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目的:探讨中医五行音乐在剖宫产后产妇情绪管理中的应用价值。方法:选取2014年6月~2015年6月400例剖宫产产妇作为研究对象,根据入住病房单双号随机分为实验组及对照组各200例。对照组进行常规健康教育和心理护理,观察组在常规健康教育和心理护理基础上进行中医五行音乐播放,干预时间为产后24小时至产后3天。采用焦虑自评量表、抑郁自评量表对两组进行干预前后调查,观察两组产妇干预前后SAS、SDS得分,焦虑及抑郁状况;跟踪调查两组产妇产后15天、42天、3个月焦虑、抑郁情况。结果:观察组干预后焦虑自评得分、抑郁自评得分分别为(29.2±8.06)分和(33.97±7.06)分,均低于对照组的(34.55±7.75)分和(38.31±6.46)分(P<0.05)。观察组干预后各时间段焦虑和抑郁发生率均低于对照组(P<0.5)。结论:中医五行音乐能有效改善剖宫产产妇焦虑、抑郁情绪,促进女性身心健康。
Objective: To explore the value of music of Five Elements of Traditional Chinese Medicine (TCM) in postpartum maternal emotional management. Methods: From June 2014 to June 2015, 400 cases of cesarean section were selected as study subjects, and divided into experimental group and control group according to single and double numbers admitted to ward. The control group received routine health education and psychological care. The observation group performed music of five elements of traditional Chinese medicine on the basis of routine health education and psychological nursing. Intervention time ranged from 24 hours postpartum to 3 days postpartum. The anxiety self-rating scale and depression self-rating scale were used to investigate the two groups before and after the intervention. SAS, SDS scores, anxiety and depression were observed before and after maternal intervention. The postpartum follow-up was 15 days, 42 days and 3 Month anxiety, depression. Results: After the intervention, anxiety self-assessment scores and self-rating depression scores were (29.2 ± 8.06) and (33.97 ± 7.06) points respectively, both lower than the control group (34.55 ± 7.75) and (38.31 ± 6.46) points (P <0.05). The incidence of anxiety and depression in the observation group after intervention was lower than that in the control group (P <0.5). Conclusion: The Music of the Five Elements of TCM can effectively improve the anxiety and depression of cesarean section mothers and promote the physical and mental health of women.