音乐疗法联合护理干预对创伤性颅脑损伤所致精神障碍患者康复的影响

Effect of music therapy combined with nursing intervention on rehabilitation of mental disorder caused by traumatic brain injury

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(1)
作者
作者单位

中国医科大学附属盛京医院 ;
中国医科大学附属盛京医 ;

摘要
[摘要]探讨音乐疗法联合护理干预对创伤性颅脑损伤所致精神障碍患者康复的影响。方法 选择2016年1月至2017年4月我院收治的创伤性颅脑损伤所致精神障碍患者100例,将所有患者根据随机数字表法分为两组。对照组50例予以常规治疗及护理措施,在此基础上,予以观察组50例音乐疗法联合护理干预。干预4周后,比较两组生活质量、精神状况、认知功能。结果 观察组日常生活、支持、运动、健康、总体情况以及总分均高于对照组,差异具有统计学意义(P<0.05);观察组和对照组MMSE评分分别为(21.42±2.90)分、(18.25±2.65)分,MOCA评分分别为(22.15±3.09)分、(19.63±2.89)分,差异具有统计学意义(P<0.05);观察组和对照组易激惹评分分别为(9.62±1.86)分、(14.77±2.06)分,精神病表现评分分别为(15.59±1.96)分、(19.42±2.29)分,抑郁评分分别为(13.07±2.09)分、(17.33±2.18)分,迟滞评分分别为(9.52±1.66)分、(12.85±1.79)分,差异具有统计学意义(P<0.05)。结论 对创伤性颅脑损伤所致精神障碍患者实施音乐疗法联合护理干预效果显著,能有效改善患者精神状况和认知功能,提高生活质量。
Abstract
[Abstract] Objective To investigate the effect of music therapy combined with nursing intervention on rehabilitation of mental disorder caused by traumatic brain injury (TBI). Methods 100 patients with mental disorder caused by TBI in our hospital from January 2016 to April 2017 were selected, and they were divided into two groups by random number table. Control group (n=50) was given routine therapy and nursing, while observation group (n=50) was given music therapy combined with nursing intervention based on control group. After four-week intervention, the living quality, mental status, cognitive function were compared between the two groups. Results The daily living, support, exercise, health, overall situation and total points in observation group were higher than those in control group (P<0.05); The scores of MMSE and MOCA in observation group [(21.42±2.90) points, (22.15±3.09) points] and control group [(18.25±2.65) points, (19.63±2.89) points] had statistical difference (P<0.05); The scores of irritability, psychotic manifestation, depression, hysteresis in observation group [(9.62±1.86)points, (15.59±1.96)points, (13.07±2.09)points, (9.52±1.66)points] and control group [(14.77±2.06)points, (19.42±2.29)points, (17.33±2.18)points, (12.85±1.79)points] had statistical difference (P<0.05). Conclusion Music therapy combined with nursing intervention for patients with mental disorder caused by TBI is effective, it can improve mental status and cognitive function, increase living quality.
关键词
[关键词] 音乐疗法;护理干预;创伤性颅脑损伤;精神障碍;生活质量
KeyWord
[Key Words] Music therapy; Nursing intervention; Traumatic brain injury; Mental disorder; Living quality
基金项目
页码 175-178
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陆微*,张莹,陈颖,王玎. 音乐疗法联合护理干预对创伤性颅脑损伤所致精神障碍患者康复的影响 [J]. 国际精神病学杂志. 2019; 46; (1). 175 - 178.

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