CAJ | 학술논문

目的：探讨音乐疗法对缓解焦虑、抑郁脊髓损伤患者不良情绪的效果。方法将2012年12月～2013年10月本院收治的发生焦虑、抑郁的脊髓损伤患者40例设为对照组，2013年11月～2014年9月本院收治的发生焦虑、抑郁的脊髓损伤患者40例设为观察组，两组患者均给予常规心理护理，观察组在对照组基础上，于患者入院3 d开始每日进行音乐治疗，1 h／次，4周为1个疗程。比较两组患者入院2 d内、治疗2周和治疗4周，汉密尔顿焦虑量表（Hamilton anxiety scale， HAMA）和汉密尔顿抑郁量表（Hamilton depression scale，HAMD）得分情况。结果治疗前两组患者HAMA、HAMD评分比较，差异无统计学意义（均P＞0．05）；治疗后2周与4周两组患者HAMA、HAMD评分比较，差异具有统计学意义（均P＜0．01），观察组患者评分明显低于对照组。结论音乐疗法能缓解脊髓损伤患者焦虑、抑郁不良情绪，增强其治疗主动性。
목적：탐토음악요법대완해초필、억욱척수손상환자불량정서적효과。방법장2012년12월～2013년10월본원수치적발생초필、억욱적척수손상환자40례설위대조조，2013년11월～2014년9월본원수치적발생초필、억욱적척수손상환자40례설위관찰조，량조환자균급여상규심리호리，관찰조재대조조기출상，우환자입원3 d개시매일진행음악치료，1 h／차，4주위1개료정。비교량조환자입원2 d내、치료2주화치료4주，한밀이돈초필량표（Hamilton anxiety scale， HAMA）화한밀이돈억욱량표（Hamilton depression scale，HAMD）득분정황。결과치료전량조환자HAMA、HAMD평분비교，차이무통계학의의（균P＞0．05）；치료후2주여4주량조환자HAMA、HAMD평분비교，차이구유통계학의의（균P＜0．01），관찰조환자평분명현저우대조조。결론음악요법능완해척수손상환자초필、억욱불량정서，증강기치료주동성。
Objective To investigate the effect of music therapy on anxiety and depression in patients with spinal cord injury. Methods Forty anxious and depressive patients with spinal cord injury were selected as the control group from December 2012 to October 2013, and another 40 anxious and depressive patients with spinal cord injury as the observation group from November 2013 to September 2014. Patients in the observation group were given the following metheds after admiting for 3 days besides psychological nursing; music therapy once a day, 1 hours one time for 4 weeks. The two groups were compared in terms of the scores by Hamilton anxiety scale (HAMA) scores and Hamilton depression scale (HAMD) before and after treatment. Results There were insignificant differences in HAMA scores and HAMD scores between the two groups before music therapy (P>0.05), but the scores by HAMA and HAMD in the observation group were both significantly lower than those in the control group. Conclusion Music therapy can alleviate anxiety and depression of patients with spinal cord injury, and promote the functional recovery.