CAJ | 학술논문

目的探讨音乐疗法对维持性血液透析(MHD)伴抑郁症患者生活质量的影响.方法将MHD伴抑郁症的74例终末期尿毒症患者随机均分为观察组和对照组,每组37例.对照组予常规护理;观察组在此基础上,在每次血透期间予音乐疗法,随访36个月,比较两组患者的透析充分性和用SF-36生活质量表评价两组患者生活质量的情况.结果两组患者透析充分性比较,有显著性差异(P＜0.05或P＜0.01).观察组和对照组治疗后、本组治疗前的SF-36评分比较,有显著性差异(P＜0.05或P＜0.01).结论音乐疗法通过减轻MHD患者抑郁症状,可增加患者透析依从性,改善其营养状态,从而提高透析的充分性,最终提高MHD伴抑郁症患者的生活质量.
목적 탐토음악요법대유지성혈액투석(MHD)반억욱증환자생활질량적영향.방법 장MHD반억욱증적74례종말기뇨독증환자수궤균분위관찰조화대조조,매조37례.대조조여상규호리;관찰조재차기출상,재매차혈투기간여음악요법,수방36개월,비교량조환자적투석충분성화용SF-36생활질량표평개량조환자생활질량적정황.결과 량조환자투석충분성비교,유현저성차이(P＜0.05혹P＜0.01).관찰조화대조조치료후、본조치료전적SF-36평분비교,유현저성차이(P＜0.05혹P＜0.01).결론 음악요법통과감경MHD환자억욱증상,가증가환자투석의종성,개선기영양상태,종이제고투석적충분성,최종제고MHD반억욱증환자적생활질량.
Objective To observe the effect of music therapy on life quality of hemodialysis patients with depression.Methods 74 cases of maintenance hemedialysis patients with depression were randomly divided into control group (37 cases) and observation group (37 cases) .Routine nursing was adopted in the control group.The music therapy was adopted in the observation group.The average follow-up period was 36 months.Adequacy of dialysis and life quality were analyzed and compared between the two groups.Results Compared with those in control group,the adequacy of dialysis were better (P＜0.01 or P＜0.05) .The scores of SF -36 of the observation group after treatment were significantly higher than those of the control group and those before the treatment in the observation group (P＜0.05 or P＜0.01) .Conclusions Music therapy could alleviate depressive symptoms of maintenance hemediaiysis patients,and improve the compliance and nutritional status.Music therapy could improve llfe quality of hemodialysis patients with depression.