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音乐聆听作为麻醉后恢复室(PACU)护理干预用于腹腔镜根治性前列腺切除术患者:一项随机对照临床试验。

Music Listening as a Postanesthesia Care Unit (PACU) Nursing Intervention for Laparoscopic Radical Prostatectomy Patients: A Randomized Comparative Clinical Trial.

机构信息

Perioperative Services, The Johns Hopkins Hospital, Baltimore, MD.

Perioperative Services, The Johns Hopkins Hospital, Baltimore, MD.

出版信息

J Perianesth Nurs. 2022 Dec;37(6):848-857.e1. doi: 10.1016/j.jopan.2022.01.006. Epub 2022 May 25.

DOI:10.1016/j.jopan.2022.01.006
PMID:35623995
Abstract

PURPOSE

Randomized comparative mixed method approach with qualitative inquiry study's aim sought to determine if there was a difference in pre/post-intervention State-Trait Anxiety Inventory (STAI) scores and postanesthesia pain scores between two music listening groups of laparoscopic radical prostatectomy patients.

DESIGN

Prospective randomized comparative mixed method approach with a qualitative inquiry.

METHODS

Sample size of 77 male participants assigned by a table of random numbers to Spotify patient-preferred music selection Group I (n = 37) or minimalist hypnotic music with guided relaxation breathing (MHMGRB) instructional narrative Group II (n = 40). Outcome measures used patients' STAI questionnaire and reported PACU admission and discharge pain scores.

RESULTS

Both Groups I and II had reduced pain scores at discharge as compared to admission; both groups had a significant reduction (P = .046 Group I, and Group II (P = .002), but changes for comparative groups (I and II) were not significant between the two groups (P = .53).

CONCLUSIONS

Study revealed that both patient-preferred selected music and MHMGRB can meaningfully reduce patients' anxiety and PACU pain scores.

摘要

目的

采用随机对照混合方法,结合定性研究,旨在确定接受腹腔镜根治性前列腺切除术的两组音乐聆听患者在干预前后状态-特质焦虑量表(STAI)评分和麻醉后疼痛评分是否存在差异。

设计

前瞻性随机对照混合方法,结合定性研究。

方法

采用随机数表将 77 名男性参与者分为 Spotify 患者首选音乐选择组 I(n=37)或极简主义催眠音乐结合引导放松呼吸(MHMGRB)指导叙述组 II(n=40)。使用患者的 STAI 问卷和报告的 PACU 入院和出院疼痛评分作为结果测量指标。

结果

与入院时相比,两组患者的出院时疼痛评分均降低;两组患者的疼痛评分均显著降低(P=.046,组 I;P=.002,组 II),但两组之间的比较组(I 和 II)之间的变化没有统计学意义(P=.53)。

结论

研究表明,患者首选选择的音乐和 MHMGRB 都可以显著降低患者的焦虑和 PACU 疼痛评分。

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