国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2012年
3期
409-411
,共3页
蔡柔妹%聂明卿%顾志莉%郭世华
蔡柔妹%聶明卿%顧誌莉%郭世華
채유매%섭명경%고지리%곽세화
音乐干预%心脏介入术%舒适度
音樂榦預%心髒介入術%舒適度
음악간예%심장개입술%서괄도
Music intervention%Cardiac interventional therapy%Degree of comfort
目的 探讨音乐干预对提高心脏介入术中患者舒适度的临床应用效果.方法 选择行择期心脏介入手术患者80例作为研究对象.按手术时间顺序随机分为对照组和实验组各40例.在手术期间,对照组按常规进行术中护理,实验组在常规护理的同时给予患者双耳戴耳挂式耳机连接MP3欣赏音乐至手术结束.同时采用焦虑自评量表(SAS)和文字描述评分法(VDS)分别评定两组患者术前,术中心理状态及腰背疼痛情况,观察记录患者有无肌紧张、入睡困难.结果 两组患者在术前1d开始出现不同程度焦虑和不舒适反应,SAS、VDS评分及不舒适反应例数两组间比较差异均无统计学意义P>0.05;手术期间,SAS、VDS评分及不舒适反应进行组间比较,实验组明显低于对照组,差异均有统计学意义P <0.05.结论 在心脏介入术中应用耳挂式音乐干预方法,可以去除术中医源性噪音的不良刺激,使患者在欣赏音乐的同时分散对手术过程的注意力而抒缓其焦虑心理和不适感,达到提高术中患者舒适度的目的.
目的 探討音樂榦預對提高心髒介入術中患者舒適度的臨床應用效果.方法 選擇行擇期心髒介入手術患者80例作為研究對象.按手術時間順序隨機分為對照組和實驗組各40例.在手術期間,對照組按常規進行術中護理,實驗組在常規護理的同時給予患者雙耳戴耳掛式耳機連接MP3訢賞音樂至手術結束.同時採用焦慮自評量錶(SAS)和文字描述評分法(VDS)分彆評定兩組患者術前,術中心理狀態及腰揹疼痛情況,觀察記錄患者有無肌緊張、入睡睏難.結果 兩組患者在術前1d開始齣現不同程度焦慮和不舒適反應,SAS、VDS評分及不舒適反應例數兩組間比較差異均無統計學意義P>0.05;手術期間,SAS、VDS評分及不舒適反應進行組間比較,實驗組明顯低于對照組,差異均有統計學意義P <0.05.結論 在心髒介入術中應用耳掛式音樂榦預方法,可以去除術中醫源性譟音的不良刺激,使患者在訢賞音樂的同時分散對手術過程的註意力而抒緩其焦慮心理和不適感,達到提高術中患者舒適度的目的.
목적 탐토음악간예대제고심장개입술중환자서괄도적림상응용효과.방법 선택행택기심장개입수술환자80례작위연구대상.안수술시간순서수궤분위대조조화실험조각40례.재수술기간,대조조안상규진행술중호리,실험조재상규호리적동시급여환자쌍이대이괘식이궤련접MP3흔상음악지수술결속.동시채용초필자평량표(SAS)화문자묘술평분법(VDS)분별평정량조환자술전,술중심리상태급요배동통정황,관찰기록환자유무기긴장、입수곤난.결과 량조환자재술전1d개시출현불동정도초필화불서괄반응,SAS、VDS평분급불서괄반응례수량조간비교차이균무통계학의의P>0.05;수술기간,SAS、VDS평분급불서괄반응진행조간비교,실험조명현저우대조조,차이균유통계학의의P <0.05.결론 재심장개입술중응용이괘식음악간예방법,가이거제술중의원성조음적불량자격,사환자재흔상음악적동시분산대수술과정적주의력이서완기초필심리화불괄감,체도제고술중환자서괄도적목적.
Objective To study the clinical effects of music intervention on improving the degree of comfort of patients during cardiac intervention surgery.Methods A total of 80 patients who were going to undergo elective cardiac intervention were randomly divided into control group(40cases) and (40cases) according to operation time sequence.During cardiac intervention surgery,the patients in control group received routine care and the patients in experimental group received music intervention through supra - aural earphone connected to MP3 on the basis of routine care.At the same time,the scales of SAS and VDS were applied to evaluate the mental state and lumbar and back pain of patients before and during operation.And muscle tonus or difficulty falling asleep were observed and recorded.Results Patients became anxious and uncomfortable 1day before operation and there was no statistic significant difference in the score of SAS and VDS or the cases of uncomfortable reaction between two groups ( P >0.05 ).But during operation,the differences were statistic significant ( P < 0.05). The score of SAS,VDS and the uncomfortable response were obviously lower in experimental group compared with control group.Conclusions Music intervention in cardiac intervention surgery can degrade the infaust stimulus of iatrogenic noise and distract the patients ′attention when they are enjoying the music during operation,then ease their anxiety and discomfort,at last raise the degree of comfort.