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[音乐降低术前焦虑:血管外科病房的实验研究]

[Decreasing preoperative anxiety by music: experimental study in a vascular surgery unit].

作者信息

Sili Alessandro, Fida Roberta, Proietti Davide, Vellone Ercole, Alvaro Rosaria

机构信息

U.O.C Direzione Infermieristica Policlinico Tor Vergata, Roma.

出版信息

Assist Inferm Ric. 2013 Jan-Mar;32(1):13-9. doi: 10.1702/1267.13986.

Abstract

INTRODUCTION

Preoperative anxiety is common in patients undergoing surgical interventions. Several international studies have shown the positive effect of music before minor surgery and invasive procedures, but the effect of music before major surgery was not explored.

AIM

The aim of this study was to assess the effectiveness of music on anxiety in patients undergoing vascular surgery (aortic aneurism and thromboendarterectomy). Methods. Surgical patients were randomized to listening to music before surgery (music group) or to routine care. Anxiety was measured with the STAI-Y, administered three hours before surgery (Time 1) and before the induction of anesthesia (Time 2). After Time 1, only patients assigned to the music group listened to music.

RESULTS

The groups were comparable for the main characteristics. In the Music group (N 50) anxiety decreased after listening to music v the controls (N 50) (STAI-Y mean scores 52.2 and 31.1 respectively; p < 0.001). The differences between the two groups in the two measurements explained the 73% of the variance.

DISCUSSION

Listening to music is effective in decreasing anxiety in patients undergoing vascular surgery.

摘要

引言

术前焦虑在接受手术治疗的患者中很常见。多项国际研究表明,音乐对小型手术和侵入性操作前的焦虑有积极影响,但尚未探讨音乐对大型手术前焦虑的影响。

目的

本研究旨在评估音乐对接受血管手术(主动脉瘤和血栓内膜切除术)患者焦虑情绪的影响。方法:将手术患者随机分为术前听音乐组(音乐组)或常规护理组。使用状态特质焦虑问卷(STAI-Y)在手术前3小时(时间1)和麻醉诱导前(时间2)测量焦虑程度。在时间1之后,只有分配到音乐组的患者听音乐。

结果

两组患者的主要特征具有可比性。音乐组(n = 50)听音乐后焦虑程度低于对照组(n = 50)(STAI-Y平均得分分别为52.2和31.1;p < 0.001)。两次测量中两组之间的差异解释了73%的方差。

讨论

听音乐对降低接受血管手术患者的焦虑有效。

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