以质量求发展，以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (5): 72-78.doi: 10.16460/j.issn1008-9969.2023.05.072

Previous Articles    

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)

57

Like

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

CLC Number: 

  • 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] LI Xiang, FENG Ying-pu, MENG Xiao-jing, ZHOU Li-min, HUO Xiao-ran, XU Meng-min, WANG Hao. Best Evidence Summary of Oral Health Management for Stroke Patients [J]. Journal of Nursing, 2022, 29(9): 36-41.
[2] XIA Qing, XIAO Feng-feng, PENG Xin-yu, YOU Ya-fei, ZHOU Ting-ge, WANG Dong-hua. Mediating Effect of Perception of Autonomy between Death Anxiety and Self-supporting Ability of Rural Elderly People [J]. Journal of Nursing, 2022, 29(9): 52-57.
[3] LUO Shuang, YIN Hua-ying, LEI Li, WANG Hai-mei. Mediating Effect of Paternal Depression and Family Function between Maternal Depression and Mother-Infant Bonding after Discharge of Preterm Infants [J]. Journal of Nursing, 2022, 29(9): 58-63.
[4] WANG Yun-qiong, LIU Xue-mei, WANG Yao, LUO Meng-lei, YAN De-ping. Effect of Happy Sensation Training Group on Negative Emotion and Suicide Risk in Patients with Depression [J]. Journal of Nursing, 2022, 29(9): 73-78.
[5] ZHU Jin-feng, FANG Ying-ying, WANG Fang, YUAN Ping, CHEN Lu. Exercise Compliance and Its Influence Factors in Stroke Patients: A Systematic Review of Qualitative Studies [J]. Journal of Nursing, 2022, 29(8): 7-13.
[6] YAN Wen-juan, LI Zhuang-miao, YU Meng-ting, LI Shi-en, CHI Yan-hong. Systematic Review of Influence Factors of Stigma in Stroke Patients [J]. Journal of Nursing, 2022, 29(8): 46-52.
[7] LIU Hui, GUO Li-rui, CHEN Qiu-xiang, LIU Chun-ying, HE Juan-feng, WU Xiao-jia. Relocation Stress on Admission of Acute Stroke Patients: A Phenomenological Study [J]. Journal of Nursing, 2022, 29(8): 75-78.
[8] YANG Jie, XIE Xiao-hua, LIAN Wan-cheng, YANG Mei, DENG Li-ping, PAN Lu. Construction and Verification of Predictive Model of Hemorrhage after Intravenous Thrombolysis in Acute Ischemic Stroke [J]. Journal of Nursing, 2022, 29(5): 10-14.
[9] YU Xiao-yan, LIU Yu, HUANG Yi. Effects of Clown Care on Children's Anxiety and Pain: A Meta-analysis [J]. Journal of Nursing, 2022, 29(4): 21-26.
[10] ZUO Qian-qian, ZENG Wen-jie, LIAO Min-yi, LI Jing-qiu, LUO Lan, GAO Yu-lin. Current Status of Professional Grief of Hospice Care Nurses and Its Influence Factors: A 199-case Study [J]. Journal of Nursing, 2022, 29(4): 46-52.
[11] LI Jing-wen, MEI Jin-jin, WANG Yi-ying, GUO Jian, REN Bin-bin, FENG Xiao-dong, LI Rui-qing. Bayesian Network Meta-analysis of Total Effective Rate of Different Acupuncture Methods for Post-stroke Limb Spasm [J]. Journal of Nursing, 2022, 29(3): 1-6.
[12] WANG Rui-ying, XING Wei, FA Xian-en, CHEN Jun-zhuo. Latent Class Analysis of Fatigue of Pregnant Women in Late Pregnancy [J]. Journal of Nursing, 2022, 29(21): 11-16.
[13] ZHANG Yuan-xing, CHEN Lu, JI Cui-ling, WANG Fang, YUAN Ping, HE Man-lan. Influencing Factors and Pathway Analysis of Functional Exercise Adherence in Young and Middle-aged Patients with Hemorrhagic Stroke [J]. Journal of Nursing, 2022, 29(20): 6-10.
[14] WEI Yu-qi, WANG Rui-rui, YANG Xia, AN Cong-cong, YANG Ting, YANG Xue-shi, LIU Yan-hui. Current Status and Influencing Factors of Nicotine Dependence in Smoking Stroke Patients [J]. Journal of Nursing, 2022, 29(18): 1-5.
[15] CHEN Xin-hao, LU Gen-di. Risk Factors of Cognitive Impairment after Ischemic Stroke: A Prospective Cohort Study [J]. Journal of Nursing, 2022, 29(18): 6-11.
Viewed
Full text


Abstract

Cited
  Shared   
[1] . [J]. Journal of Nursing, 2022, 29(14): 66 -67 .
[2] LI Ling-yu, LUO Wen, LIAO Xiao-yu, LI Jin-ling, SUN Hong-yan. Narrative Nursing in Clinical Practice in China: A SWOT Analysis[J]. Journal of Nursing, 2022, 29(14): 68 -72 .
[3] . [J]. Journal of Nursing, 2022, 29(14): 73 -75 .
[4] . [J]. Journal of Nursing, 2022, 29(14): 76 -78 .
[5] MA Zhu-yue, YAO Shan-shan, SHI Yan-yan, LU Ning-ning, ZHU Ping, CHENG Fang. Development of risk perception questionnaire in women with breast-cancer-related lymphedema and its reliability and validity[J]. Journal of Nursing, 2023, 30(4): 1 -5 .
[6] CAO Zhi-qin, ZHANG Wen-jin, DU Hai-liang, FU Yao, CHEN Xing-feng. Construction of training index system for nursing postgraduates of sexual medicine[J]. Journal of Nursing, 2023, 30(5): 1 -6 .
[7] ZHU Yue, WANG Zhang-yi, FANG Zhi-ping, WANG Jing, YAN Yi-shan, ZHANG Ya-jun, PANG Xiao-li. Current status of workplace spirituality in clinical nurses and its influencing factors: a 456-case study[J]. Journal of Nursing, 2023, 30(5): 7 -11 .
[8] HOU Ying-ge, LI Hao-zheng, HOU Yun-xia, WANG Zi-han, LI Jing, WANG Song-mei, ZHAO Ya-jie, YAN Ling. Development and psychometric testing of self-management scale for gastroesophageal reflux in patients after surgery for esophageal cancer[J]. Journal of Nursing, 2023, 30(5): 12 -17 .
[9] LU Wen, CHEN Xiang-yu. Influencing factors of usage intention to nursing decision supporting system[J]. Journal of Nursing, 2023, 30(5): 18 -22 .
[10] WANG Liu-yue, LI Jun-li, HUANG Chun-lan, LIU Fang-yin. Current status of kinesiophobiain hospitalized patients with PICC and its influencing factors[J]. Journal of Nursing, 2023, 30(5): 23 -27 .