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    • 芳香療法聯合五行音樂干預改善晚期癌癥患者疼痛、焦慮及抑郁的效果評價

    芳香療法聯合五行音樂干預改善晚期癌癥患者疼痛、焦慮及抑郁的效果評價

    來源:用戶上傳      作者:郁彬 鄭芳菲 曹平 錢夢蕓

      摘 要 目的:探芳香療法聯合五行音樂干預對晚期癌癥患者疼痛、焦慮及抑郁的影響。方法:選取2021年1月至2022年2月上海市楊浦區殷行社區衛生服務中心和上海市寶山區淞南鎮社區衛生服務中心舒緩病區住院的90例晚期癌癥患者,隨機分為聯合干預組、芳香組和五行音樂組,各30例。芳香組和五行音樂組在常規舒緩療護的基礎上分別應用芳香療法和五行音樂療法干預,聯合干預組則在常規舒緩療護的基礎上應用芳香療法聯合五行音樂干預。比較三組干預后第7天、第14天、第28天的疼痛視覺模擬評分(visual analogue scale,VAS)、焦慮自評量表(self-rating anxiety scale,SAS)以及抑郁自評量表(self-rating depression scale,SDS)評分。結果:聯合干預組干預后第14天、第28天的SAS、SDS評分均顯著低于芳香組和五行音樂組(P<0.05),第28天的VAS評分顯著低于芳香組和五行音樂組(P<0.05)。結論:芳香療法聯合五行音樂干預在改善晚期癌癥患者的疼痛、焦慮和抑郁癥狀較單獨應用前述兩種治療效果更佳,更值得臨床推薦,推薦療程28 d以上。
      關鍵詞 晚期癌癥;疼痛;焦慮;抑郁;芳香療法;五行音樂
      中圖分類號:R730.59 文獻標志碼:A 文章編號:1006-1533(2022)14-0015-03
      引用本文 郁彬, 鄭芳菲, 曹平, 等. 芳香療法聯合五行音樂干預對改善晚期癌癥患者疼痛、焦慮及抑郁的效果評價[J]. 上海醫藥, 2022, 43(14): 15-17, 29.
      Effect evaluation of aromatherapy combined with five elements music intervention in improving pain, anxiety and depression in patients with advanced cancer
      YU Bin1, ZHENG Fangfei1, CAO Ping2, QIAN Mengyun2(1. Songnan Community Health Service Center of Baoshan District, Shanghai 200441,China; 2.Yinhang Community Health Service Center of Yangpu District, Shanghai 200438,China)
      ABSTRACT Objective: To explore the effect of aromatherapy combined with five elements music intervention on pain, anxiety and depression in patients with advanced cancer. Methods: Ninety patients with advanced cancer hospitalized in palliative ward of Yinhang Community Health Service Center and Songnan Community Health Service Center from January 2021 to February 2022 were selected and randomly divided into a combined intervention group, an aromatherapy group and a five element music group with 30 cases in each group. The aromatherapy group and the five elements music group applied aromatherapy and five elements music therapy intervention respectively on the basis of routine palliative care, and the combined intervention group applied aromatherapy combined with five elements music intervention on the basis of routine palliative care. The scores of the visual analogue scale(VAS), self-rating anxiety scale(SAS) and self-rating depression scale(SDS) were compared among the combined intervention group and the other two groups on the 7th, 14th and 28th day after intervention. Results: The SAS and SDS scores of the combined intervention group on the 14th and 28th day after intervention were significantly lower than those of the aromatherapy group and the five elements music group(P<0.05); the VAS score of the combined intervention group on the 28th day after intervention was significantly lower than that of the aromatherapy group and the five elements music group(P<0.05). Conclusion: Aromatherapy combined with five elements music intervention is more effective in improving pain, anxiety and depression in patients with advanced cancer than the above two treatments alone, which is more worthy of clinical recommendation, and the recommended course of treatment is more than 28 days.

    nlc202208181534



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