Bellieni Carlo Valerio, Cioncoloni David, Mazzanti Sandra, Bianchi Maria Elena, Morrone Ilenia, Becattelli Rossana, Perrone Serafina, Buonocore Giuseppe
Department of Pediatrics, Obstetrics, and Reproduction Medicine, University of Siena, Italy.
Unit of Functional Rehabilitation, University Hospital of Siena, Italy.
Pain Manag Nurs. 2013 Dec;14(4):e151-e155. doi: 10.1016/j.pmn.2011.09.003. Epub 2011 Nov 16.
This research studied, 25 adult patients who underwent physical therapy to assess the analgesic effect of distraction with the use of music during physical therapy. Patients randomly underwent physical therapy once with music provided by an iPod and once without music. In both sessions patients underwent identical physical procedures. At end of both sessions patients filled in 5-item questionnaire where they scored pain and other parameters, such as stress, enjoyment, interaction, and satisfaction, on 10-cm visual analog scale. The mean scores (range, 0-10) of the two sessions were statistically compared. Mean pain scores were significantly lower (p = .031) during the session in which patients received music (4.8 ± 2.5) than during the session without music (5.8 ± 2.3). The other items of the questionnaire did not disclose any statistically significant difference when the sessions with versus without music were compared. Enjoyment (8.5 ± 1.6), interaction (8.3 ± 1.9), and satisfaction (8.6 ± 1.7) scores with music did not significantly differ in the sessions without music (8.5 ± 2.1, 8.5 ± 1.9, and, 8.5 ± 1.5, respectively); mean stress score was, 3.9 in both sessions. The conclusion of the study is that music provided through a portable media player has an analgesic effect. This can be an effective analgesic strategy during painful physical therapy.
本研究对25名成年患者进行了物理治疗,以评估在物理治疗过程中使用音乐进行分散注意力的镇痛效果。患者随机接受一次使用iPod提供音乐的物理治疗和一次不使用音乐的物理治疗。在这两个疗程中,患者接受相同的物理治疗程序。在两个疗程结束时,患者填写一份5项问卷,在10厘米视觉模拟量表上对疼痛和其他参数(如压力、愉悦感、互动和满意度)进行评分。对两个疗程的平均得分(范围为0至10)进行统计学比较。在患者接受音乐治疗的疗程中,平均疼痛得分(4.8±2.5)显著低于无音乐治疗的疗程(5.8±2.3)(p = 0.031)。当比较有音乐和无音乐的疗程时,问卷的其他项目未显示出任何统计学上的显著差异。有音乐时的愉悦感(8.5±1.6)、互动(8.3±1.9)和满意度(8.6±1.7)得分与无音乐时的疗程(分别为8.5±2.1、8.5±1.9和8.5±1.5)无显著差异;两个疗程的平均压力得分均为3.9。该研究的结论是,通过便携式媒体播放器播放的音乐具有镇痛作用。这可以成为在痛苦的物理治疗过程中的一种有效的镇痛策略。