背景:當精神病患有情緒激動或暴力傷人的行為，如勸導無效時，常使用保護室約束處置穩定病患的情緒，音樂治療為非侵入性措施，病患較易接受，對情緒控制的成效頗佳。
目的:比較音樂介入合併約束及單純約束對於精神科急性病房保護室病患情緒控制之成效及差異。
方法:研究採實驗研究設計，分實驗組與控制組，進行前後測試驗；研究介入期間為2007年4月至11月。以精神科急性病房保護室受約束處置之病患為個案，個案被隨機分派至實驗組或控制組，各28名。實驗組個案進入保護室約束隔離時，提供30分鐘音樂聆聽；控制組則只接受30分鐘的單純約束。研究工具採用簡式症狀量表，輔以血壓、脈搏及呼吸的測量。
結果:音樂介入對於在保護室隔離之精神病患的焦慮（F = 18.75, p < .001）和敵意（F = 13.56, p < .001）等情緒有顯著的控制效果，單純約束對焦慮（F = 16.81, p < .001）和敵意（F = 14.66, p < .001）的控制效果亦達顯著之標準，而音樂介入更可使病患情緒有持續緩和之效益。實務應用本研究結果可做為未來精神科單位相關研究及發展情緒控制介入措施之參考。

Background: In psychiatric acute care settings, patients with severe psychotic symptoms commonly exhibit violent behaviors due to uncontrolled emotions. Seclusion and restraint are widely used to protect and calm such patients as well as to save others from harm. However, few studies have shown the efficacy of restraint on emotional control of psychiatric patients. The use of restraint may easily disrupt the therapeutic rapport between psychiatric nurses and the patient. Previous studies suggest that music therapy can help psychotics manage their own agitated emotions and violent behaviors. Few studies have, however, researched the possible effects of music on psychotic patients restrained in a seclusion room.
Purpose: This study compared the effects and differences of music and restraint on psychiatric patients’ emotional control in a seclusion room in a psychiatric acute setting.
Methods: An experimental research design was used. The duration of study intervention was from April to November,2007. Psychiatric patients who were restrained in a seclusion room were recruited and randomly assigned to one experimental and one control group. Each group consisted of 28 subjects. The experimental group completed the Brief Symptom Rating Scale (BSRS) before and after a 30-minute music intervention to evaluate emotional status. In addition,subject physical condition, such as breathing, pulse rate, and blood pressure, were also examined before and after music intervention. The control group received no music intervention and experienced only an equivalent 30-minute period of restraint and seclusion. Results: Music intervention was found to reduce significantly the anxiety (F = 18.75, p < .001) and hostility (F =
13.56, p < .001) of patients isolated in a seclusion room; the anxiety (F = 16.81, p < .001) and hostility (F = 14.66, p <.001) of patients who were simply restrained also changed significantly. Results indicate that both restraint and music intervention may be effective in controlling the impulse and aggressive emotions of psychiatric patients. Furthermore, music was found to have a more prolonged effect than restraint on emotional control in psychiatric patients.
Implications: Findings may be used to guide future research on this topic and to shape emotion-control interventions in psychiatric wards.