个体化音乐干预对预期性恶心呕吐患者不良情绪及应对方式的影响.doc

个体化音乐干预对预期性恶心呕吐患者不良情绪及应对方式的影响 【摘 要】目的 评价个体化音乐干预对预期性恶心呕吐患者不良情绪及应对方式的影响。方法 选择60例发生预期性恶心呕吐的患者，按入院顺序分为实验组与对照组各30例。两组均接受常规护理，实验组在常规护理的基础上运用个体化音乐进行干预，时间为21天,在第2、3周期化疗前测定患者恶心呕吐程度程度、焦虑自评量表（SAS）、抑郁自评量表（SDS）、简易应对方式评分。结果 两组患者在干预前恶心呕吐程度差异无统计学意义（χ2=0.067，P﹥0.05）；干预后两组恶心呕吐程度差异有统计学意义（χ2=6.399，P﹤0.01）；实验组在干预前后比较有统计学意义（χ2=8.297，P﹤0.01）；干预前两组SAS、SDS评分差异无统计学意义（（t=0.390，P﹥0.05；t=0.431，P﹥0.05）；干预后两组SAS、SDS评分差异有统计学意义（t=7.13，P0.01；t=2.57， P﹤0.05）； =5.554，P﹤0.05）。结论 个体化音乐干预可以改善ANV患者患者的应对方式，缓解患者焦虑、抑郁，减轻患者预期性恶心呕吐的程度，提高患者的生活质量。 【关键词】音乐干预；肿瘤；预期性恶心呕吐；影响 Application of emotional bank account in patients with anticipatory nausea and vomiting WANG Yun；DU Chun-ling；WANG Xue-mei Abstract Objective To observe the effect of emotional bank account in patients with anticipatory nausea and vomiting. Methods 60 patients suffered with ANV were selected and equally divided into the experimental group and control group according to the order of admission. In intervention time including two chemotherapy cycles, the control group accepted conventional care and the experimental group applied emotional bank account on the basis of conventional care from second chemotherapeutic cycle. Self-rating anxiety scale (SAS), self-rating depression scale (SDS), simplified coping style questionnaire and patient satisfaction were all evaluated before the second and forth chemotherapy respectively. Results The difference of nausea and vomiting in the control group and experimental group were not showed before intervention (x2=0.067,P0.05), but showed after intervention (x2=6.399,P0.01). The difference of SAS and SDS scores in two groups were not showed before intervention(t=0.390,P0.05; t=0.431,P0.05), but showed after intervention (t=7.13,P0.01; t=2.57,P0.05). Positive copying and negative copying scores of two groups weren’t different before intervention (t=0.542,P0.05; t=0.912,P0.05), but different after intervention (t=2.096,P0.05; t=2.753,P0.01). The difference of positive copying and negative copying scores were