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音乐对重症监护病房患者翻身时不适感受的影响:一项随机交叉研究。

The effect of music on discomfort experienced by intensive care unit patients during turning: a randomized cross-over study.

作者信息

Cooke Marie, Chaboyer Wendy, Schluter Philip, Foster Michelle, Harris Denise, Teakle Roz

机构信息

Research Centre for Clinical and Community Practice Innovation, Griffith University, Brisbane, Queensland, Australia.

出版信息

Int J Nurs Pract. 2010 Apr;16(2):125-31. doi: 10.1111/j.1440-172X.2010.01819.x.

Abstract

Research consistently demonstrates that intensive care unit (ICU) patients experience pain, discomfort and anxiety despite analgesic and sedative use. The most painful procedure reported by critically ill patients is being turned. Music diminishes anxiety and discomfort in some populations; however, its effect on critically ill patients remains unknown. This research aimed to identify the effect of music on discomfort experienced by ICU patients during turning using a single blind randomized cross-over design. Seventeen post-operative ICU patients were recruited and treatment order randomized. Discomfort and anxiety were measured 15 min before and immediately after two turning procedures. Findings indicated that listening to music 15 min before and during turning did not significantly reduce discomfort or anxiety. Pain management might effectively be addressing discomfort and anxiety experienced during turning. Given previous studies have identified turning as painful, current results are promising and it might be useful to determine if this is widespread.

摘要

研究一直表明,尽管使用了镇痛药和镇静剂,但重症监护病房(ICU)的患者仍会经历疼痛、不适和焦虑。重症患者报告的最痛苦的操作是翻身。音乐能减轻某些人群的焦虑和不适;然而,其对重症患者的影响尚不清楚。本研究旨在采用单盲随机交叉设计,确定音乐对ICU患者翻身期间所经历不适的影响。招募了17名术后ICU患者,并随机安排治疗顺序。在两次翻身操作前15分钟和操作后立即测量不适和焦虑程度。研究结果表明,在翻身前15分钟和翻身期间听音乐并不能显著减轻不适或焦虑。疼痛管理可能有效地解决了翻身期间所经历的不适和焦虑。鉴于先前的研究已确定翻身是痛苦的,目前的结果很有前景,确定这是否普遍存在可能会很有用。

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