探讨个性化音乐康复护理在抑郁症患者中的应用效果

卢柳青

[摘要] 目的 分析个性化音乐康复护理在抑郁症患者中的应用效果。方法 方便选取该院收治的140例抑郁症患者纳入该次实验，入选病例均来自2016年1月—2017年10月，按照随机数字表法将其分为实验组（70例）和对照组（70例），对照组采取常规护理模式，实验组在对照组的基础上应用个性化音乐康复护理，对比两组患者的护理效果。结果 实验组护理后SSRS评分为（34.1±7.2）分，HAMD评分为（10.9±4.4）分，均显著低于对照组（t=5.792，6.696，P<0.05）；实验组护理后治疗态度、治疗知识、治疗环境、治疗行为的认知程度分别为（24.3±4.9）分、（25.8±4.1）分、（24.0±5.5）分、（24.4±5.9）分，均显著高于对照组（t=3.808，5.604，4.465，4.042，P<0.05）；实验组临床舒适度包括心理、生理、文化、社会环境评分分别为（34.2±3.5）分、（31.0±3.0）分、（16.0±1.4）分、（27.0±1.8）分，与对照组比较差异有统计学意义（t=8.349，9.950， 15.765，7.705，P<0.05）；实验组患者护理满意度为94.3%，相比于对照组的68.6%更高（χ2=15.304，P<0.05）。结论 对抑郁症患者实施个性化音乐康复护理利于改善其抑郁症状，使其处于愉悦状态，并提升其治疗认知能力、舒适度和护理满意度。

[关键词] 抑郁症；个性化音乐康復护理；常规护理；认知能力；护理满意度

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）05（a）-0130-04

Study on Application Effect of Individualized Music Rehabilitation Nursing in the Depression Patients

LU Liu-qing

Department of Rehabilitation， Hechi Fourth Peoples Hospital， Hechi， Guangxi， 547000 China

[Abstract] Objective To analyze the application effect of individualized music rehabilitation nursing in the depression patients. Methods 140 cases of depression patients admitted and treated in our hospital were convenient selected from January 2016 to October 2017 and randomly divided into two groups with 70 cases in each， the control group used the routine nursing， while the experimental group used the individualized music rehabilitation nursing on the basis of the control group， and the nursing effect was compared between the two groups. Results The SSRS score and HAMD score in the experimental group after nursing were respectively（34.1±7.2）points and （10.9±4.4）points， which were obviously lower than those in the control group （t=5.792， 6.696， P< 0.05） ， and the treatment attitude， treatment knowledge， treatment environment and cognitive degree of treatment behavior in the experimental group after nursing were obviously higher than those in the control group， which were respectively（24.3±4.9）points， （25.8±4.1）points， （24.0±5.5）points， （24.4±5.9）points， and the indicators were obviously higher than those in the control group （t=3.808， 5.604， 4.465， 4.042， P<0.05）， and the clinical comfort degree including the mental， physical， culture and social environment in the experimental group were respectively（34.2±3.5）points， （31.0±3.0）points，（16.0±1.4）points，（27.0±1.8）points， and the differences were obvious，（t=8.349， 9.950， 15.765， 7.705， P< 0.05）， and the nursing satisfactory degree in the experimental group was higher than that in the control group， （94.3% vs 68.6%）， （χ2=15.304， P< 0.05） . Conclusion The implementation of individualized music rehabilitation nursing of depression patients is beneficial to improving the depression symptoms and making the patients at a pleasant state， and improving the treatment cognitive ability， comfort degree and nursing satisfactory degree.

[Key words] Depression； Individualized music rehabilitation nursing； Routine nursing； Cognitive ability； Nursing satisfactory degree

抑郁症又称抑郁性障碍，是一类高发的精神类疾病，其发病持续时间可长至2周，其病情易反复，治疗难度极大[1]。抑郁症如不及时进行干预可严重影响患者及其家人的生活和工作，诸多研究认为在对患者进行治疗的同时还需辅以恰当的护理干预[2-3]。该次实验方便选取该院在2016年1月—2017年10月收治的140例抑郁症患者为研究对象，就个性化音乐康复护理在患者护理中的应用效果进行分析，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收治的140例抑郁症患者纳入该次实验，按照随机数字表法将其分为实验组（70例）和对照组（70例）。实验组中男性30例，女性40例；年龄18～78岁，平均（39.5±4.6）岁；病程6个月～8年，平均（3.7±1.4）年；文化程度：小学及以下12例，初中24例，高中及中专20例，大专及以上14例；职业类别：体力劳动者39例，脑力劳动者31例。对照中男性34例，女性36例；年龄20～75岁，平均（40.2±4.8）岁；病程8个月～9年，平均（3.9±1.3）年；文化程度：小学及以下8例，初中26例，高中及中专22例，大专及以上14例；……