Journal of International Psychiatry

摘要：目的 探讨体感音乐疗法联合心理干预对肾癌患者围手术期心理健康和术后康复的影响。方法 前瞻性收集我院收治的肾癌患者80例，将患者随机分为观察组(n=40)和对照组(n=40)，两组患者均给予心理干预，在此基础上观察组术前给予体感音乐疗法，观察两组患者围手术期心理健康和术后康复情况。结果 两组患者入院时焦虑自我评分(SAS)和抑郁自我评分(SDS)均无统计学差异(P>0.05)。与对照组比较，观察组患者术后3天和术后7天SAS和SDS评分均显著下降(P<0.05)。两组患者术前AngII和CRP均无统计学意义(P>0.05)。术后24h观察组患者AngII和CRP显著低于对照组(P<0.05)。观察组患者术后肛门排气时间显著缩短(31.39±9.84 vs. 35.82±8.49 h, P=0.034)。结论 体感音乐疗法联合心理干预有助于改善肾癌患者围手术期心理健康，加速术后康复。关键词：体感音乐；肾癌；围手术期；心理健康；术后康复Effect of somatosensory music therapy combined with psychological intervention on perioperative mental health and postoperative rehabilitation in patients with renal cell carcinomaWAN Li1 BAI Zhong-yuan2 ZHANG Yi-xiang2 Liao Shu-ping1,Liu Hong-yan2（1. Department Of health examination center，The Second Affiliated Hospital，Jinan University；Shenzhen People’s Hospital，Shenzhen，Guangdong，518020，P.R.China； 2. Department Of Urology，The Second Affiliated Hospital，Jinan University；Shenzhen People’s Hospital，Shenzhen，Guangdong，518020，P.R.China）Abstract Objective To investigate the effect of somatosensory music therapy combined with psychological intervention on perioperative mental health and postoperative rehabilitation in patients with renal cell carcinoma. Methods 80 patients with renal cell carcinoma in our hospital were prospectively collected and were randomly assigned into an observation group (n=40) or a control group (n=40). The patients in the both groups received psychological intervention. On the basis, the patients in the observation group were treated with somatosensory music therapy before the operation. And the perioperative mental health and postoperative rehabilitation of the both groups were compared. Results There were no significant differences between the two groups in self-rating anxiety score (SAS) and self-rating depression score (SDS) on admission (P>0.05). When compared with the control group, patients in the observation group got decreased levels of SAS and SDS at 3 days and 7 days since the operation (P<0.05). There were no significant differences between the two groups in AngII and CRP before the operation (P>0.05). When compared with the control group, patients in the observation group got decreased levels of AngII and CRP at 24h after the operation (P<0.05). The postoperative anal exhaust time was significantly shorter in the observation group when compared with the control group (31.39±9.84 vs. 35.82±8.49 h, P=0.034). Conclusion Somatosensory music therapy combined with psychological intervention is helpful to improve the mental health in patients with renal cell carcinoma during perioperative period, and to Accelerate postoperative rehabilitation.

Key words: somatosensory music; renal cell carcinoma; perioperative period; mental health; postoperative rehabilitation