Mirbagher Ajorpaz Neda, Mohammadi Abouzar, Najaran Hamed, Khazaei Shala
Department of Nursing, Kashan University of Medical Sciences, Kashan, IR Iran.
Nurs Midwifery Stud. 2014 Sep;3(3):e20213. doi: 10.17795/nmsjournal20213. Epub 2014 Sep 20.
Music, as a non-pharmacological and inexpensive nursing intervention, can be used easily as a complementary technique in reducing pain along with other methods. While some studies have demonstrated pain to decrease after music, others found music to be ineffective on pain.
The aim of this study was to investigate the effect of music on postoperative pain in patients under open heart surgery.
A quasi-experimental study was performed on 60 patients under open heart surgery referred to ICU of Shahid Beheshti hospital in Kashan city. Patients were randomly divided into two groups including experimental and control groups. Patients in music group listened to nonverbal music for 30 minutes after surgery by headphones. The control group did not receive any intervention other than routine care. Before and after intervention, pain intensity was measured and recorded by visual analog scale in two groups. Data was analyzed using Chi-Square and t-tests.
Before intervention, the mean of pain intensity was 6.32 ± 0.21 and 6.10 ± 0.21 for experimental and control groups, respectively; and the difference was not significant (P = 0.21). After intervention, the mean of pain intensity was 3.11 ± 0.12 and 5.81 ± 0.38 for experimental and control groups, respectively; and the difference was significant (P = 0.04).
Listening to the relaxant music can reduce postoperative pain. It is suggested that relaxant music be used as a complementary method in patients in order to reduce prospective pain.
音乐作为一种非药物且廉价的护理干预手段，可轻松作为一种辅助技术与其他方法一同用于减轻疼痛。虽然一些研究表明听音乐后疼痛会减轻，但其他研究发现音乐对疼痛无效。
本研究旨在调查音乐对心脏直视手术患者术后疼痛的影响。
对转诊至卡尚市沙希德·贝赫什提医院重症监护病房的60例心脏直视手术患者进行了一项准实验研究。患者被随机分为两组，即实验组和对照组。音乐组患者术后通过耳机听30分钟无歌词音乐。对照组除常规护理外未接受任何干预。两组在干预前后均使用视觉模拟量表测量并记录疼痛强度。数据采用卡方检验和t检验进行分析。
干预前，实验组和对照组的疼痛强度平均值分别为6.32±0.21和6.10±0.21；差异无统计学意义（P = 0.21）。干预后，实验组和对照组的疼痛强度平均值分别为3.11±0.12和5.81±0.38；差异有统计学意义（P = 0.04）。
听舒缓音乐可减轻术后疼痛。建议将舒缓音乐作为一种辅助方法用于患者，以减轻预期疼痛。
