Binns-Turner Pamela G, Wilson Lynda Law, Pryor Erica R, Boyd Gwendolyn L, Prickett Carol A
Nurse Anesthesia Track, Union University, School of Nursing, Jackson, Tennessee, USA.
AANA J. 2011 Aug;79(4 Suppl):S21-7.
There is increasing interest in evaluating the use of nonpharmacologic interventions such as music to minimize potential adverse effects of anxiety-reducing medications. This study used a quasi-experimental design to evaluate the effects of a perioperative music intervention (provided continuously throughout the preoperative, intraoperative, and postoperative periods) on changes in mean arterial pressure (MAP), heart rate, anxiety, and pain in women with a diagnosis of breast cancer undergoing mastectomy. A total of 30 women were assigned randomly to a control group or to the music intervention group. Findings indicated that women in the intervention group had a greater decrease in MAP and anxiety with less pain from the preoperative period to the time of discharge from the recovery room compared with women in the control group. Music is a noninvasive and low-cost intervention that can be easily implemented in the perioperative setting, and these findings suggest that perioperative music can reduce MAP, anxiety, and pain among women undergoing mastectomy for breast cancer.
评估使用音乐等非药物干预措施以尽量减少抗焦虑药物潜在不良反应的兴趣日益浓厚。本研究采用准实验设计，评估围手术期音乐干预（在术前、术中和术后持续提供）对接受乳房切除术的乳腺癌女性平均动脉压（MAP）、心率、焦虑和疼痛变化的影响。共有30名女性被随机分配到对照组或音乐干预组。研究结果表明，与对照组女性相比，干预组女性从术前到恢复室出院时，MAP和焦虑程度下降幅度更大，疼痛也更少。音乐是一种无创且低成本的干预措施，可在围手术期环境中轻松实施，这些研究结果表明，围手术期音乐可减轻接受乳腺癌乳房切除术女性的MAP、焦虑和疼痛。
