Zhou Baozhu, Hu Zhenzhen
Department of Anesthesiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Department of Anesthesiology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
J Perianesth Nurs. 2025 Aug;40(4):925-929. doi: 10.1016/j.jopan.2024.10.004. Epub 2025 Jan 21.
The aim of this study is to observe the effect of music combined with preoperative education on perioperative anxiety in patients undergoing open cardiac surgery.
This was a randomized controlled study.
A group of 322 patients undergoing elective open cardiac surgery were randomly allocated to receive either music combined with preoperative education (the experimental group) or routine preoperative preparation (the control group). The primary endpoint was perioperative anxiety scores. The secondary outcome measures included length of stay in the intensive care unit, length of hospital stay, perioperative mean blood pressure, heart rate, respiratory rate, and quality of life score measured with the SF-36 subscale scores. This study collected data at the following 6 time points: T0 (preoperative baseline value), T1 (10 minutes after preoperative combined intervention), T2 (after patient extubation), T3 (10 minutes after intensive care unit intervention), T4 (the first day after patient admission), and T5 (1 month after patient discharge).
The experimental group reported significantly lower anxiety scores than the control group at both T1 and T4 time points. The experimental group had a significantly shorter length of stay in the intensive care unit and length of hospital stay than the control group. Heart rate, mean blood pressure, and respiratory rate were significantly lower in the experimental group at T1, T3, and T4 time points. The mean blood pressure and heart rate were significantly lower in the experimental group at the T2 time point. The SF-36 subscale scores were significantly higher in the experimental group at the T5 time point.
The combination of music and preoperative education provides effective antianxiety and accelerates recovery in patients undergoing open cardiac surgery.
本研究旨在观察音乐结合术前教育对接受心脏直视手术患者围手术期焦虑的影响。
这是一项随机对照研究。
将一组322例行择期心脏直视手术的患者随机分为两组，分别接受音乐结合术前教育（实验组）或常规术前准备（对照组）。主要终点是围手术期焦虑评分。次要结局指标包括重症监护病房住院时间、住院时间、围手术期平均血压、心率、呼吸频率以及用SF-36子量表评分测量的生活质量评分。本研究在以下6个时间点收集数据：T0（术前基线值）、T1（术前联合干预后10分钟）、T2（患者拔管后）、T3（重症监护病房干预后10分钟）、T4（患者入院后第一天）和T5（患者出院后1个月）。
在T1和T4时间点，实验组的焦虑评分显著低于对照组。实验组在重症监护病房的住院时间和住院时间均显著短于对照组。在T1、T3和T4时间点，实验组的心率、平均血压和呼吸频率显著较低。在T2时间点，实验组的平均血压和心率显著较低。在T5时间点，实验组的SF-36子量表评分显著较高。
音乐与术前教育相结合可有效减轻接受心脏直视手术患者的焦虑并加速其康复。
