Chen Guan-Yi, Guo Lan-Yuen, Chuang I-Chun, Kuo Ho-Chang, Tsai Yuh-Chyn, Liu Shih-Feng
Department of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung 833, Taiwan.
Department of Sports Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
J Clin Med. 2022 Mar 13;11(6):1589. doi: 10.3390/jcm11061589.
Background: Music intervention can reduce anxiety. This study analyzed the physiological changes from using music intervention after cardiothoracic surgery. Methods: Subjects were randomly assigned to the music group or the control group. The maximal inspiratory pressure/maximal expiratory pressure (MIP/MEP), pulse oximeter oxygen saturation (SpO2), visual analogue scale (VAS) for pain, and State-Trait Anxiety Inventory (STAI) were compared. Results: Compared to the control group (n = 9), the music group (n = 9) had higher MIP and MEP during the overall test (p < 0.05), with significant differences in the changes and time (p < 0.001). However, only MEP was significant in terms of the interaction between music intervention and time (p < 0.001). In terms of the groups, SpO2 and VAS were significant (p < 0.05). SBP, SpO2, and VAS over time showed significant differences between the two groups (p < 0.05). In terms of the interaction between music intervention and time, only SpO2 was significant (p < 0.05). The STAI-S scale decreased by −5.7 ± 5.8 in the music group vs. −0.47 ± 9.37 in control group and the STAI-T scale increased by 4.17 ± 12.31 in the music group vs. 1.9 ± 9.29 in the control group, but showed no significance. Conclusions: Music intervention with nature sounds has a positive physiological impact and can reduce postoperative pain and anxiety in cardiothoracic surgery patients.
音乐干预可减轻焦虑。本研究分析了心胸外科手术后使用音乐干预引起的生理变化。方法:将受试者随机分为音乐组和对照组。比较最大吸气压力/最大呼气压力(MIP/MEP)、脉搏血氧饱和度(SpO2)、疼痛视觉模拟评分(VAS)和状态-特质焦虑量表(STAI)。结果:与对照组(n = 9)相比,音乐组(n = 9)在整个测试过程中的MIP和MEP更高(p < 0.05),在变化和时间方面有显著差异(p < 0.001)。然而,就音乐干预与时间的相互作用而言,只有MEP具有显著性(p < 0.001)。在组间方面,SpO2和VAS具有显著性(p < 0.05)。两组间SBP、SpO2和VAS随时间变化存在显著差异(p < 0.05)。就音乐干预与时间的相互作用而言,只有SpO2具有显著性(p < 0.05)。音乐组的STAI-S量表下降了−5.7±5.8,而对照组下降了−0.47±9.37;音乐组的STAI-T量表增加了4.17±12.31,而对照组增加了1.9±9.29,但均无显著性。结论:自然声音的音乐干预具有积极的生理影响,可减轻心胸外科手术患者的术后疼痛和焦虑。