标题：音乐干预对颅内动脉瘤围手术期患者焦虑的影响

      作者：陈雄虎，吴丽娟，李桂兰
    (中国人民解放军第180医院脑外科，福建 泉州 362000)

      卷次： 2013年24卷19期

      【摘要】 目的 探讨音乐干预对颅内动脉瘤夹闭术围手术期患者焦虑的影响。方法 采用随机数字表法
将 63例择期行颅内动脉瘤夹闭术患者分为干预组(n=32)和对照组(n=31)，采用状态-特质焦虑问卷(State-Trait
Inventory，STAI)作为焦虑评估工具，予入院后第一天及出院前一天行评估。干预组患者于住院期间在各项治疗
及常规护理基础上接受音乐干预，每日3次(晨起、午休前、晚睡前)，每次30 min，手术全程音乐干预。对照组给予
干预组相同的治疗与护理，音乐干预除外。比较分析两组的干预前后焦虑评分的差异。结果 入院后两组患者
的状态-特质焦虑评分比较差异无统计学意义(P>0.05)；干预组患者状态-特质焦虑评分在出院前低于对照组，差
异有统计学意义(P<0.01)。结论 音乐干预可较好改善颅内动脉瘤围手术期患者的焦虑。

      【关键词】 音乐干预；颅内动脉瘤夹闭术；围手术期；状态焦虑；特质焦虑

      【中图分类号】 R739.41 【文献标识码】 A 【文章编号】 1003—6350（2013）19—2956—03


Effect of music intervention on perioperative anxiety among patients with intracranial aneurysms surgery.
CHEN Xiong-hu, WU Li-juan, LI Gui-lan.
Department of Cerebral Surgery, Chinese People's Liberation Army 180th
Hospital, Quanzhou 362000, Fujian, CHINA

【Abstract】 Objective To study the impact of music intervention on perioperative anxiety among patients
with intracranial aneurysm surgery. Methods Using random number table, 63 patients undergoing intracranial aneu-
rysm surgery were divided into intervention group (n=32) and the control group (n=31). State-Trait Inventory (STAI)
was applied as anxiety assessment tools on the first day after admission and the day before discharge. Patients in the in-
tervention group received music intervention in addition of routine treatment and nursing during hospitalization, 3
times a day (morning, before lunch break and before night sleep), for 30 min each time, with full music intervention
during the surgery. The control group received no music intervention. The anxiety scores in the two groups before and
after the intervention were compared. Results The STAI scores showed no statistically significant difference be-
tween the two groups before intervention (P>0.05). After intervention, the scores of the intervention group were signif-
icantly less than those of the control group (P<0.05). Conclusion Music intervention is of great significance to re-
duce the perioperative anxiety of patients with intracranial aneurysm surgery.

      【Key words】 Music intervention; Intracranial aneurysm surgery; Perioperative; State of anxiety; Trait of anxiety