摘要
目的探讨个体化音乐干预对减轻腹腔镜手术病人术前焦虑的作用。方法将93例腹腔镜手术病人随机分成实验组和对照组,采用音乐背景调查表对音乐背景及喜好进行评估,制定个体化音乐干预方案;术前1～2h实验组通过耳机欣赏选定音乐,对照组则只戴耳机不听音乐,两组均持续30min。结果两组音乐背景无统计学差异,较喜欢的音乐类型有轻音乐(49例,占52.83%)和流行歌曲(42例,占45.28%),其次为民乐和民歌,分别为33.96%和32.08%;实验组干预后焦虑评分、收缩压及皮质醇降低,与对照组相比有显著差异(P<0.05),两组皮肤电反应较干预前升高(P<0.01),组间比较无统计学差异,舒张压和心率在干预前后无明显改变(P>0.05)。结论依据病人喜好及同步原则进行个体化音乐干预,可降低腹腔镜手术病人的术前焦虑。建议把音乐干预作为术前心理准备的有效措施之一,成为护士能独立发挥作用的辅助性治疗措施。
Objective To explore the effect of individual music intervention on patients undergoing laparoscope surgery to reduce preoperative anxiety. Methods 93 patients undergwent laparoscopic surgery were randomly divided into two groups. Intervention group （n=48） listened to patient-selected music by earphone for 30 minutes, control group（n =45）received no sound from earphone. Using self validated behavioral （State-Trait Anxiety Inventory） and physiological measure of anxiety （blood pressure, heart rate, saliva cortisol and galvanic skin response）. Results Music background in two groups didn＇t show significant difference, light and pop music were loved by patients. Intervention group showed lower anxiety level than control group （P〈0.05）, their systematic pressure and saliva cortisol were lower as well. Conclusions Individual music intervention can reduce the preoperative anxiety of patients undergoing laparoscopic surgery.
出处
《中华护理杂志》
CSCD
北大核心
2005年第7期485-488,共4页
Chinese Journal of Nursing
