Lee Wen-Ping, Wu Pao-Yuan, Lee Meng-Ying, Ho Lun-Hui, Shih Whei-Mei
Chang Gung Medical Foundation, Taiwan.
Chang Gung Medical Foundation, Hsin Sheng Junior College of Medical Care and Management, Taiwan.
Complement Ther Med. 2017 Apr;31:8-13. doi: 10.1016/j.ctim.2016.12.006. Epub 2017 Jan 7.
The aim of this study was to explore the effects of listening to music on the anxiety levels and physiological responses of surgical patients receiving spinal anesthesia.
An experimental design was used in the study with an experimental group (n=50) and a control group (n=50). The experimental group received 30min of musical intervention and routine nursing care in the Post-Anesthesia Care Unit (PACU) while the control group received only routine nursing care.
The study found significant differences in both anxiety and physiological indices between the two groups. The mean score of the State-Trait Anxiety Inventory (STAI) in the study group decreased from a pre-test score of 59.0 to a post-test score of 31.20 (t=28.63, p<0.001). Physiological indices such as heart rate (t=2.61, p=0.012), respiration rate (t=2.29, p=0.026), systolic blood pressure (t=2.30, p=0.026), and diastolic blood pressure (t=3.02, p=0.004) decreased significantly as well. Control group was not seeing significant changes from pre-op values.
Listening to music while in the recovery room may decrease the level of anxiety in surgical patients receiving spinal anesthesia. The results of this study can serve as a reference for PACU nurses in utilizing music listening programs to achieve the goal of holistic care.
本研究旨在探讨听音乐对接受脊髓麻醉的手术患者焦虑水平和生理反应的影响。
本研究采用实验设计，分为实验组（n = 50）和对照组（n = 50）。实验组在麻醉后护理单元（PACU）接受30分钟的音乐干预和常规护理，而对照组仅接受常规护理。
研究发现两组在焦虑和生理指标上均存在显著差异。研究组状态-特质焦虑量表（STAI）的平均分从前测的59.0降至后测的31.20（t = 28.63，p < 0.001）。心率（t = 2.61，p = 0.012）、呼吸频率（t = 2.29，p = 0.026）、收缩压（t = 2.30，p = 0.026）和舒张压（t = 3.02，p = 0.004）等生理指标也显著下降。对照组术前值无显著变化。
在恢复室听音乐可能会降低接受脊髓麻醉的手术患者的焦虑水平。本研究结果可为PACU护士利用音乐聆听项目实现整体护理目标提供参考。
