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心脏瓣膜置换术后患者的疼痛和焦虑的音乐治疗:一项随机对照临床试验。

Music therapy for pain and anxiety in patients after cardiac valve replacement: a randomized controlled clinical trial.

机构信息

Department of Cardiovascular Surgery and Cardiac Disease Center, Union Hospital, Fujian Medical University, Fuzhou, 350001, People's Republic of China.

Key Laboratory of Cardio-Thoracic Surgery (Fujian Medical University), Fujian Province University, Fuzhou, People's Republic of China.

出版信息

BMC Cardiovasc Disord. 2023 Jan 18;23(1):32. doi: 10.1186/s12872-023-03058-5.

Abstract

OBJECTIVE

This study aimed to assess how listening to music after cardiac valve replacements affected patients' pain, anxiety, and vital signs.

METHOD

In Fuzhou, China's Fujian Medical University Union Hospital, the cardiac surgery division conducted a randomized controlled clinical experiment. 86 patients were enrolled, and 43 were assigned randomly to each group (control and experimental group). The standard treatment was given to the control group, while the experimental group was given standard treatment + a 15-min music intervention 3 times. Indicators include pain, anxiety and vital signs (respiratory rate, heart rate, and blood pressure).

RESULTS

In comparison to the control group, the experimental group, over time, demonstrated a statistically substantial decrease in pain, anxiety, systolic blood pressure, heart rate and respiratory rate (all P < 0.001), yet, there were no discernible variations (P > 0.05) in diastolic blood pressure.

CONCLUSIONS

In conclusion, these results provide additional proof for using music therapy to minimize cardiac postoperative pain and anxiety, as well as systolic blood pressure, heart rate and respiratory rate. Moreover, it should be regarded as a supplementary treatment for pain and anxiety after cardiac valve replacement and other medical procedures with comparable postoperative pain.

摘要

目的

本研究旨在评估心脏瓣膜置换术后听音乐对患者疼痛、焦虑和生命体征的影响。

方法

在中国福建医科大学附属协和医院福州院区,心脏外科进行了一项随机对照临床试验。共纳入 86 例患者,随机分为两组(对照组和实验组),每组 43 例。对照组给予标准治疗,实验组给予标准治疗+3 次 15 分钟的音乐干预。指标包括疼痛、焦虑和生命体征(呼吸频率、心率和血压)。

结果

与对照组相比,实验组随着时间的推移,疼痛、焦虑、收缩压、心率和呼吸频率均显著下降(均 P<0.001),而舒张压无明显变化(P>0.05)。

结论

综上所述,这些结果为音乐疗法在减轻心脏手术后疼痛和焦虑以及收缩压、心率和呼吸率方面提供了更多证据。此外,它可以被视为心脏瓣膜置换术和其他具有类似术后疼痛的医疗程序后疼痛和焦虑的辅助治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53e5/9847017/8d3478fd7b7f/12872_2023_3058_Fig1_HTML.jpg

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