Chan Moon Fai
Kiang Wu Nursing College of Macau, Macao SAR, China.
Heart Lung. 2007 Nov-Dec;36(6):431-9. doi: 10.1016/j.hrtlng.2007.05.003.
The study objective was to assess the effect of music on the physiologic and psychologic parameters in patients undergoing application of a C-clamp after percutaneous coronary interventions (PCI).
A repeated-measures randomized controlled trial was used.
The study took place in three intensive care units in Hong Kong.
Sixty-six patients undergoing application of a C-clamp after PCI were recruited.
Physiologic parameters were blood pressure, heart rate, respiratory rate, and oxygen saturation. Psychologic parameters were measured using the University of California at Los Angeles universal pain score.
Patients were randomized to receive 45 minutes of music therapy or 45 minutes of an uninterrupted rest period. Three types of music were used, including Chinese classical music, religious music, and Western classical music that had slow beats and was relaxing. The data were collected from September 2004 to December 2005.
In the experimental group there were statistically significant reductions in heart rate (P < .001), respiratory rate (P < .001), and oxygen saturation (P < .001), and a lower pain score (P < .001) than in the control group.
Music is a simple, safe, and effective method of reducing potentially harmful physiologic and psychologic responses arising from pain in patients post-PCI undergoing a C-clamp procedure.
本研究旨在评估音乐对经皮冠状动脉介入治疗（PCI）后使用C形夹患者的生理和心理参数的影响。
采用重复测量随机对照试验。
研究在香港的三个重症监护病房进行。
招募了66例PCI后使用C形夹的患者。
生理参数包括血压、心率、呼吸频率和血氧饱和度。心理参数采用加利福尼亚大学洛杉矶分校通用疼痛评分进行测量。
患者被随机分为两组，一组接受45分钟的音乐治疗，另一组接受45分钟的持续休息。使用了三种类型的音乐，包括中国古典音乐、宗教音乐和节奏缓慢且令人放松的西方古典音乐。数据收集时间为2004年9月至2005年12月。
与对照组相比，实验组的心率（P <.001）、呼吸频率（P <.001）和血氧饱和度（P <.001）均有统计学意义的降低，疼痛评分也更低（P <.001）。
音乐是一种简单、安全且有效的方法，可减少PCI后接受C形夹手术患者因疼痛引起的潜在有害生理和心理反应。
