Fredriksson Ann-Charlotte, Hellström Leif, Nilsson Ulrica
Dep. Anesthesia and Intensive Care, Malmoe University Hospital, Sweden.
Intensive Crit Care Nurs. 2009 Aug;25(4):208-13. doi: 10.1016/j.iccn.2009.04.002. Epub 2009 May 14.
We performed an experimental single-blind crossover design study in a postanaesthesia care unit (PACU): (i) to test the hypothesis that patients will experience a higher degree of wellbeing if they listen to music compared to ordinary PACU sounds during their early postoperative care, (ii) to determine if there is a difference over time, and (iii) to evaluate the importance of the acoustic environment and whether patients prefer listening to music during their stay. Two groups received a three-phase intervention: one group (n=23) experienced music-ordinary sound-music and the second group (n=21) experienced ordinary sound-music-ordinary sound. Each period lasted 30 min, and after each period the patients assessed their experience of the sound. The results demonstrated a significant difference (p<0.001) between groups in the proportions of patients reporting that the acoustic environment was of great importance for their wellbeing during the three-phase intervention, and most participants (n=36 versus n=8) noticed that they were exposed to different sounds during the PACU period. The results also revealed that most participants (n=32) preferred listening to music versus listening to ordinary sound (n=3) while in the PACU (p<0.001). These findings promote use of listening to music to establish a healing environment for patients in a postanaesthesia care unit.
我们在一个麻醉后护理单元（PACU）进行了一项实验性单盲交叉设计研究：（i）检验以下假设：与术后早期护理期间普通的PACU声音相比，患者听音乐时会体验到更高程度的幸福感；（ii）确定随着时间推移是否存在差异；（iii）评估声学环境的重要性以及患者在住院期间是否更喜欢听音乐。两组接受了三阶段干预：一组（n = 23）体验音乐 - 普通声音 - 音乐，第二组（n = 21）体验普通声音 - 音乐 - 普通声音。每个阶段持续30分钟，每个阶段结束后患者评估他们对声音的体验。结果表明，在三阶段干预期间，两组患者中报告声学环境对其幸福感非常重要的比例存在显著差异（p < 0.001），并且大多数参与者（n = 36对n = 8）注意到他们在PACU期间接触到了不同的声音。结果还显示，大多数参与者（n = 32）在PACU期间更喜欢听音乐而不是听普通声音（n = 3）（p < 0.001）。这些发现促进了在麻醉后护理单元中使用听音乐为患者营造康复环境。
