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被动音乐疗法对接受外周静脉穿刺中心静脉置管术的肺癌患者焦虑及生命体征的影响。

Effects of passive music therapy on anxiety and vital signs in lung cancer patients undergoing peripherally inserted central catheter placement procedure.

作者信息

Mou Qianqian, Wang Xiuyun, Xu Huiqiong, Liu Xia, Li Junying

机构信息

Department of Abdominal Cancer and Cancer Research Center, West China Hospital, Sichuan University, Chengdu, People's Republic of China.

Department of Thoracic Cancer and Cancer Research Center, West China Hospital, Sichuan University, Chengdu, People's Republic of China.

出版信息

J Vasc Access. 2020 Nov;21(6):875-882. doi: 10.1177/1129729820908088. Epub 2020 Mar 6.

Abstract

PURPOSE

To evaluate the effects of passive music therapy on anxiety and vital signs among lung cancer patients at their first peripherally inserted central catheter placement procedure in China.

METHODS

A randomized controlled clinical trial was conducted in the cancer center of a hospital in Chengdu from May to December 2017. A total of 304 lung cancer patients who met the inclusion and exclusion criteria were recruited and randomly assigned to experimental ( = 152) and control ( = 152) group, respectively. The control group only received standard care, while the experimental group received standard care and passive music therapy during peripherally inserted central catheter placement (30-45 min) and after catheterization, until discharged from the hospital (twice a day, 30 min once). Measures include anxiety and vital signs (blood pressure, heart rate, and respiratory rate).

RESULTS

Repetitive measurement and analysis of variance showed that the patients in experimental group had a statistically significant decrease in anxiety, diastolic blood pressure, and heart rate over time compared to the control group, but no significant difference was identified in systolic blood pressure and respiratory rate.

CONCLUSION

Passive music therapy can efficiently relieve the anxiety of lung cancer patients during peripherally inserted central catheter placement. It also can lower the patient's diastolic blood pressure and slow down the heart rate. So, music therapy benefits patients with peripherally inserted central catheter.

摘要

目的

评估在中国肺癌患者首次行外周静脉穿刺中心静脉置管术时,被动音乐疗法对焦虑及生命体征的影响。

方法

2017年5月至12月在成都某医院癌症中心进行一项随机对照临床试验。共招募304例符合纳入及排除标准的肺癌患者,分别随机分配至试验组(n = 152)和对照组(n = 152)。对照组仅接受标准护理,而试验组在进行外周静脉穿刺中心静脉置管术期间(30 - 45分钟)及置管后接受标准护理及被动音乐疗法,直至出院(每天两次,每次30分钟)。测量指标包括焦虑及生命体征(血压、心率和呼吸频率)。

结果

重复测量方差分析显示,试验组患者随着时间推移,焦虑、舒张压和心率较对照组有统计学意义的下降,但收缩压和呼吸频率无显著差异。

结论

被动音乐疗法可有效缓解肺癌患者外周静脉穿刺中心静脉置管术期间的焦虑情绪,还可降低患者舒张压并减慢心率。因此,音乐疗法对外周静脉穿刺中心静脉置管患者有益。

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