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音乐作为术后疼痛和生理参数的辅助治疗:前测、后测干预研究。

Music as an Adjuvant Therapy in Postoperative Pain and Physiologic Parameters: Pre-Test, Post-Test Intervention Study.

作者信息

Amaya Leonidah Kwamboka, Bella Collins Anita, Mokaya Nyauma Nelson

机构信息

School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

出版信息

Rwanda J Med Health Sci. 2023 Nov 30;6(3):290-302. doi: 10.4314/rjmhs.v6i3.3. eCollection 2023 Nov.

Abstract

BACKGROUND

Poorly controlled postoperative pain remains a significant challenge. Music is a safe, inexpensive, non-invasive intervention that can be used in managing pain in surgical patients.

OBJECTIVES

To evaluate effectiveness of music intervention as an adjuvant therapy in attenuating postoperative pain among patients with tibia/fibula fractures.

METHODOLOGY

A cross-sectional pre-test, post-test intervention study design was utilized to conduct a study involving 20 tibia-fibula patients, divided equally into intervention and control groups. Self-selected music was administered for 20 minutes to the intervention group once on day-3 after surgery. Data was collected using a demographic questionnaire and Visual Analogue Scale (VAS). Data was analyzed using SPSS software version 29.0. Descriptive statistics analyzed continuous and categorical data. T-test compared means of physiologic parameters and pain levels in pre-and post-intervention. ANCOVA established the relationship between music and post-intervention pain levels.

FINDINGS

Use of music alongside conventional therapy significantly reduced pain in the intervention group than in the control group (P = 0.014). Music had no statistically significant impact on the physiological parameters.

CONCLUSION

Music therapy is effective as an adjuvant therapy for pain management and can therefore reduce the use of analgesics among surgical patients.

摘要

背景

术后疼痛控制不佳仍然是一个重大挑战。音乐是一种安全、廉价、非侵入性的干预措施,可用于管理外科手术患者的疼痛。

目的

评估音乐干预作为辅助治疗对减轻胫腓骨骨折患者术后疼痛的有效性。

方法

采用横断面预测试、后测试干预研究设计,对20例胫腓骨骨折患者进行研究,将其平均分为干预组和对照组。干预组在术后第3天接受一次20分钟的自选音乐治疗。使用人口统计学问卷和视觉模拟量表(VAS)收集数据。使用SPSS 29.0软件进行数据分析。描述性统计分析连续和分类数据。t检验比较干预前后生理参数和疼痛水平的均值。协方差分析确定音乐与干预后疼痛水平之间的关系。

结果

与传统治疗方法同时使用音乐,干预组的疼痛明显低于对照组(P = 0.014)。音乐对生理参数没有统计学上的显著影响。

结论

音乐疗法作为疼痛管理的辅助疗法是有效的,因此可以减少外科手术患者的镇痛药使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d51/12110506/e750acd3736c/RJMHS0603-0290Fig1.jpg

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