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听音乐对清醒开颅手术患者焦虑及生理反应的影响。

Effects of music listening on anxiety and physiological responses in patients undergoing awake craniotomy.

作者信息

Wu Pao-Yuan, Huang Mei-Lin, Lee Wen-Ping, Wang Chi, Shih Whei-Mei

机构信息

Operating Room, Chang Gung Medical Foundation, Lin-Kou Branch, Taiwan, ROC.

Post-Anesthesia Care Unit, Chang Gung Medical Foundation, Lin-Kou Branch, Taiwan, ROC.

出版信息

Complement Ther Med. 2017 Jun;32:56-60. doi: 10.1016/j.ctim.2017.03.007. Epub 2017 Mar 31.

Abstract

OBJECTIVE

The purpose of this study was to explore the effects of music listening on the level of anxiety and physiological responses for awake craniotomy.

METHODS

An experimental design with randomization was applied in this study. Participants in experimental group (19 patients) selected and listened music at their preferences in the waiting room and throughout the entire surgical procedure in addition to usual care while control group (19 patients) only gave usual care. State-Trait Anxiety Inventory (STAI), heartbeat, breathing, and blood pressure were collected for analysis.

RESULTS

The results of this study showed that after music listening, there was significant decrease in the level of anxiety (p<.001). The findings also showed that the music intervention significantly reduced heartbeat rate 84.5 (p<.004), systolic pressure 42 (p<.001), and diastolic pressure 38 (p<.001) over time. We concluded that music listening is associated with a decreased level of anxiety and distress after awake craniotomy patients.

CONCLUSION

The results of this study can provide perioperative nursing care in providing music listening when patients were in the waiting room and during surgery to reduce the anxiety so as to reach the goal of human care and improve perioperative nursing care.

摘要

目的

本研究旨在探讨听音乐对清醒开颅手术患者焦虑水平和生理反应的影响。

方法

本研究采用随机实验设计。实验组(19例患者)除接受常规护理外,在候诊室及整个手术过程中选择并听自己喜欢的音乐,而对照组(19例患者)仅接受常规护理。收集状态-特质焦虑量表(STAI)、心率、呼吸和血压进行分析。

结果

本研究结果显示,听音乐后焦虑水平显著降低(p<0.001)。研究结果还表明,随着时间的推移,音乐干预显著降低了心率84.5(p<0.004)、收缩压42(p<0.001)和舒张压38(p<0.001)。我们得出结论,听音乐与清醒开颅术后患者焦虑水平和痛苦程度的降低有关。

结论

本研究结果可为围手术期护理提供参考,即在患者候诊和手术期间提供听音乐服务,以减轻焦虑,从而实现人文关怀目标,提高围手术期护理质量。

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