Heitz L, Symreng T, Scamman F L
J Post Anesth Nurs. 1992 Feb;7(1):22-31.
This study examined the effect of music on pain, hemodynamic variables, and respiration in the PACU, and the impact of music on patients' recall of their PACU experience. Sixty patients scheduled for thyroid, parathyroid, or breast surgery under general anesthesia were studied. Patients were randomly assigned into three groups: group 1, control, not wearing headphones; group 2, wearing headphones but hearing no music; and group 3, wearing headphones and listening to music. A visual analogue pain scale was used to rate patients' perception of pain. There was no difference in pain level, morphine requirement, hemodynamics, respiration, or length of stay in the PACU among the 3 groups, yet the music group was able to wait significantly longer before requiring analgesia on the nursing unit. Patients who listened to music perceived their PACU experience as significantly more pleasant than the patients in the other two groups as recalled both 1 day and 1 month later.
本研究考察了音乐对麻醉后监护病房（PACU）患者疼痛、血流动力学变量及呼吸的影响，以及音乐对患者PACU经历回忆的影响。研究了60例计划接受全身麻醉下甲状腺、甲状旁腺或乳腺手术的患者。患者被随机分为三组：第1组为对照组，不戴耳机；第2组，戴耳机但不听音乐；第3组，戴耳机并听音乐。采用视觉模拟疼痛量表对患者的疼痛感知进行评分。三组患者在疼痛程度、吗啡需求量、血流动力学、呼吸或PACU住院时间方面均无差异，但音乐组在需要在护理单元进行镇痛前等待的时间明显更长。在术后1天和1个月的回忆中，听音乐的患者认为他们的PACU经历比其他两组患者明显更愉快。
