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

doi:10.16460/j.issn1008-9969.2023.05.072

摘要/Abstract

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

郑思琪, 陈璐, 马晴, 王钰涵, 成杰, 王云龙. 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[J]. 护理学报, 2023, 30(5): 72-78.

ZHENG Si-qi, CHEN Lu, MA Qing, WANG Yu-han, CHENG Jie, WANG Yun-long. Effect of ninauralbeat music therapy on anxiety, depression and fatigue in patients with hemiplegia after stroke[J]. Journal of Nursing, 2023, 30(5): 72-78.

参考文献

[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.

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