Altern Ther Health Med. 2022 Jul;28(5):20-27.
Patients hospitalized for surgical treatment for lumbar disc herniation (LDH) are adversely affected psychologically, with fury, anger, helplessness, anxiety, and depression being observed in patients. Anxiety in particular is a common problem, with an incidence of around 90%.
This study intended to determine the effects on patients' anxiety and vital signs of the emotional freedom technique (EFT) and music before LDH surgery.
The research team designed a quasi-experimental study.
The research was carried out in the neurosurgery clinic of a university hospital in Turkey.
Participants were 162 adult patients at the clinic who had LDH surgery between February 2018 and September 2019.
Using the nonprobability sampling method, participants were allocated to one of three groups: (1) 54 to the music group, an intervention group; (2) 54 patients to the EFT group, an intervention group; and (3) 54 to the control group.
The Patient Information Form, the Life Findings Form, the Subjective Units of the Distress Scale (SUDS), and the State-Trait Anxiety Inventory-State Anxiety (STAI-S), were used to collect data. In the data analysis, the numbers, percentages, means, standard deviations, and chi-square values were found, and the t test and an analysis of variance (ANOVA) were used in the dependent and independent groups, respectively. The Tukey test was used for further analysis.
EFT and music were determined to significantly reduce participants' state anxiety and subjective discomfort (P < .001). EFT significantly reduced the pulse and respiratory rates and the systolic blood pressure, and music significantly lowered the diastolic and systolic blood pressures (P < .05). Further analyses showed that EFT was more effective on state anxiety and reducing the respiratory rate than music.
Both music and EFT before LDH surgery reduced anxiety and regulated vital signs, and EFT was found to be more effective than music in regulating anxiety and respiratory rate.
接受腰椎间盘突出症（LDH）手术治疗的住院患者在心理上受到负面影响，患者会出现愤怒、无助、焦虑和抑郁。焦虑是一个常见问题，发病率约为 90%。
本研究旨在确定 EFT 和音乐对 LDH 手术前患者焦虑和生命体征的影响。
研究团队设计了一项准实验研究。
该研究在土耳其一所大学医院的神经外科诊所进行。
参与者为 2018 年 2 月至 2019 年 9 月期间在诊所接受 LDH 手术的 162 名成年患者。
使用非概率抽样方法，将参与者分配到三个组之一：（1）音乐组 54 例，为干预组；（2）EFT 组 54 例，为干预组；（3）对照组 54 例。
使用患者信息表、生活发现表、主观不适单位量表（SUDS）和状态-特质焦虑量表状态焦虑（STAI-S）收集数据。在数据分析中，发现了数字、百分比、平均值、标准差和卡方值，并在依赖和独立组中分别使用了 t 检验和方差分析（ANOVA）。进一步分析使用了 Tukey 检验。
LDH 手术前的 EFT 和音乐均可降低患者的状态焦虑和主观不适（P<0.001）。EFT 显著降低了脉搏和呼吸频率以及收缩压，音乐显著降低了舒张压和收缩压（P<0.05）。进一步的分析表明，EFT 在降低状态焦虑和呼吸率方面比音乐更有效。
EFT 和音乐都可以在 LDH 手术前减轻焦虑和调节生命体征，EFT 在调节焦虑和呼吸率方面比音乐更有效。
