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患者自选音乐聆听对血液透析患者疼痛和焦虑的影响:一项随机对照试验。

Effects of Patient-Selected Music Listening on the Pain and Anxiety of Patients Undergoing Hemodialysis: A Randomized Controlled Trial.

作者信息

Kim SukKyong, Jeong HyeonCheol

机构信息

Department of Nursing, Sahmyook Medical Center, Seoul 01795, Korea.

College of Nursing, Sahmyook University, Seoul 01795, Korea.

出版信息

Healthcare (Basel). 2021 Oct 25;9(11):1437. doi: 10.3390/healthcare9111437.

Abstract

UNLABELLED

This study aimed to analyze the influence of patient-selected music listening on the pain and anxiety levels of hemodialysis patients after undergoing a vascular access operation.

METHODS

Sixty five patients were randomly assigned to the experimental group ( = 32) or the control group ( = 33). The experimental group was instructed to listen to their favorite music using headphones during their operations at the center. The control group underwent the operations without listening to any music. The pain measurement during vascular access operation was measured by subjective pain and objective pain behavior; anxiety was measured by subjective anxiety and anxiety states.

RESULTS

The experimental group reported significantly lower subjective pain levels than the control group (t = 9.36, = 0.003). Regarding objective pain behaviors, the experimental group had a significantly lower score than the control group (t = 4.59, = 0.036). The experimental group had significantly lowered subjective anxiety compared to the control group (F = 10.10, = 0.002). Regarding anxiety states, the experimental group had significantly lower scores than the control group (F = 23.34, < 0.001).

CONCLUSION

The results suggest that patient-selected music listening reduced hemodialysis patients' pain and anxiety levels during vascular access operations. Therefore, music medicine can be included as a new clinical intervention.

摘要

未标注

本研究旨在分析患者选择听音乐对血管通路手术后血液透析患者疼痛和焦虑水平的影响。

方法

65例患者被随机分为实验组(n = 32)或对照组(n = 33)。实验组在中心进行手术期间被要求使用耳机听他们喜欢的音乐。对照组在手术过程中不听任何音乐。血管通路手术期间的疼痛通过主观疼痛和客观疼痛行为进行测量;焦虑通过主观焦虑和焦虑状态进行测量。

结果

实验组报告的主观疼痛水平明显低于对照组(t = 9.36,P = 0.003)。关于客观疼痛行为,实验组的得分明显低于对照组(t = 4.59,P = 0.036)。与对照组相比,实验组的主观焦虑明显降低(F = 10.10,P = 0.002)。关于焦虑状态,实验组的得分明显低于对照组(F = 23.34,P < 0.001)。

结论

结果表明,患者选择听音乐可降低血液透析患者血管通路手术期间的疼痛和焦虑水平。因此,音乐疗法可作为一种新的临床干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf16/8625598/97e2fd7fe094/healthcare-09-01437-g001.jpg

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