|熊 萍1 谌丽萍2.实施心理护理+个性化音乐干预对肠癌患者化疗后睡眠质量的影响[J].中国现代医生,2021,59(30):176-179
|The effect of psychological nursing combined with personalized music intervention on the sleep quality of patients with colorectal cancer after chemotherapy
|中文关键词: 睡眠质量 心理护理 肠癌 个性化音乐干预
|英文关键词:Sleep quality Psychological nursing Bowel cancer Personalized music intervention
| 目的 研究心理护理+个性化音乐干预对肠癌患者化疗后睡眠质量的影响。方法 选取本院2019 年6 月至2020 年5 月收治的86 例肠癌患者，依据随机双盲法分成两组，每组各43 例，对照组给予常规护理，研究组在常规护理基础上给予心理护理+个性化音乐干预，护理前后分别测定两组的HAMD（汉密顿抑郁量表）、HAMA（汉密顿焦虑量表）、睡眠障碍评分，出院时发放满意度调查表，比较两组护理结果。结果 护理前，两组的HAMD、HAMA 对比差异无统计学意义（P＞0.05），护理后两组评分均明显减低，但研究组评分更低于对照组，差异有统计学意义（P＜0.05）。护理前，两组的睡眠时间、睡眠障碍、睡眠效率、睡眠质量评分对比，差异无统计学意义（P＞0.05），护理后两组评分均明显减低，但研究组评分低于对照组，差异有统计学意义（P＜0.05）。研究组满意度（93.02%）高于对照组（76.74%），差异有统计学意义（P＜0.05）。结论 心理护理+个性化音乐干预运用在肠癌化疗后的效果极为突出，能够有效减轻患者焦虑与抑郁的情绪，使其保持积极心态，并改善睡眠质量，值得推广。
| Objective To study the effect of psychological nursing+personalized music intervention on the sleep quality of patients with colorectal cancer after chemotherapy.Methods A total of 86 patients with colorectal cancer in our hospital from June 2019 to May 2020 were selected and divided into two groups according to the random double-blind method，with 43 cases in each group.The control group was given routine nursing.The study group was given psychologi cal care+personalized music intervention based on routine care.The HAMD（Hamilton Depression Scale），HAMA（Hamilton Anxiety Scale），and sleep disorder scores of the two groups before and after nursing were determined.Satisfaction questionnaires when discharged were issued.The nursing results of the two groups were compared.Results Before nursing，there was no difference in HAMD and HAMA between the two groups（P＞0.05）.After nursing，the scores of the two groups were significantly reduced，but the scores of the study group were lower than those of the control group（P＜0.05）.Before nursing，there was no difference in sleep time，sleep disorder，sleep efficiency，and sleep quality scores between the two groups（P＞0.05）.After nursing，the scores of the two groups were significantly reduced，but the scores of the study group were lower than those of the control group（P＜0.05）.The study group's satisfaction degree was 93.02%，higher than that（76.74%）of the control group（P＜0.05）.Conclusion Psychological nursing+personalized music intervention is very effective in colon cancer after chemotherapy，which can effectively reduce the patient’s anxiety and depression，keep the patient in a positive attitude，and improve the quality of sleep.It is worthy of promotion.
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