Department of Surgery, JFK University Medical Center, Hackensack Meridian Health, Edison, New Jersey.
Wound Manag Prev. 2021 Apr;67(4):16-22.
Chronic wounds require frequent assessment, minor procedures, and dressing changes. Discomfort, anxiety, and stress are commonly reported during treatment procedures.
To examine the effect of music during treatment on post-wound care treatment anxiety levels and blood pressure measurements in patients with chronic wounds.
This randomized controlled trial was conducted in a wound care center within a nonprofit academic medical center with a before-and-after intervention measurement. A total of 222 consecutive patients were randomly allocated to either an intervention group (n = 112; classical music was played during treatment) or a control group (n = 110; no music was played during treatment) at their scheduled routine outpatient visits. The State-Trait Anxiety Inventory (STAI) was administered and blood pressure measurements were obtained automatically by machine before and after the intervention. Pretreatment and posttreatment scores were compared using the paired t-test in SPSS 25.
Patient age and sex did not differ between the intervention and control groups and pretreatment and posttreatment STAI scores; blood pressure measurements were almost identitical in the control group. In the intervention group, statistically significant differences between the pretreatment and posttreatment STAI scores (M = 45.94 and 40.83), systolic blood pressure measurements (M = 141.94 and 135.72), and diastolic blood pressure measurements (M = 70.93 and 66.23) were observed (P < .001).
In this study, playing classical music in the treatment room during wound care interventions resulted in a significant decrease in patient anxiety scores and blood pressure measurements.
慢性伤口需要频繁评估、小手术和换药。在治疗过程中,患者常报告不适、焦虑和压力。
探讨治疗过程中音乐对慢性伤口患者伤口护理后治疗焦虑水平和血压测量值的影响。
这是一项在非营利性学术医学中心的伤口护理中心进行的随机对照试验,采用前后干预测量。共有 222 名连续患者在其预约的常规门诊就诊时被随机分配到干预组(n = 112;在治疗过程中播放古典音乐)或对照组(n = 110;在治疗过程中不播放音乐)。在干预前后,通过机器自动测量状态-特质焦虑量表(STAI)和血压。使用 SPSS 25 对预处理和后处理评分进行配对 t 检验。
干预组和对照组患者的年龄和性别以及预处理和后处理 STAI 评分无差异;对照组的血压测量值几乎相同。在干预组中,预处理和后处理 STAI 评分(M = 45.94 和 40.83)、收缩压测量值(M = 141.94 和 135.72)和舒张压测量值(M = 70.93 和 66.23)之间存在统计学显著差异(P <.001)。
在这项研究中,在伤口护理干预过程中在治疗室播放古典音乐可显著降低患者的焦虑评分和血压测量值。