芳香疗法联合五行音乐干预改善晚期癌症患者疼痛、焦虑及抑郁的效果评价
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作者:郁彬 郑芳菲 曹平 钱梦芸
摘 要 目的：探芳香疗法联合五行音乐干预对晚期癌症患者疼痛、焦虑及抑郁的影响。方法：选取2021年1月至2022年2月上海市杨浦区殷行社区卫生服务中心和上海市宝山区淞南镇社区卫生服务中心舒缓病区住院的90例晚期癌症患者，随机分为联合干预组、芳香组和五行音乐组，各30例。芳香组和五行音乐组在常规舒缓疗护的基础上分别应用芳香疗法和五行音乐疗法干预，联合干预组则在常规舒缓疗护的基础上应用芳香疗法联合五行音乐干预。比较三组干预后第7天、第14天、第28天的疼痛视觉模拟评分（visual analogue scale，VAS）、焦虑自评量表（self-rating anxiety scale，SAS）以及抑郁自评量表（self-rating depression scale，SDS）评分。结果：联合干预组干预后第14天、第28天的SAS、SDS评分均显著低于芳香组和五行音乐组（P<0.05），第28天的VAS评分显著低于芳香组和五行音乐组（P<0.05）。结论：芳香疗法联合五行音乐干预在改善晚期癌症患者的疼痛、焦虑和抑郁症状较单独应用前述两种治疗效果更佳，更值得临床推荐，推荐疗程28 d以上。
关键词 晚期癌症；疼痛；焦虑；抑郁；芳香疗法；五行音乐
中图分类号：R730.59 文献标志码：A 文章编号：1006-1533（2022）14-0015-03
引用本文 郁彬， 郑芳菲， 曹平， 等. 芳香疗法联合五行音乐干预对改善晚期癌症患者疼痛、焦虑及抑郁的效果评价[J]. 上海医药， 2022， 43（14）： 15-17， 29.
Effect evaluation of aromatherapy combined with five elements music intervention in improving pain， anxiety and depression in patients with advanced cancer
YU Bin1， ZHENG Fangfei1， CAO Ping2， QIAN Mengyun2（1. Songnan Community Health Service Center of Baoshan District， Shanghai 200441，China； 2.Yinhang Community Health Service Center of Yangpu District， Shanghai 200438，China）
ABSTRACT Objective： To explore the effect of aromatherapy combined with five elements music intervention on pain， anxiety and depression in patients with advanced cancer. Methods： Ninety patients with advanced cancer hospitalized in palliative ward of Yinhang Community Health Service Center and Songnan Community Health Service Center from January 2021 to February 2022 were selected and randomly divided into a combined intervention group， an aromatherapy group and a five element music group with 30 cases in each group. The aromatherapy group and the five elements music group applied aromatherapy and five elements music therapy intervention respectively on the basis of routine palliative care， and the combined intervention group applied aromatherapy combined with five elements music intervention on the basis of routine palliative care. The scores of the visual analogue scale（VAS）， self-rating anxiety scale（SAS） and self-rating depression scale（SDS） were compared among the combined intervention group and the other two groups on the 7th， 14th and 28th day after intervention. Results： The SAS and SDS scores of the combined intervention group on the 14th and 28th day after intervention were significantly lower than those of the aromatherapy group and the five elements music group（P<0.05）； the VAS score of the combined intervention group on the 28th day after intervention was significantly lower than that of the aromatherapy group and the five elements music group（P<0.05）. Conclusion： Aromatherapy combined with five elements music intervention is more effective in improving pain， anxiety and depression in patients with advanced cancer than the above two treatments alone， which is more worthy of clinical recommendation， and the recommended course of treatment is more than 28 days.
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