心理干预联合音乐疗法对剖宫产患者应激水平的影响

目的：探讨心理干预联合音乐疗法对减轻患者的心理压力、缓解患者的手术疼痛、降低机体的应激水平所起到的积极作用。方法：将60例择期剖宫产患者随机分为对照组和干预组：对照组给予常规观察和护理措施,干预组除进行对照组的护理措施外另给予术前心理干预和术中音乐疗法。观察两组干预前后焦虑评分（SAS）、皮质醇（Cort）、血糖（Glu）水平变化及干预前后血压、心率、新生儿评分、患者满意度及疼痛值（VAS）水平变化。结果：两组在干预前SAS焦虑自评无明显差异,干预后干预组焦虑程度有所改善,低于对照组（P〈0.05）;两组Cort、Glu水平、VAS评分、患者满意度,干预组优于对照组（P〈0.05）;两组血压、心率及新生儿Apgar评分无统计学意义（P〉0.05）。结论：心理干预联合音乐疗法能有效缓解剖宫产患者的应激水平。

Psychological intervention combined with intraoperative music therapy reduces stress station of patients undergoing cesarean section

Objective：To investigate the positive role which played by the intraoperative music therapy that combined with psychological intervention to reduce psychological stress,relief the surgical pain and cut down the body＇s stress station.Methods： Sixty cases of selective cesarean section were randomly divided into two groups：the cases of control group were received routine observation and nursing care,the intervention group cases were provided psychological care interventions and intraoperative music therapy besides the measures of the control group.Anxiety scores（SAS）,the divergence of plasma cortisol（Cort）,glucose（Glu）,blood pressure,heart rate,pain scores（VAS）levels were observed before and after the intervention.Results： SAS（self anxiety scores）in both groups were no significant differences before the intervention and the intervention group reduced anxiety,lower than the control group（P 0.05）.In the level of Cort,Glu and VAS,the intervention group was more positive than the control group（P 0.05）.Heart rate,blood pressure and Apgar score showed no significant difference between the two groups.Conclusion： The intraoperative music therapy combined with psychological intervention can relieve stress in patients with cesarean section.