音乐治疗对首发脑卒中患者负性情绪的影响

The Effect of Music Therapy on the Negative Emotions of Patients with First Stroke

摘要: 目的：探讨锣鼓类型音乐对首发脑卒中患者负性情绪的影响，针对首发脑卒中患者的康复及负性情绪状态进行客观评价。方法：采用抑郁自评量表、焦虑自评量表、自我情绪评估量表，在2025年4月至2025年11月从成都市某三甲医院康复科选择住院并接受治疗且符合纳排标准的26例首发脑卒中患者作为研究对象，患者在常规治疗与康复护理的基础上进行锣鼓音乐治疗，干预时间为每个礼拜一和礼拜五中午十一点半各干预一次，每次时间45 min，每周干预两天，共干预两周(康复科患者住院周期为两周)，每周应用的音乐处方相同。在干预前一天和规范干预两个礼拜后，应用抑郁自评量表、焦虑自评量表及一般自我效能感量表评定干预前后音乐治疗对首发脑卒中患者自我效能及负性情绪的影响，采用SPSS 27.0软件根据不同数据类型进行统计分析，比较干预效果。结果：两周后，脑卒中患者抑郁评分、焦虑评分均有不同程度的下降，一般自我效能感得分有不同程度的提升，经统计学分析，差异具有统计学意义(P < 0.001)。结论：首发脑卒中患者自我效能处于中等水平，抑郁焦虑程度较深，且锣鼓音乐干预可有效缓解首发脑卒中患者的负性情绪状态，提升自我效能感。

Abstract: Objective: To explore the influence of gong and drum type music on the negative emotions of patients with first-episode stroke, and to objectively evaluate the rehabilitation and negative emotional state of patients with first-episode stroke. Methods: The Self-Rating Depression Scale, Self-Rating Anxiety Scale, and Self-Emotion Assessment Scale were adopted. From April 2025 to November 2025, 26 patients with first-onset stroke who were hospitalized and treated in the rehabilitation department of a tertiary hospital in Chengdu and met the inclusion and elimination criteria were selected as the research subjects. On the basis of conventional treatment and rehabilitation care, the patients received gong and drum music therapy. The intervention time is 11:30 a.m. every Monday and Friday, with each intervention lasting 45 minutes. The intervention is carried out for two days a week for a total of two weeks (the hospitalization period for patients in the rehabilitation department is two weeks). The music prescription applied each week is the same. One day before the intervention and two weeks after the standardized intervention, the Self-Rating Depression Scale, the Self-Rating Anxiety Scale and the General Self-Efficacy Scale were used to evaluate the effects of music therapy on self-efficacy and negative emotions of first-episode stroke patients before and after the intervention. SPSS 27.0 software was used for statistical analysis according to different data types to compare the intervention effects. Result: Two weeks later, the depression score, anxiety score and general self-efficacy score of stroke patients decreased to varying degrees, and the general self-efficacy score increased to varying degrees. Statistical analysis showed that the differences were statistically significant (P < 0.001). Conclusion: The self-efficacy of patients with first-episode stroke is at a medium level, and the degree of depression and anxiety is relatively deep. Moreover, the intervention of gong and drum music can effectively alleviate the negative emotional state of patients with first-episode stroke and enhance their sense of self-efficacy.