Student Research Committee, School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Traditional and Complementary Medicine Research Centre, Mazandaran University of Medical Sciences, Sari, Iran.
Complement Ther Clin Pract. 2017 Nov;29:53-57. doi: 10.1016/j.ctcp.2017.08.002. Epub 2017 Aug 24.
This study was intended to examine the effect of selective soothing music on fistula puncture-related pain in hemodialysis patients.
This is a randomized clinical trial in which 114 participants were selected from two hemodialysis units by means of a non-random, convenience sampling method. The participants were then allocated in three groups of music (N = 38), headphone (N = 38), and control (N = 38). The fistula puncture-related pain was measured 1 min after venipuncture procedure in all three groups. The music group listened to their self-selected and preferred music 6 min before needle insertion into a fistula until the end of procedure. The headphone group wore a headphone alone without listening to music 6 min before needle insertion into a fistula until the end of procedure. The control group did not receive any intervention from the research team during needle insertion into a fistula. The pain intensity was measured immediately after the intervention in all three groups.
This study showed a significant difference between the music and control groups, and the music and headphone groups in terms of the mean pain score after the intervention. However, the analysis did not indicate any significant difference between the headphone and control groups with regard to the mean pain score after the intervention.
It is concluded that music can be used effectively for pain related to needle insertion into a fistula in hemodialysis patients. Future research should investigate the comparative effects of pharmacological and non-pharmacological interventions on fistula puncture-related pain.
本研究旨在探讨选择性舒缓音乐对血液透析患者动静脉内瘘穿刺相关疼痛的影响。
这是一项随机临床试验，通过非随机便利抽样法从两家血液透析中心选取了 114 名参与者。然后将他们分为音乐组（N=38）、耳机组（N=38）和对照组（N=38）三组。在所有三组中，均在动静脉内瘘穿刺后 1 分钟测量与瘘管穿刺相关的疼痛。音乐组在插入瘘管前 6 分钟听他们自选和喜欢的音乐，直到手术结束。耳机组在插入瘘管前 6 分钟单独佩戴耳机但不听音乐，直到手术结束。对照组在插入瘘管期间不接受研究团队的任何干预。所有三组均在干预后立即测量疼痛强度。
本研究显示，干预后音乐组与对照组以及音乐组与耳机组之间的平均疼痛评分存在显著差异。然而，分析并未表明干预后耳机组与对照组之间的平均疼痛评分存在显著差异。
可以得出结论，音乐可有效用于缓解血液透析患者动静脉内瘘穿刺相关疼痛。未来的研究应调查药物和非药物干预对动静脉内瘘穿刺相关疼痛的比较效果。
