CAJ | 학술논문

目的：探讨中医五行音乐干预对乳腺癌化疗患者抑郁状态的影响。方法随机选取乳腺癌化疗患者30例，按随机数字表法分为两组，各15例。对照组采用常规心理护理，干预组采用常规心理护理结合中医五行音乐干预。干预前后对两组进行抑郁自评量表（ SDS）测评，并在干预后对干预组进行深度访谈。结果干预前干预组SDS得分为（59．13±7．95）分，对照组为（61．33±5．63）分，两组比较差异无统计学意义（t ＝0．875，P ＞0．05）；干预后干预组 SDS 得分为（51．87±5．67），低于对照组的（60．07±4．17）分，差异有统计学意义（t＝4．515，P＝0．000）。深度访谈显示五行音乐干预对改善乳腺癌化疗患者抑郁状态有积极作用。结论中医五行音乐干预能作为缓解乳腺癌患者抑郁状态情志护理的方法之一，值得在临床进一步尝试与完善。
목적：탐토중의오행음악간예대유선암화료환자억욱상태적영향。방법수궤선취유선암화료환자30례，안수궤수자표법분위량조，각15례。대조조채용상규심리호리，간예조채용상규심리호리결합중의오행음악간예。간예전후대량조진행억욱자평량표（ SDS）측평，병재간예후대간예조진행심도방담。결과간예전간예조SDS득분위（59．13±7．95）분，대조조위（61．33±5．63）분，량조비교차이무통계학의의（t ＝0．875，P ＞0．05）；간예후간예조 SDS 득분위（51．87±5．67），저우대조조적（60．07±4．17）분，차이유통계학의의（t＝4．515，P＝0．000）。심도방담현시오행음악간예대개선유선암화료환자억욱상태유적겁작용。결론중의오행음악간예능작위완해유선암환자억욱상태정지호리적방법지일，치득재림상진일보상시여완선。
Objective To explore the effect of Chinese medicine five-tone therapy intervention on the depression state of the chemotherapy patients with breast cancer .Methods Thirty chemotherapy patients with breast cancer were randomly divided into the control group and the observation group , each with 15 cases.The control group received the routine psychological nursing , and the observation group received the routine psychological nursing and five-tone therapy intervention .The self-rating depression scale ( SDS) was used in two groups before and after the intervention , and the depth interview was carried out in the observation group after the intervention.Results The score of SDS was ( 59.13 ±7.95 ) in the observation group before the intervention, and was (61.33 ±5.63) in the control group, and the difference was not statistically significant (t=0.875, P>0.05).The score of SDS was (51.87 ±5.67) in the observation group after the intervention , and was (60.07 ±4.17) in the control group, and the difference was statistically significant (t=4.515, P=0.000).The result of depth interview showed that five-tone therapy intervention has a positive effect on improving the depression state of the chemotherapy patients with breast cancer .Conclusions Chinese medicine five-tone therapy intervention is considered as one way of emotional nursing , and can alleviate the depression state of the chemotherapy patients with breast cancer , which is worthy of further attempt and improvement .