CAJ | 학술논문

目的探讨改良音乐疗法对急性冠脉综合征(ACS)患者介入治疗术后生活质量的影响.方法将2009年7-12月介入治疗术后的ACS患者108例进行随机分为干预组54例和对照组54例.对照组给予常规的治疗与护理,干预组除给予常规治疗与护理外,还应用改良音乐疗法即音乐运动处方给予干预,患者住院期间应用音乐运动处方干预每次10～15 min,3次/d.患者出院后根据个人喜好选择不同的有氧运动方式同时聆听放松音乐,每次15～30 min,2次/d.比较两组患者住院期间的焦虑、抑郁程度及左室射血分数及出院1个月的生活质量等.结果干预1周后干预组的左室射血分数、焦虑、抑郁程度与对照组比较差异有统计学意义(P＜0.01);出院1个月时干预组的生活质量SF-36及SAQ评分及抑郁程度显著优于对照组,差异有统计学意义(P＜0.05或P＜0.01).结论改良音乐疗法可以改善ACS患者介入治疗术后的焦虑、抑郁和生活质量水平.
목적 탐토개량음악요법대급성관맥종합정(ACS)환자개입치료술후생활질량적영향.방법 장2009년7-12월개입치료술후적ACS환자108례진행수궤분위간예조54례화대조조54례.대조조급여상규적치료여호리,간예조제급여상규치료여호리외,환응용개량음악요법즉음악운동처방급여간예,환자주원기간응용음악운동처방간예매차10～15 min,3차/d.환자출원후근거개인희호선택불동적유양운동방식동시령은방송음악,매차15～30 min,2차/d.비교량조환자주원기간적초필、억욱정도급좌실사혈분수급출원1개월적생활질량등.결과 간예1주후간예조적좌실사혈분수、초필、억욱정도여대조조비교차이유통계학의의(P＜0.01);출원1개월시간예조적생활질량SF-36급SAQ평분급억욱정도현저우우대조조,차이유통계학의의(P＜0.05혹P＜0.01).결론 개량음악요법가이개선ACS환자개입치료술후적초필、억욱화생활질량수평.
Objective To study the effect of improvement music therapy on ACS patients after PCI.Methods From July to December 2009,108 patients who were hospitalized after emergency PCI were divided into the experimental group (EG) and the control group (CG) randomly, with 54 patients in each group. The EG received improvement music therapy for 3 times per day, 10 ～ 15 min for once in-patient; and continue improvement music therapy out-patient for 2 times per day, 15 ～ 30 min for once. The LVEF, the scale of anxiety and depression and SF-36, SAQ et al were compared between the two groups using t and X2 test.Results The scale of anxiety and depression, the LVEF and SF-36,SAQ in the EG was statistically significant different from those of the CG ( P ＜ 0.01 ). Conclusions Improvement music therapy could significantly influence the patients' rehabilitation effect after PCI.