音乐疗法对单纯先天性心脏病患儿术前焦虑及麻醉诱导配合程度的影响。
Impact of Music Therapy on Preoperative Anxiety and Degree of Cooperation With Anesthesia Induction in Children With Simple Congenital Heart Disease.
机构信息
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China.
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Women and Children's Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China; Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, China.
出版信息
J Perianesth Nurs. 2021 Jun;36(3):243-246. doi: 10.1016/j.jopan.2020.08.004. Epub 2021 Feb 27.
PURPOSE
To evaluate the impact of music therapy (MT) on preoperative anxiety and degree of cooperation with anesthesia induction in children with simple congenital heart disease (CHD).
DESIGN
A randomized controlled clinical study.
METHODS
Ninety children were randomly assigned to the MT and control groups. The MT groups underwent a preoperative 30-minute session of MT, whereas the control group did not listen to any music and had the same amount of quiet time. The modified Yale Preoperative Anxiety Scale-Short Form (mYPAS-SF) was used to evaluate the patients' preoperative anxiety on entering the anesthesia waiting area (T1), 10 minutes after entering the waiting area (T2), and during the initiation of anesthesia induction (T3); the degree of cooperation with anesthesia induction was assessed using the Induction Compliance Checklist. The mean arterial blood pressure (MAP) and heart rate (HR) at T1, T2, T3, and T4 (the time of successful anesthesia) were also recorded.
FINDINGS
One child was excluded from the MT group, and one was excluded from the control group. No difference was found in the mYPAS-SF score, MAP, or HR between the two groups at T1. The mYPAS-SF scores of the MT group were significantly lower than those of the control group at T2 and T3. At T2, T3, and T4, the MAP and HR of the MT group were lower than those of the control group. A statistically significant difference was found in the Induction Compliance Checklist score between the two groups.
CONCLUSIONS
MT can reduce preoperative anxiety and improve the degree of cooperation with anesthesia induction.
目的
评估音乐疗法（MT）对单纯先天性心脏病（CHD）患儿术前焦虑和麻醉诱导配合程度的影响。
设计
随机对照临床研究。
方法
90 例患儿随机分为 MT 组和对照组。MT 组术前接受 30 分钟 MT，对照组不聆听任何音乐且安静时间相同。采用改良耶鲁术前焦虑量表-短表（mYPAS-SF）评估患儿进入麻醉等候区时（T1）、进入等候区 10 分钟后（T2）和开始麻醉诱导时（T3）的术前焦虑程度；采用诱导配合检查表评估麻醉诱导配合程度。记录 T1、T2、T3 和 T4（麻醉成功时间）的平均动脉压（MAP）和心率（HR）。
结果
MT 组有 1 例患儿被排除，对照组有 1 例患儿被排除。两组 T1 时 mYPAS-SF 评分、MAP 或 HR 无差异。MT 组 T2 和 T3 时 mYPAS-SF 评分明显低于对照组。T2、T3 和 T4 时，MT 组 MAP 和 HR 均低于对照组。两组诱导配合检查表评分有统计学差异。
结论
MT 可减轻术前焦虑，提高麻醉诱导配合程度。
Zotero 插件