Ferguson S L, Voll K V
Department of Rehabilitation Services, Senatar Norfolk General Hospital, Norfolk, Virginia 23507, USA.
J Burn Care Rehabil. 2004 Jan-Feb;25(1):8-14. doi: 10.1097/01.BCR.0000105056.74606.9E.
Pain and anxiety are well-documented problems during the rehabilitation of patients with burns. This study examined the effect of music on anxiety and pain during range of motion. Eleven subjects with partial-thickness or deeper burns were randomly assigned to a control group (without music intervention) or experimental group (with music intervention). Vital signs, pain, and anxiety were recorded before and after treatments. There was no difference in pretest and posttest anxiety across the groups; however, there was a difference in anxiety between the groups. Conversely, there was a difference in pretest and posttest pain across the groups but no difference in pain between the groups. Results showed no significant reduction in anxiety and pain during therapy with music relaxation. Limitations included nonhomogenous groups, small sample size, potentially unrepresentative sample, variation in exercise protocol, and small musical selection. Further research is recommended.
疼痛和焦虑是烧伤患者康复过程中记录充分的问题。本研究考察了音乐在关节活动度训练期间对焦虑和疼痛的影响。11名患有深Ⅱ度或更深程度烧伤的受试者被随机分为对照组(无音乐干预)或实验组(有音乐干预)。在治疗前后记录生命体征、疼痛和焦虑情况。各组在测试前和测试后的焦虑方面没有差异;然而,组间焦虑存在差异。相反,各组在测试前和测试后的疼痛方面存在差异,但组间疼痛没有差异。结果表明,音乐放松疗法期间焦虑和疼痛没有显著减轻。局限性包括分组不均一、样本量小、样本可能缺乏代表性、运动方案存在差异以及音乐选择有限。建议进一步开展研究。