Three Departments of Articular Bone, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou, Gansu, 730050, China.
Two Departments of Articulation Bone, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou, Gansu, 730050, China.
Noise Health. 2024;26(122):403-409. doi: 10.4103/nah.nah_77_24. Epub 2024 Sep 30.
This study aimed to explore the effect of five-element music therapy on sleep status during perioperative period and psychological regulation in patients undergoing orthopedic surgery.
The medical records of patients who underwent orthopedic surgery from March 2021 to December 2023 in the Gansu Provincial Hospital of Traditional Chinese Medicine were retrospectively analyzed. Patients were divided into two groups in accordance with the nursing time period. The control group (88 patients) received routine nursing, and the observation group (78 patients) received five-element music management in the perioperative period based on routine nursing. The management time was from admission to one week after surgery, with 30 min/times, TID. The sleep, physical signs, pain condition, and anxiety status of the two groups were compared on admission, before surgery, and one week after surgery.
On admission, no significant difference in the scores of the Pittsburgh Sleep Quality Index (PSQI), the pain rating index (PRI), and the Self-Rating Anxiety Scale (SAS) was found between the two groups (P > 0.05). Before and one week after surgery, the PSQI, PRI, and SAS scores of the observation group were significantly lower than those of the control group (P < 0.001). No significant difference was found in systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) between the two groups on admission and one week after surgery (P > 0.05). Before surgery, the observation group had significantly lower indices of SBP, DBP, and HR than the control group (P < 0.05).
Five-element music stimulation in the perioperative period can improve the pain and anxiety of patients undergoing orthopedic surgery and enhance their sleep status.
本研究旨在探讨五行音乐疗法对骨科手术患者围手术期睡眠状况及心理调节的影响。
回顾性分析 2021 年 3 月至 2023 年 12 月甘肃省中医院骨科手术患者的病历资料。按照护理时间将患者分为两组，对照组（88 例）接受常规护理，观察组（78 例）在常规护理基础上于围手术期接受五行音乐管理。管理时间为入院至术后一周，每天 3 次，每次 30 分钟。比较两组入院时、术前和术后一周的睡眠、生命体征、疼痛状况和焦虑状态。
入院时，两组匹兹堡睡眠质量指数（PSQI）、疼痛评分指数（PRI）和焦虑自评量表（SAS）评分无显著差异（P>0.05）。术前和术后一周，观察组 PSQI、PRI 和 SAS 评分均明显低于对照组（P<0.001）。两组入院时和术后一周的收缩压（SBP）、舒张压（DBP）和心率（HR）无显著差异（P>0.05）。术前观察组 SBP、DBP 和 HR 指标明显低于对照组（P<0.05）。
围手术期五行音乐刺激可改善骨科手术患者的疼痛和焦虑状况，提高其睡眠质量。
