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个性化音乐和冰茶选择对全身或区域麻醉后麻醉后护理单元患者术后幸福感的影响。通过问卷调查进行前后分析。

Influence of personalised music and ice-tea options on post-operative well-being in the post anaesthesia care unit after general or regional anaesthesia. A pre-post-analysis by means of a questionnaire.

作者信息

Schittek Gregor Alexander, Michaeli Kristina, Labmayr Viktor, Reinbacher Patrick, Gebauer David, Smigaj Jana, Gollowitsch Janina, Rief Martin, Sampl Larisa, Sandner-Kiesling Andreas, Bornemann-Cimenti Helmar

机构信息

Division of General Anaesthesiology, Emergency- and Intensive Care Medicine, University Hospital of Graz, Austria.

Division of General Anaesthesiology, Emergency- and Intensive Care Medicine, University Hospital of Graz, Austria.

出版信息

Intensive Crit Care Nurs. 2021 Apr;63:102998. doi: 10.1016/j.iccn.2020.102998. Epub 2020 Dec 25.

Abstract

OBJECTIVES

Assessment whether patients' wellbeing and disturbances in the post anaesthesia care unit could be influenced by the consecutive introduction of initially personalised music and then additionally various drink options.

DESIGN/SETTING: A pre-post-analysis by means of an anonymised survey with a validated questionnaire in a university hospital in central Europe.

MAIN OUTCOME MEASURES

Wellbeing and disturbances in the post anaesthesia care unit.

RESULTS

Patients' most frequently reported early postsurgical disturbances (n = 1335) were lack of wellbeing, dry mouth and pain in the surgical area. Reported rates of clinically relevant wellbeing were not statistically different in patients that were offered personalised music (46.5%) or additionally ice-tea (50.6%). No correlation could be found between wellbeing or physical discomfort and headphones or when ice-tea were offered.

CONCLUSION

After a decade of increased efforts to improve patients' wellbeing in the postanaesthesia care unit we could not show further influence on it by the introduction of personalised music and ice-tea. We see the need for a more differentiated focus on this topic and the need for exploratory studies on patient perception. The most frequent claims were related to lack of wellbeing, pain in the surgical area and a dry mouth.

摘要

目的

评估在麻醉后护理单元中,最初引入个性化音乐,随后再增加各种饮品选择,是否会对患者的健康状况及不适产生影响。

设计/地点:在中欧一家大学医院,通过使用经过验证的问卷进行匿名调查,进行前后分析。

主要观察指标

麻醉后护理单元中的健康状况及不适情况。

结果

患者术后早期最常报告的不适(n = 1335)为感觉不适、口干和手术部位疼痛。接受个性化音乐(46.5%)或额外接受冰茶(50.6%)的患者中,报告的具有临床意义的健康状况发生率在统计学上无差异。在是否提供耳机以及是否提供冰茶的情况下,健康状况或身体不适之间均未发现相关性。

结论

经过十年在麻醉后护理单元中为改善患者健康状况所做的更多努力,我们未能证明引入个性化音乐和冰茶会对其产生进一步影响。我们认为需要更有针对性地关注这个话题,并开展关于患者认知的探索性研究。最常见的主诉与感觉不适、手术部位疼痛和口干有关。

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