摘要
目的:观察音乐治疗及临床心灵关怀对肿瘤患者希望水平、应对方式的影响。方法:将肿瘤患者随机进入研究组与对照组。研究组予以音乐治疗配合临床心灵关怀服务,对照组予以单纯临床心灵关怀干预,调查干预前后两组患者的希望水平和应对方式的变化情况。结果:研究组干预前医学应对问卷"面对"分量表得分为15.71±2.932,干预后得分为20.427±2.610;研究组干预前医学应对问卷"回避"分量表得分为14.57±2.115,干预后得分为16.800±1.970;研究组干预前Herth希望调查表得分为29.54±3.052,干预后得分为34.434±2.137。对照组干预前医学应对问卷"面对"分量表得分为17.11±2.941,干预后得分为21.747±2.507;研究组干预前医学应对问卷"回避"分量表得分为15.82±1.933,干预后得分为16.720±2.095;研究组干预前Herth希望调查表得分为30.29±2.753,干预后得分为34.500±2.430。两组治疗干预前后医学应对问卷"面对"、"回避"量表总分、Herth希望调查表总分的主效应有差异(P<0.001)。研究组与对照组相比,两组的"面对"、"回避"总分的主效应有差异(P<0.05)。结论:音乐治疗配合临床心灵关怀干预较单纯心灵关怀,提高患者使用面对、回避应对方式可能性的效果更佳。
Objective： To know comparable effects of clinical spiritu al care complemented w ith music therapy and those of pure spiritual care on hope level,co pingmode of cancer patients. Methods： The experimental group was pro-vided with cl inical spiritual care complemented with music therapy whi le the control group is given pure spiritu al care. Studies wi l l be carried out to find changes in the hope level and coping mode. Results： The score in ＂ confronta-tion ＂subscale with MCMQ （ medical coping modes questionnaire ） of experimental group before intervention was 15. 71 ± 2. 932,turned to 20.427 ± 2. 610 after inte rvent io n. The score in ” escape” subscale with MCMQ o f experi-mental group before intervention was 14. 57 ± 2. 115 , turns to 16. 800 ± 1.970 after in te rvention; Scores in herth hope Index of experimental group before intervention was 29.54 ±3. 052, turns to 34.434 ±2. 137 after in te rvention. The score in ＂ confrontation＂ subscale with MCMQ of control group before intervention was 17. 11 ± 2. 941,turns to 21.747 ±2. 507 after intervent ion; the score in “ escape” subscale with MCMQ of control group before intervention was 15. 82 ± 1.933,turns to 16. 720 ±2. 095 after intervention;Scores in herth hope index of control group before in -tervention was 30. 29 ±2. 753,turns to 34. 500 ±2. 430 after inte rvent io n. It showed that the score in confrontation’’ and ＂avoidance＂ scales with the MCMQ scores in herth hope index before and after treatment intervention had s ignifi-cant difference in the main ef fect （P 〈0.001）. Differences between the experimental group and control group in as-pect of main effects were shown in scores in ＂ confrontation＂ and ＂ avoidance＂ scales with the MCMQ （ P 〈 0. 05 ）. Conclusion ： Spiritual care complemented w ith music therapy works better than pure sp iritu al care in encouraging pa-tients to use coping modes of confrontation and avoidance.
出处
《现代肿瘤医学》
CAS
2017年第17期2823-2827,共5页
Journal of Modern Oncology
基金
湖南省科技厅重点科研项目基金支持项目(编号:2013ZK2055)
关键词
临床心灵关怀
音乐治疗
癌症
希望水平
应对方式
clinical spiritual care,music therapy, cancer,herth hope indes,coping mode
