摘要
目的 本文旨在探究家庭病床联合音乐疗法的护理措施对患者生活活动能力和焦虑情绪的影响，并提供科学有效的护理方案。方法 选取2022年3月1日至2022年3月31日南通某社区老年脑梗死恢复期患者120例为研究对象，采用随机分组方法分为两组，实验组（60例）和对照组（60例）。对照组：实施家庭病床的常规护理方法；实验组：在常规护理的基础上对其实施音乐疗法的护理干预。比较2组患者干预后的基本日常生活活动能力评估表（ADL）和焦虑自评量表（SAS）的得分。结果 实验组患者的ADL得分高于对照组的得分，实验组患者的SAS得分低于对照组得分。两组患者在干预后ADL得分、SAS评分具有统计学意义（P<0.05）。结论 家庭病床联合音乐疗法可以改善老年脑梗死恢复期患者的日常生活活动能力，并缓解焦虑的情况。故科学的护理措施可以有效提高患者的康复效果。
关键词： 脑梗死恢复期；家庭病床；音乐疗法
Abstract
Objective This paper aims to explore the impact of home hospital bed nursing measures combined with music therapy on patients' life activity ability and anxiety, and to provide scientific and effective nursing programs. Methods 120 elderly patients with convalescent cerebral infarction in a community in Nantong from March 1,2022 to March 31,2022 were selected and divided into two groups, experimental group (60 cases) and control group (60 cases). Control group: implementing the routine nursing method of home sickbeds; experimental group: implementing the nursing intervention for music therapy on the basis of routine nursing. The scores of the post-intervention basic daily living activities ability assessment form (ADL) and the anxiety self-assessment scale (SAS) were compared in group 2 patients. Results The ADL score of the experimental group was higher than that of the control group, and the SAS score of the experimental group was lower than that of the control group. The ADL score and SAS score were statistically significant after the two intervention groups (P <0.05). Conclusion Home hospital beds combined with music therapy can improve their daily living activities and relieve their anxiety. Therefore, scientific nursing measures can effectively improve the rehabilitation effect of patients.
Key words： Cerebral infarction recovery period; Home hospital bed; Music therapy
参考文献 References
[1] 王丽娟,赵留庄,赵玉梅.高压氧治疗时机对急性脑梗死患者预后的影响[J].中华航海医学与高气压医学杂志,2017,024(005):343-347.
[2] 雷景宽,刘瑾,郭天畅,等.高压氧联合运动想象和舱内运动治疗脑梗死偏瘫的临床效果[J].中国当代医药,2019,026(016):55-58.
[3] 戴光媚.社区综合康复护理路径应用于老年脑梗死致偏瘫患者中的效果分析[J].医药前沿,2021,11(22):117-118.
[4] 赵珂.社区-家庭延续护理在急性脑梗死患者出院后康复中的应用[J].现代诊断与治疗,2021,32(16):2675-2677.
[5] 杜娟.家庭康复联合社区护理指导对老年脑梗死恢复期患者的影响研究[J].中国保健营养,2021,31(5):177.
[6] 许科科.社区开展家庭病床个体化服务模式的探讨[J].中国社区医师,2015,31(16):145-146.
[7] Khan SH, Kitsis M, Golovyan D, et al. Effects of music intervention on inflammatory markers in critically ill and post－operative patients: A systematic review of the literature[J]. Heart Lung, 2018,47(5):489-496．
[8] Haslbeck FB, Bucher HU, Bassler D, et al. Creative music therapy to promote brain structure, function, and neuro-behavioral outcomes in preterm infants: a randomized controlled pilot trial protocol[J]．Pilot Feasibility Stud, 2017,3(1):36.
[9] 冯淑芬,黄凤英,秦秀英.音乐疗法对急性脑梗死认知功能障碍患者的效果研究[J].中国现代药物应用,2019,13(23):227-229.
[10] Witusik Andrzej, Mokros Lukasz, Pietras Tadeusz. The role of music therapy in the clinic of obstructive diseases of the respiratory system. [J]. Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego,2021,49(294):445-447.