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目的探讨音乐疗法在冠状动脉造影术(CAG)前对患者焦虑水平、收缩压、舒张压及心率的影响。方法选取天津胸科医院心内五科2014年6-12月100例行CAG治疗的患者,随机分为对照组与干预组各50例。对照组给予常规术前准备及术前宣教等,干预组在对照组基础上,手术前30 min另给予患者用MP3听取事先按照患者所喜欢的音乐类型,为其选择好的音乐直至患者到达心导管室进行手术。两组患者分别于手术前测量收缩压、舒张压、心率及采用焦虑自评量表(SAS)评分来测评患者焦虑情况进行比较。结果干预组接受音乐疗法后其收缩压(SBP)、舒张压(DBP)、心率(HR)较干预前显著降低,差异有统计学意义(P<0.05)。干预组给予音乐疗法后SAS评分较干预前显著下降,差异有统计学意义(P<0.01)。结论音乐疗法作为一种安全有效的辅助治疗方法配合常规的护理对冠状动脉造影术前患者疗效显著,值得在临床上推广应用。
Objective To investigate the effect of music therapy on anxiety, systolic blood pressure, diastolic blood pressure and heart rate before coronary angiography (CAG). Methods Totally 50 patients with CAG treated in five departments of cardiac department of Tianjin Chest Hospital from June to December in 2014 were randomly divided into control group and intervention group. The control group was given conventional preoperative preparation and preoperative missionary training. On the basis of the control group, the intervention group was given another 30 minutes before the operation, and the patients were given MP3s to listen to beforehand according to the patient’s favorite music types, Catheter room for surgery. Two groups of patients were measured before surgery, systolic blood pressure, diastolic blood pressure, heart rate and using anxiety self-rating scale (SAS) score to evaluate the anxiety of patients were compared. Results After the music therapy, the SBP, DBP and HR of the intervention group were significantly lower than those before the intervention (P <0.05). The score of SAS in intervention group decreased significantly compared with that before intervention, with significant difference (P <0.01). Conclusion Music therapy as a safe and effective adjuvant therapy combined with routine care of patients before coronary angiography significant effect, it is worth promoting in the clinical application.