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目的探讨接受式音乐护理对眼部手术感染眼内炎患者焦虑抑郁的影响。方法选取100例眼部手术感染眼内炎的患者随机分为干预组和对照组,每组各50例。干预组在常规临床护理的基础上每天给予30 min的接受式音乐护理,对照组在常规临床护理的基础上安静休息30 min,持续3d。比较两组患者干预前后的血压、呼吸、心率、焦虑[焦虑自评量表(SAS)]和抑郁[(抑郁自评量表(SDS)评分]。结果干预前,两组患者的舒张压、收缩压、呼吸频率、心率、SAS评分和SDS评分差异无统计学意义(t=0.384、1.206、0.327、0.375、0.526、0.153,P均>0.05);干预后,干预组的舒张压、收缩压、呼吸频率、心率、SAS和SDSi平分均得以显著改善(t=6.513、5.972、3.162、5.017、7.294、5.692,P均<0.05),对照组差异无统计学意义(t=1.725、1.832、0.594、1.479、1.241、1.347,P均>0.05);干预后,干预组的舒张压、收缩压、呼吸频率、心率、SAS和SDS评分显著低于对照组(t=4.067、4.254、2.874、3.824、5.640、2.215,P均<0.05)。结论接受式音乐护理能够降低眼部手术感染眼内炎患者的血压、呼吸频率和心率,缓解患者的焦虑抑郁水平。
Objective To investigate the effect of accepted music nursing on anxiety and depression in patients with endophthalmitis after eye surgery infection. Methods A total of 100 patients with endophthalmitis who underwent eye surgery were randomly divided into intervention group and control group, with 50 cases in each group. The intervention group received 30 minutes of daily music nursing on the basis of routine clinical nursing. The control group was resting for 30 minutes on the basis of routine clinical nursing for 3 days. Blood pressure, respiration, heart rate, anxiety [SAS] and depression [SDS] were compared between the two groups before and after intervention.Results Before intervention, the diastolic blood pressure, Systolic blood pressure, respiratory rate, heart rate, SAS score and SDS score were not significantly different (t = 0.384,1.206,0.327,0.375,0.526,0.153, P> 0.05). After intervention, the diastolic blood pressure, systolic blood pressure (T = 6.513,5.972,3.162,5.017,7.294,5.692, P <0.05), while there was no significant difference in the control group (t = 1.725,1.832,0.594, t = , 1.479,1.241,1.347, P> 0.05). After intervention, the scores of diastolic blood pressure, systolic blood pressure, respiratory rate, heart rate, SAS and SDS in the intervention group were significantly lower than those in the control group (t = 4.067,4.254,2.874,3.824, 5.640,2.215, P <0.05) .Conclusion Accepted music nursing can reduce the blood pressure, respiration rate and heart rate in patients with endophthalmitis after eye surgery and relieve the anxiety and depression in patients.