Objective To investigate the effect of music therapy plus selective serotonin reuptake inhibitors (SSRIs) on emotion and bum wound healing in bum patients. Methods Moderate and severe bum inpatient.s, aged 12-60 years were selected. Emotional problems were then measured by the Hamilton Rating Scale for Depression and Hamilton Rating Scale for Anxiety within three days after bum injury. Bum patients with depression and anxiety were randomly allocated into the trial group (28 patients) and the control group (27 patients). Music therapy and SSRIs plus conventional burn care Were applied to the trial group, and conventional bum care to the control group, both for 30 days. The scores of anxiety, depression and the degree of bum wound healing were assessed.
Results The differences of depression score and anxiety score before and after treatment were 13. 7 ±6.43 and 6.43 ±2.72 respectively in the trial group, and 4. 74 ±6.75 and 4.44 ±3.36 respectively in the control group. This showed both scores significantly improved compared with the control group (P 〈0. 05). The time for burn wound healing was shortened in the treatment group (P 〈0. 05). The anxiety score was positively correlated with bum index, and so was the depression score (P 〈 0.05 ).
Conclusions The anxiety and depression scores are positively correlated with the burn index. Music therapy plus SSrIs can ameliorate the emotional problems ( depression and anxiety), and shorten the time for burn wound heating.
Citation:
ANG Dong,WU Xiaoping,SUN Chongzhou,SONG Zongjin,XU Yun xia,XIAO Xiaolan,HE Youde,WANG Caiming,SUN Xueli. Effect of Music Therapy Plus Selective Serotonin Reuptake Inhibitors on Emotion and Burn Wound Healing in Burn Patients. Chinese Journal of Evidence-Based Medicine, 2006, 06(2): 90-93. doi:
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- 1. Bao QZ,Song LJ,Yi JH,et al.Psychological investigation on 174 burn patients and experience in nursing work.The Chinese Journal of Burns Wounds & Surface Ulcers,1996;24(1):42-43.鲍庆珍,宋丽君,尹继红,等.174例烧伤病人心理调查及体会.中国烧伤创疡杂志,1996; 24(1):42~43.
- 2. Ye ZZ.Psychological investigation and therapy on severe burn patients.Chinese Journal of Clinical Rehabilitation,2002;61(4):2045-2046.叶增志.重度烧伤病人的心理分析及治疗.中国临床康复,2002; 61(4):2045~2046.
- 3. Huang guo-zhi.Music therapy and mental health.Chinese Journal of Rehabilition of Medicine,1996;11(4):190-191.黄国志.音乐治疗与心身健康.中国康复医学杂志,1996; 11(4):190~191.
- 4. Guétin SE,Coudeyre P,et al.Effect of music therapy among hospitalized patients with chronic low back pain:a controlled,randomized trial.Annales de réadaptation et de médecine Physique,2005;48:217-224.
- 5. Liao HS,Shi F.Summary of music therapy.Chinese Journal of Rehabilitation,1999; 5(4):187-188.缪鸿石,石峰.音乐治疗简介.中国康复1999; 5(4):187~188.
- 6. Lu YL,Lai W.Research survey of music therapy in recent 20 years.Shanghai Journal of Herbal College,2002; 36(1):46-48.卢银兰,赖文.近20年来音乐疗法的研究概括.上海中医院杂志,2002; 36(1):46~48.
- 7. Prensner JD,Yowler CJ,Smith LF,et al.Music therapy for assistance with pain and anxiety management in burn treatment.J-Burn-Care-Rehabil,2001; 22(1):83-88.
- 8. Wiechman SA,Ptacek JT,Patterson R,et al.Rates,trends,and severity of depression after burn injuries.J Burn Care Rehabil,2001 ; 22(6):417-424.