以质量求发展，以服务铸品牌

护理学报 ›› 2023, Vol. 30 ›› Issue (5): 72-78.doi: 10.16460/j.issn1008-9969.2023.05.072

• 临床护理-康复护理 • 上一篇    

双耳节拍音乐疗法对脑卒中偏瘫患者焦虑抑郁及疲劳的效果研究

郑思琪1, 陈璐1, 马晴1, 王钰涵1, 成杰2, 王云龙2   

  1. 1.华北理工大学,河北 唐山 063000;
    2.华北理工大学附属医院,河北 唐山 063000
  • 收稿日期:2022-07-19 出版日期:2023-03-10 发布日期:2023-04-11
  • 通讯作者: 成杰（1971-）,女,河北承德人,满族,硕士,主任护师。E-mail:chengjie9655@126.com
  • 作者简介:郑思琪（1998-）,女,河北石家庄人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    河北省医学科学研究项目（20221544）

Effect of ninauralbeat music therapy on anxiety, depression and fatigue in patients with hemiplegia after stroke

ZHENG Si-qi1, CHEN Lu1, MA Qing1, WANG Yu-han1, CHENG Jie2, WANG Yun-long2   

  1. 1. North China University of Science and Technology Tangshan 063000,China;
    2. Affiliated Hospital of North China University of Science and Technology, Tangshan 063000, China
  • Received:2022-07-19 Online:2023-03-10 Published:2023-04-11

PDF (PC)

174

赞

摘要： 目的 探讨双耳节拍音乐疗法对脑卒中偏瘫患者焦虑、抑郁及疲劳的应用效果。方法 选取2021年9月—2022年5月在华北理工大学附属医院住院的脑卒中偏瘫患者141例,采用随机数字表法将其分为对照组（n=47）、普通音乐组（n=47）和双耳节拍音乐组（n=47）。对照组给予常规的护理措施,普通音乐组在常规护理措施的基础上增加普通音乐训练,双耳节拍音乐组在常规护理措施的基础上实施双耳节拍音乐疗法的训练,干预前、干预14 d末及干预28 d末,观察比较3组脑卒中偏瘫患者焦虑、抑郁及疲劳评分情况。结果 3组脑卒中偏瘫患者焦虑评分比较,差异有统计学意义（F=21.232,P<0.001）;不同时间点脑卒中偏瘫患者焦虑评分、抑郁评分、疲劳各维度得分及总分比较,差异有统计学意义（P<0.001）;组与时间点间具有交互作用（P<0.001）。进一步单独效应,干预前3组脑卒中偏瘫患者焦虑评分、抑郁评分、疲劳各维度得分及总分比较,差异均无统计学意义（P>0.05）;干预14 d末和干预28 d末,3组脑卒中偏瘫患者焦虑评分、抑郁评分、疲劳各维度得分及总分比较,差异均有统计学意义（P<0.05）;随着时间变化3组脑卒中偏瘫患者焦虑评分、抑郁评分、疲劳各维度得分及总分均呈下降趋势。两两比较结果显示,干预28 d末双耳节拍音乐组脑卒中偏瘫患者焦虑评分、抑郁评分、疲劳各维度得分及总分均低于普通音乐组和对照组,且普通音乐组低于对照组,差异均有统计学意义（P<0.05）。结论 双耳节拍音乐疗法能有效改善脑卒中偏瘫患者焦虑、抑郁情绪,缓解其疲劳感。

关键词: 双耳节拍音乐疗法, 脑卒中, 偏瘫, 焦虑, 抑郁, 疲劳

Abstract: Objective To investigate the application effect of binaural beat music therapy on anxiety, depression and fatigue in patients with hemiplegia with stroke. Methods A total of 141 stroke patients with hemiplegia hospitalized in the Affiliated Hospital of North China University of Science and Technology from September 2021 to May 2022 were selected and divided into control group with routine nursing (n=47), ordinary music group with ordinary music training and routine nursing (n=47) and binaural beat music group with binaural beat music therapy and routine nursing (n=47) by random number table method. Anxiety, depression and fatigue score of the three groups were observed and compared before the intervention, at the end of 14 and 28 days. Results The anxiety score of the three groups was significantly different (F=21.232, P<0.001); the score of anxiety, depression, and fatigue and the total score at different time points were statistically significant (P<0.001), and there was interaction between the groups and time points (P<0.001). Simple effects, the score of anxiety, depression, and fatigue and the total score of the three groups before the intervention were not statistically significant (P>0.05), and those were statistically significant (P<0.05) at the end of 14 and 28 days of intervention. Pairwise comparison showed that the score of anxiety, depression, and fatigue and the total score in the binaural beat music group 28 days after the intervention were lower than those in the ordinary music group and the control group, and the ordinary music group was lower than that in the control group, showing statistical significance difference (P<0.05). Conclusion Binaural beat music therapy can effectively improve the anxiety, depression and fatigue of stroke patients with hemiplegia.

Key words: binaural beat music therapy, stroke, hemiplegia, anxiety, depression, fatigue

中图分类号: 

  • R473.74
[1] 王子文,高娟,白艳梅,等. 脑卒中后抑郁的病因及发病机制研究进展[J]. 医学研究与教育,2021,38(2):21-25. DOI:10.3969/j.issn.1674-490X.2021.02.004.
[2] Cumming TB, Packer M, Kramer SF, et al.The prevalence of fatigue after stroke: a systematic review and Meta-analysis[J]. Int J Stroke, 2016, 11(9):968-977. DOI:10.1177/1747493016669861.
[3] Camargos QM, Silva BC, Silva DG, et al.Minocycline treatment prevents depression and anxiety-like behaviors and promotes neuroprotection after experimental ischemic stroke[J]. Brain Res Bull,2020,155:1-10. DOI: 10.1016/j.brainresbull.2019.11.009.
[4] 鲁娟娟,刘霞,薛芬,等.强化认知干预对脑卒中伴抑郁和焦虑患者认知功能和负性情绪的影响[J].中国健康心理学杂志,2021, 29(11):1631-1636.DOI:10.13342/j.cnki.cjhp.2021.11.007.
[5] Dong XL, Sun X, Sun WM, et al.A randomized controlled trial to explore the efficacy and safety of transcranial direct current stimulation on patients with post-stroke fatigue[J].Medicine (Baltimore),2021,100(41):e27504.DOI:10.1097/MD.0000000000027504.
[6] Beauchene C, Abaid N, Moran R, et al.The effect of binaural beats on verbal working memory and cortical connectivity[J]. J Neural Eng,2017,14(2):026014. DOI:10.1088/1741-2552/aa5d67.
[7] Parodi A, Fodde P, Pellecchia T, et al.A randomized controlled study examining a novel binaural beat technique for treatment of preoperative anxiety in a group of women undergoing elective caesarean section[J]. Psychosom Obstet Gynaecol,2021,42(2):147-151.DOI:10.1080/0167482X.2020.1751607.
[8] Yusim A, Grigaitis J.Efficacy of Binaural beat meditation technology for treating anxiety symptoms: a pilot study[J]. Nerv Ment Dis, 2020, 208(2):155-160.DOI:10.1097/NMD.0000000000001070.
[9] Lim JH, Kim H, Jeon C, et al.The effects on mental fatigue and the cognitive function of mechanical massage and binaural beats (brain massage) provided by massage chairs[J]. Complement Ther Clin Pract,2018,32:32-38. DOI: 10.1016/j.ctcp.2018.04.008.
[10] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2018[J]. 中华神经科杂志,2018,51(9):666-682. DOI:10.3760/cma.j.issn.1006-7876.2018.09.004.
[11] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南(2019)[J]. 中华神经科杂志,2019,52(12):994-1005.DOI:10.3760/cma.j.issn.1006-7876.2019.12.003.
[12] 戴晓阳. 常用心理评估量表手册(修订版)[M].北京:人民军医出版社,2015.
[13] Zung WW, Richards CB, Short MJ.Self-rating depression scale in an outpatient clinic.further validation of the SDS[J]. Arch Gen Psychiatry,1965, 13(6):508-515.DOI: 10.1001/archpsyc.1965.01730060026004.
[14] 陈宏梅. 缺血性脑卒中患者卒中后疲劳与病耻感关系的研究[D].扬州:扬州大学,2020.
[15] Mitchell AJ, Sheth B, Gill J, et al.Prevalence and predictors of post-stroke mood disorders: a meta-analysis and meta-regression of depression, anxiety and adjustment disorder[J]. Gen Hosp Psychiatry, 2017,47:48-60. DOI: 10.1016/j.genhosppsych.2017.04.001.
[16] 陈长香,蒋虹,梁玉娟.运动引导想象训练在脑卒中患者中的应用研究[J].中华护理杂志,2019,54(7):985-989. DOI:10.3761/j.issn.0254-1769.2019.07.005.
[17] Zung WW.A rating instrument for anxiety disorders[J]. Psychosomatics,1971,12(6):371-379.DOI: 10.1016/S0033-3182(71)71479-0.
[18] 王征宇,迟玉芬.焦虑自评量表(SAS)[J].上海精神医学,1984(2):73-74.
[19] 王征宇,迟玉芬.抑郁自评量表(SDS)[J].上海精神医学,1984(2):71-72.
[20] Mills RJ, Pallant JF, Koufali M, et al.Validation of the Neurological Fatigue Index for stroke (NFI-stroke)[J]. Health Qual Life Outcomes,2012,10:51.DOI:10.1186/1477-7525-10-51.
[21] Ding J, Xiao Y, Yuan F, et al.Effectiveness and safety of music-supported therapy on mood in post-stroke rehabilitation patients: a protocol for systematic review and Meta-analysis[J].Medicine(Baltimore),2021,100(12):e25077.DOI:10.1097/MD.0000000000025077.
[22] Speranza L, Pulcrano S, Perrone-Capano C, et al.Music affects functional brain connectivity and is effective in the treatment of neurological disorders[J]. Rev Neurosci,2022,33(7):789-801. DOI: 10.1515/revneuro-2021-0135.
[23] 张明会,李惠萍,吴德全.非药物性护理干预在术中清醒患者焦虑疼痛管理中的应用进展[J].护理学报,2020,27(24):19-23.DOI:10.16460/j.issn1008-9969.2020.24.019.
[24] 李经纬,杨皓宇,胡理,等.节律性听觉刺激下的神经振荡同步化及其应用[J/OL]. 生物化学与生物物理进展(2022-08-12)[2022-11-25].http://www.pibb.ac.cn/cn/ch/common/create_pdf.aspx?file_no=20220266&flag=1.DOI:10.16476/j.pibb.2022.0266.
[25] 王小丽,许小明,刘宁.脑卒中后疲劳护理干预措施的研究现状[J].沈阳医学院学报, 2021,23(3):287-290.DOI:10.16753/j.cnki.1008-2344.2021.03.026.
[1] 王柳月, 李君丽, 黄春兰, 刘芳印. 住院患者PICC置管后恐动症发生现状及影响因素分析[J]. 护理学报, 2023, 30(5): 23-27.
[2] 安晓, 薛雅婷, 夏雨, 王红. 126名护士长决策疲劳现状及影响因素分析[J]. 护理学报, 2023, 30(3): 74-78.
[3] 苗姣娜, 王元姣, 何叶. 口腔感觉训练在脑卒中吞咽障碍患者中的应用进展[J]. 护理学报, 2023, 30(1): 37-40.
[4] 李翔, 冯英璞, 孟晓静, 周立民, 霍晓冉, 许梦敏, 王昊. 脑卒中患者口腔健康管理的最佳证据总结[J]. 护理学报, 2022, 29(9): 36-41.
[5] 夏青, 肖凤凤, 彭心雨, 游雅菲, 周婷格, 王冬华. 自主性感知在农村老年人死亡焦虑和自我养老能力间的中介作用[J]. 护理学报, 2022, 29(9): 52-57.
[6] 罗爽, 尹华英, 雷莉, 王海梅. 父亲抑郁情绪和家庭功能在早产儿母亲抑郁情绪与母婴情感联结间的中介效应[J]. 护理学报, 2022, 29(9): 58-63.
[7] 王云琼, 刘雪梅, 王瑶, 罗梦蕾, 严德萍. 快乐感知训练团体对抑郁症患者负性情绪及自杀风险干预的效果观察[J]. 护理学报, 2022, 29(9): 73-78.
[8] 朱金凤, 方莹莹, 王芳, 袁萍, 陈璐. 脑卒中幸存者运动依从性影响因素质性研究的Meta整合[J]. 护理学报, 2022, 29(8): 7-13.
[9] 燕文娟, 李壮苗, 余梦婷, 李施恩, 池艳红. 脑卒中患者病耻感影响因素的系统评价[J]. 护理学报, 2022, 29(8): 46-52.
[10] 李蕾蕾, 杨长永, 付朝红, 李曲, 岳岚. 程序性细胞死亡蛋白-1抑制剂免疫相关疲劳管理方案的构建[J]. 护理学报, 2022, 29(8): 14-18.
[11] 刘慧, 郭丽蕊, 陈秋香, 刘春英, 贺娟凤, 吴小佳. 急性脑卒中患者入院时迁移应激的现象学研究[J]. 护理学报, 2022, 29(8): 75-78.
[12] 杨洁, 谢小华, 连万成, 杨梅, 邓丽萍, 潘璐. 急性缺血性脑卒中静脉溶栓后出血预测模型的构建与验证[J]. 护理学报, 2022, 29(5): 10-14.
[13] 余小燕, 刘于, 黄毅. 小丑照护对患儿焦虑疼痛干预效果的Meta分析[J]. 护理学报, 2022, 29(4): 21-26.
[14] 左倩倩, 曾文捷, 廖敏怡, 李景秋, 罗岚, 高钰琳. 199名安宁疗护护士职业悲伤现状及影响因素分析[J]. 护理学报, 2022, 29(4): 46-52.
[15] 李婧雯, 梅紧紧, 王艺莹, 郭健, 任彬彬, 冯晓东, 李瑞青. 不同针刺方法治疗脑卒中后患者肢体痉挛总有效率的贝叶斯网状Meta分析[J]. 护理学报, 2022, 29(3): 1-6.
Viewed
Full text


Abstract

Cited
  Shared   
[1] 廖昌贵, 于瑞, 叶海丹. 5例肝移植受者术后人细小病毒B19感染的护理[J]. 护理学报, 2022, 29(14): 66 -67 .
[2] 李玲玉, 罗雯, 廖小雨, 李金玲, 孙鸿燕. 叙事护理在我国临床应用的SWOT分析[J]. 护理学报, 2022, 29(14): 68 -72 .
[3] 胡文敏, 张庆国, 周萍, 何巧芳. 半自动智能管理柜的设计及其在麻醉科毒麻药品管理中的应用[J]. 护理学报, 2022, 29(14): 73 -75 .
[4] 周凯, 罗琳, 侯晓敏, 姚艳. 临床采血试管支架的研制与应用[J]. 护理学报, 2022, 29(14): 76 -78 .
[5] 马珠月, 姚珊珊, 史妍妍, 陆宁宁, 邾萍, 程芳. 女性乳腺癌患者淋巴水肿风险感知评估问卷的编制及信效度检验[J]. 护理学报, 2023, 30(4): 1 -5 .
[6] 曹志琴, 张文瑾, 杜海亮, 傅瑶, 陈兴凤. 性医学领域护理专业学位研究生培养指标体系的构建[J]. 护理学报, 2023, 30(5): 1 -6 .
[7] 朱玥, 汪张毅, 方治平, 王竞, 闫奕杉, 张亚军, 庞晓丽. 456名临床护士工作场所灵性现状及影响因素分析[J]. 护理学报, 2023, 30(5): 7 -11 .
[8] 候莹鸽, 李好正, 侯云霞, 汪子寒, 李静, 王松梅, 赵亚杰, 阎玲. 食管癌术后患者胃食管反流自我管理测评量表的编制及信效度检验[J]. 护理学报, 2023, 30(5): 12 -17 .
[9] 卢雯, 陈湘玉. 护理临床决策支持系统使用意愿的影响因素研究[J]. 护理学报, 2023, 30(5): 18 -22 .
[10] 王柳月, 李君丽, 黄春兰, 刘芳印. 住院患者PICC置管后恐动症发生现状及影响因素分析[J]. 护理学报, 2023, 30(5): 23 -27 .