团体音乐治疗在社区精神障碍患者中的应用效果评价

doi:10.3761/j.issn.0254-1769.2026.06.016

摘要/Abstract

摘要：

目的探究团体音乐治疗对社区精神障碍患者社会功能与复元的影响，为提升精神障碍患者自我康复管理能力，提高其社会功能，促进精神复元提供参考。方法采用类实验研究设计，于2024年9—12月便利选取武汉市处于康复期的80例精神障碍患者作为研究对象，随机分为试验组与对照组（各40例）。试验组在常规护理基础上接受为期16周的团体音乐治疗，对照组接受常规护理。比较两组基线、干预8周和16周后的社会功能与精神复元情况。结果无患者退出研究。重复测量方差分析显示，两组社会功能、精神复元水平比较，时间与组间存在交互效应（P<0.05），简单效应分析显示，试验组干预8、16周后的社会功能、精神复元水平均优于对照组（P<0.05）。两组均未发生不良事件。结论团体音乐治疗有助于提升社区精神障碍患者的社会功能，促进患者精神复元。

关键词: 社区, 精神障碍, 社会功能, 精神复元, 团体音乐治疗, 护理

Abstract:

Objective Exploring the impact of group music therapy on the improvement and recovery of social function in community mental disorder patients，providing references for enhancing their self-rehabilitation management ability，improving their social function，and promoting their recovery. Methods Adopting a quasi experimental research design，80 patients with mental disorders in the rehabilitation period in Wuhan from September to December 2024 were selected as the research subjects through convenience sampling，and randomly divided into an experimental group and a control group（40 cases each）. The experimental group received group music therapy for 16 weeks on the basis of routine care，while the control group received routine care. The social function and recovery status of 2 groups were compared at baseline，8 weeks after intervention，and 16 weeks after intervention. Results No patients withdrew from the study. Repeated measures ANOVA showed that there was an interaction effect between time and groups in terms of social function and recovery between the 2 groups（P<0.05）. Simple effects analysis showed that the social function and recovery of the experimental group were better than those of the control group at 8 and 16 weeks of intervention（P<0.05）. Both groups did not experience any adverse events. Conclusion Group music therapy can help improve the social functioning of patients with mental disorders in the community and promote their recovery.

Key words: Community, Mental Disorders, Social Function, Mental Recovery, Group Music Therapy, Nursing Care

张勇, 郑炜慧, 邓倩倩, 周晓颖, 刘丹, 谷嘉怡, 常红娟. 团体音乐治疗在社区精神障碍患者中的应用效果评价[J]. 中华护理杂志, 2026, 61(6): 836-843.

ZHANG Yong, ZHENG Weihui, DENG Qianqian, ZHOU Xiaoying, LIU Dan, GU Jiayi, CHANG Hongjuan. Evaluation of the application effect of group music therapy in community mental disorders patients[J]. Chinese Journal of Nursing, 2026, 61(6): 836-843.

图/表 4

表1 团体音乐治疗干预方案

Table 1 Music therapy intervention protocol

表2 两组一般资料的比较[例(百分比,%)]

Table 2 Comparison of basic information between 2 groups of patients[case(percentage, %)]

表3 两组干预前、干预8周和16周后社会功能缺损量表得分比较（分，$\bar{x} \pm s$）

Table 3 Comparison of scores on the Social Function Deficit for Mental Disorders Scale between 2 groups before intervention，8 weeks after intervention，and 16 weeks after intervention （scores，$\bar{x} \pm s$）

表4 两组干预前、干预8周和16周后复元评定量表得分比较（分，$\bar{x} \pm s$）

Table 4 Comparison of Recovery Assessment Scale Scores between 2 groups before intervention，8 weeks after intervention，and 16 weeks after intervention（scores，$\bar{x} \pm s$）

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