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音乐干预对慢性肾病患者焦虑及生命体征参数的影响:一项随机临床试验。

Musical intervention on anxiety and vital parameters of chronic renal patients: a randomized clinical trial.

作者信息

Melo Geórgia Alcântara Alencar, Rodrigues Andrea Bezerra, Firmeza Mariana Alves, Grangeiro Alex Sandro de Moura, Oliveira Patrícia Peres de, Caetano Joselany Áfio

机构信息

Doctoral student, Departamento de Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, Brazil.

PhD, Adjunct Professor, Departamento de Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, Brazil.

出版信息

Rev Lat Am Enfermagem. 2018 Mar 8;26:e2978. doi: 10.1590/1518-8345.2123.2978.

Abstract

OBJECTIVE

to evaluate the therapeutic effect of music on anxiety and vital parameters in patients with chronic kidney disease when compared to patients receiving conventional care in hemodialysis clinics.

METHOD

randomized clinical trial conducted in three renal replacement therapy clinics. Sixty people with chronic kidney disease undergoing hemodialysis were randomly allocated to an experimental group and a control group, 30 persons per group). State anxiety was evaluated in both groups by the State-Trait Anxiety Inventory. A t-test was used to verify the effect of the experimental manipulation on the variables.

RESULTS

we found a statistically significant difference between the groups regarding the degree of anxiety experienced during hemodialysis sessions. The experimental group presented a statistically significant reduction of anxiety scores (p = 0.03), systolic blood pressure (p < 0.002), diastolic blood pressure (p < 0.002), heart rate (p < 0.01) and respiratory rate (p < 0.006) after listening to music.

CONCLUSION

music represents a potential resource for nursing intervention to reduce state anxiety during hemodialysis sessions. Brazilian Registry of Clinical Trials: RBR-64b7x7.

摘要

目的

与在血液透析诊所接受常规护理的患者相比,评估音乐对慢性肾病患者焦虑及生命体征参数的治疗效果。

方法

在三家肾脏替代治疗诊所进行随机临床试验。60例接受血液透析的慢性肾病患者被随机分为实验组和对照组(每组30人)。两组均采用状态-特质焦虑量表评估状态焦虑。采用t检验验证实验操作对变量的影响。

结果

我们发现两组在血液透析过程中经历的焦虑程度上存在统计学显著差异。实验组在听音乐后焦虑评分(p = 0.03)、收缩压(p < 0.002)、舒张压(p < 0.002)、心率(p < 0.01)和呼吸频率(p < 0.006)有统计学显著降低。

结论

音乐是一种潜在的护理干预资源,可降低血液透析过程中的状态焦虑。巴西临床试验注册:RBR-64b7x7。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7cfc/5863277/0481274a1645/0104-1169-rlae-26-e2978-gf1.jpg

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