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区域麻醉期间听音乐:患者的体验及对情绪的影响。

Listening to music during regional anesthesia: patients' experiences and the effect on mood.

作者信息

Sven-Olof Trängeberg Örjan, Stomberg Margareta Warrén

出版信息

J Perianesth Nurs. 2013 Oct;28(5):291-7. doi: 10.1016/j.jopan.2013.01.008.

DOI:10.1016/j.jopan.2013.01.008
PMID:24054454
Abstract

PURPOSE

Many patients experience a sense of anxiety and insecurity during the perianesthesia period. It is important to the care relationship that the nurse be able to help the patient to establish a degree of control over their situation and thus regain their own sense of security. Music therapy can be a useful tool to accomplish this. The purpose of this study was to determine the effect of a music intervention on patient's mood and self-reported satisfaction.

DESIGN

A multimodal research design using an open-ended interview and quantitative anxiety scale was used.

METHODS

A total of 15 patients were interviewed with an open question in addition to completing the Hospital Anxiety and Depression (HAD) scale. The interviews were analyzed using qualitative content analysis and the HAD scale according to standard practice.

FINDINGS

An analysis of the interviews revealed a main theme: a feeling of satisfaction, and three subthemes: positive experience, inner peace, and detachment from reality. It emerged from the interviews that it was important for the patients to select music themselves. Patients had a positive experience, inner peace, and detachment from reality with changes in the patients' state of mind before and after the musical intervention. The anxiety level significantly decreased (P = .019) after the patients listened to music during surgery compared with the prevalence of anxiety before listening to music.

CONCLUSIONS

This study shows that music has a positive impact on patients undergoing anesthesia.

摘要

目的

许多患者在围麻醉期会感到焦虑和不安。护士能够帮助患者对自身情况建立一定程度的掌控,从而重新获得安全感,这对护患关系很重要。音乐疗法可能是实现这一目标的有用工具。本研究的目的是确定音乐干预对患者情绪和自我报告满意度的影响。

设计

采用开放式访谈和定量焦虑量表的多模式研究设计。

方法

除完成医院焦虑抑郁量表(HAD)外,对15名患者进行了开放式问题访谈。访谈采用定性内容分析法进行分析,HAD量表按照标准方法进行分析。

结果

访谈分析揭示了一个主要主题:满意度,以及三个子主题:积极体验、内心平静和脱离现实。访谈结果表明,让患者自己选择音乐很重要。音乐干预前后患者心态发生变化,患者有积极体验、内心平静并脱离现实。与听音乐前的焦虑发生率相比,患者在手术期间听音乐后焦虑水平显著降低(P = 0.019)。

结论

本研究表明音乐对接受麻醉的患者有积极影响。

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