验组患者干预后SF-MPQ评分、感觉评分、情感评分、视觉模拟评分(VAS)评分、疼痛评定指数(PPI)评分较干预前均有所下降,差异具有统计学意义(p<0.05);对照组患者干预后SF-MPQ评分、感觉评分、情感评分、VAS评分、PPI评分较干预前均有所下降,差异具有统计学意义(p<0.05)。组间比较:干预后试验组患者的SF-MPQ评分、感觉评分、情感评分、VAS评分、PPI评分均低于对照组,且差异有统计学意义(p<0.05)。3、心理状况组内比较:试验组患者干预后SAS、SDS评分较干预前均有所下降,差异具有统计学意义(p<0.05);对照组患者干预后SAS、SDS评分较干预前均有所下降,差异具有统计学意义(p<0.05)。组间比较:干预后试验组患者的SAS、SDS评分均低于对照组,且差异有统计学意义(p<0.05)。4、生活质量组内比较:试验组患者干预后SF-12各个维度评分较干预前均有所提高,差异具有统计学意义(p<0.05);对照组患者干预后SF-12各个维度评分较干预前均有所提高,差异具有统计学意义(p<0.05)。组间比较:干预后试验组患者的SF-12各个维度评分均高于对照组,且差异有统计学意义(p<0.05)。结论:1、五行音乐疗法可缓解慢性疼痛患者焦虑、抑郁的心理状况。2、五行音乐疗法可减轻慢性疼痛患者的疼痛。3、五行音乐疗法可改善慢性疼痛患者的生活质量。更多还原

【Abstract】 Objective:Through the four-week intervention of “Five elements of music” in patients with chronic pain,to explore the influence of five elements of music therapy on pain,psychological status,and quality of life of chronic pain patients.It provides evidence for the clinical treatment and nursing of chronic pain and the popularization and application of five elements music therapy in clinical practice.Methods:A total of 66 patients with chronic pain who were treated in Shanxi Acupuncture and Moxibustion Institute from July 2016 to December 2016 were randomly divided into treatment group and control group,33 cases in each group.The patients in the control group were given routine treatment care and health education.The patients in the treatment group were treated with five elements music therapy on the basis of the routine group.Two groups of patients were treated for 4 weeks of continuous care,followed by one month of follow-up.Observe the pain level,anxiety,depression,and quality of life before and after nursing in both groups.Results:1.Baseline comparisonBefore the intervention,the general data(age,gender,occupation,education level,marital status,family economic status,number of pain sites,and disease course)of the two groups were not statistically different(p>0.05),and they were comparable.Before the intervention,the scores of the SF-MPQ,the SAS,the SDS,and the SF-12 were compared.The differences were not statistically significant(p>0.05)and they were comparable.2.Pain levelComparisons within group :After the intervention,the SF-MPQ score,sensory score,affective score,visual analogue scale score,and pain assessment index score of the treatment group decreased compared with those before the intervention,and the difference was statistically significant(p<0.05).In the control group,the SF-MPQ score,sensory score,affective score,VAS score,and PPI score decreased after intervention.And the difference was statistically significant(p<0.05).Comparison between groups:After the intervention,the SF-MPQ score,sensory score,affective score,VAS score,and PPI score of the treatment group were lower than those of the control group,and the difference was statistically significant(p<0.05).3.Psychological conditionsComparisons within group:In the treatment group,the SAS and the SDS score decreased after the intervention.And the difference was statistically significant(p<0.05).In the control group,the SAS and the SDS score decreased after the intervention,and the difference was statistically significant(p<0.05).Comparison between groups:After the intervention,the SAS and SDS score of the treatment group were lower than those of the control group,and the difference was statistically significant(p<0.05).4.Quality of lifeComparisons within group:The scores of all dimensions of SF-12 in the treatment group were higher than those before the intervention,and the difference was statistically significant(p<0.05).After the intervention of the control group,the scores of all dimensions of SF-12 were higher than those before the intervention,and the difference was statistically significant(p<0.05).Comparison between groups:After the intervention,the scores of all dimensions of SF-12 in the treatment group were higher than those in the control group,and the difference was statistically significant(p<0.05).Conclusion:1.Five elements of music therapy can relieve the psychological state of anxiety and depression in patients with chronic pain.2.Five elements of music therapy can relieve pain in patients with chronic pain.3.Five elements of music therapy can improve the quality of life in patients with chronic pain.更多还原