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围手术期听音乐对患者满意度、焦虑和抑郁的影响:一项准实验研究。

The Effect of Perioperative Music Listening on Patient Satisfaction, Anxiety, and Depression: A Quasiexperimental Study.

作者信息

Tan Daryl Jian An, Polascik Breanna A, Kee Hwei Min, Hui Lee Amanda Chia, Sultana Rehena, Kwan Melanie, Raghunathan Karthik, Belden Charles M, Sng Ban Leong

机构信息

Department of Women's Anaesthesia, KK Women's and Children's Hospital 229899, Singapore.

Duke University, Durham, North Carolina 27708, USA.

出版信息

Anesthesiol Res Pract. 2020 Feb 7;2020:3761398. doi: 10.1155/2020/3761398. eCollection 2020.

DOI:10.1155/2020/3761398
PMID:32089677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7029289/
Abstract

BACKGROUND

The effect of perioperative music listening has been proven to relieve preoperative anxiety and depression, while improving patient satisfaction. However, music listening has not been extensively studied in Singapore. Therefore, the primary aim of our study is to investigate the patient satisfaction towards perioperative music listening in the local setting. The secondary aim is to investigate the effect of perioperative music listening in reducing patient surgery-related anxiety and depression.

METHODS

After obtaining ethics board approval, we conducted a quasiexperimental study on a cohort of female patients who were undergoing elective minor gynaecological surgeries. Apple iPod Touch™ devices containing playlists of selected music genres and noise-cancelling earphones were given to patients to listen during the preoperative and postoperative periods. Hospital Anxiety and Depression Scale (HADS), EQ-5D-3L questionnaire, music listening preferences, and patient satisfaction surveys were administered. Wilcoxon signed-rank and McNemar's tests for paired data were used for analysis.

RESULTS

83 patients were analysed with 97.6% of patients in the preoperative period and 98.8% of patients in the postoperative period were satisfied with music listening. The median (IQR [range]) score for preintervention HADS anxiety was 7.0 (6.0 [0-17]), significantly higher than that in postintervention at 2.0 (4.0 [0-12]) ( < 0.001). Similarly, there was a significant reduction in preintervention HADS depression as compared to postintervention ( < 0.001). Similarly, there was a significant reduction in preintervention HADS depression as compared to postintervention (.

CONCLUSION

Perioperative music listening improved patient satisfaction and can reduce patient anxiety and depression. We hope to further investigate on how wider implementation of perioperative music listening could improve patient care.

摘要

背景

围手术期听音乐的效果已被证明可缓解术前焦虑和抑郁,同时提高患者满意度。然而,在新加坡,听音乐尚未得到广泛研究。因此,我们研究的主要目的是调查当地患者对围手术期听音乐的满意度。次要目的是调查围手术期听音乐在减轻患者手术相关焦虑和抑郁方面的效果。

方法

获得伦理委员会批准后,我们对一组接受择期小型妇科手术的女性患者进行了一项半实验性研究。在术前和术后期间,为患者提供装有选定音乐类型播放列表的苹果iPod Touch™设备和降噪耳机供其聆听。使用医院焦虑和抑郁量表(HADS)、EQ-5D-3L问卷、音乐聆听偏好以及患者满意度调查。采用Wilcoxon符号秩检验和McNemar配对数据检验进行分析。

结果

对83例患者进行了分析,97.6%的患者在术前对听音乐感到满意,98.8%的患者在术后对听音乐感到满意。干预前HADS焦虑的中位数(IQR[范围])评分为7.0(6.0[0 - 17]),显著高于干预后的2.0(4.0[0 - 12])(<0.001)。同样,与干预后相比,干预前HADS抑郁也有显著降低(<0.001)。同样,与干预后相比,干预前HADS抑郁有显著降低(。

结论

围手术期听音乐提高了患者满意度,并可减轻患者焦虑和抑郁。我们希望进一步研究围手术期听音乐的更广泛实施如何能改善患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa4/7029289/4980ce18d52d/ARP2020-3761398.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa4/7029289/891c75e70b14/ARP2020-3761398.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa4/7029289/4980ce18d52d/ARP2020-3761398.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa4/7029289/891c75e70b14/ARP2020-3761398.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fa4/7029289/4980ce18d52d/ARP2020-3761398.002.jpg

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