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.
Heart Surg Forum. 2021 Mar 26;24(2):E305-E310. doi: 10.1532/hsf.3513.
To investigate the effect of music therapy on chronic pain, quality of life, and quality of sleep in adolescent patients after transthoracic occlusion of ventricular septal defects.
Patients were divided into 2 groups based on whether they received music therapy: a control group and a music group. The music group received 30 minutes of music therapy every day for 6 months after surgery. Patients in the control group received standard treatment and had 30 minutes of quiet time every day for 6 months after surgery. The short-form McGill pain questionnaire (SF-MPQ), the SF-36 scale and the Karolinska Sleep Questionnaire (KSQ) was used as the evaluation tool for chronic pain, quality of life, and quality of sleep, respectively.
In terms of the degree of postoperative chronic pain, the Pain Rating Index (PRI) emotion item score in the SF-MPQ evaluation of the music group was significantly lower than that of the control group (1.6 ± 1.1 versus 2.2 ± 0.9). The role emotional (RE) scores of the SF-36 in the music group were significantly higher than that in the control group (77.35 ± 18.55 versus 42.66 ± 22.63). KSQ scores were significantly higher in the music group than in the control group for sleep status (4.1 ± 1.0 versus 3.3 ± 0.9), falling asleep (3.9 ± 1.1 versus 3.1 ± 1.0), and not feeling refreshed by sleep (3.6 ± 1.3 versus 2.7 ± 0.9) (P < .05).
This study preliminarily showed that music therapy could effectively reduce patients' chronic pain and improve quality of life and sleep after surgery. These results suggest that music therapy may be an essential therapy worth considering in managing patients' postoperative recovery after cardiovascular surgery.
探讨音乐疗法对经胸室间隔缺损封堵术后青少年患者慢性疼痛、生活质量和睡眠质量的影响。
根据是否接受音乐疗法将患者分为对照组和音乐组,音乐组术后每天接受 30 分钟音乐疗法,共 6 个月;对照组术后每天安静 30 分钟,共 6 个月。采用简明 McGill 疼痛问卷(SF-MPQ)、SF-36 量表和 Karolinska 睡眠问卷(KSQ)分别作为慢性疼痛、生活质量和睡眠质量的评估工具。
在术后慢性疼痛程度方面,音乐组 SF-MPQ 评估中的疼痛感觉指数(PRI)情绪项评分明显低于对照组(1.6±1.1 比 2.2±0.9)。音乐组 SF-36 的角色情感(RE)评分明显高于对照组(77.35±18.55 比 42.66±22.63)。音乐组 KSQ 的睡眠状态评分(4.1±1.0 比 3.3±0.9)、入睡时间评分(3.9±1.1 比 3.1±1.0)和睡醒后感觉评分(3.6±1.3 比 2.7±0.9)明显高于对照组(P<.05)。
本研究初步表明,音乐疗法可有效减轻患者术后慢性疼痛,改善生活质量和睡眠质量。这些结果提示音乐疗法可能是心血管手术后管理患者术后恢复的一种重要治疗方法,值得进一步研究。