CAJ | 학술논문

目的：研究音乐干预对改善鼻中隔偏曲矫正术后疼痛及睡眠质量的影响。方法选取112例接受鼻中隔偏曲矫正术的患者，随机分为两组，对照组（n＝56）患者采用常规术后护理，音乐干预组（n＝56）患者在常规护理的基础上增加音乐干预方法治疗。比较两组患者干预前后疼痛视觉模拟评分、心率、血压、睡眠质量差异是否有统计学意义。结果与对照组相比，音乐干预组患者的疼痛程度评分明显降低（P＜0．01），心率、血压下降明显（P＜0．01），睡眠质量各项评分（主观睡眠质量、睡眠效率、睡眠障碍、催眠药物、日间功能及总分）有所改善（P＜0．05），入睡时间无改善（P＞0．05）。结论音乐干预能明显改善鼻中隔偏曲矫正手术术后疼痛及睡眠质量。音乐干预安全、便利，可作为鼻中隔偏曲矫正手术术后恢复过程的有效辅助手段。
목적：연구음악간예대개선비중격편곡교정술후동통급수면질량적영향。방법선취112례접수비중격편곡교정술적환자，수궤분위량조，대조조（n＝56）환자채용상규술후호리，음악간예조（n＝56）환자재상규호리적기출상증가음악간예방법치료。비교량조환자간예전후동통시각모의평분、심솔、혈압、수면질량차이시부유통계학의의。결과여대조조상비，음악간예조환자적동통정도평분명현강저（P＜0．01），심솔、혈압하강명현（P＜0．01），수면질량각항평분（주관수면질량、수면효솔、수면장애、최면약물、일간공능급총분）유소개선（P＜0．05），입수시간무개선（P＞0．05）。결론음악간예능명현개선비중격편곡교정수술술후동통급수면질량。음악간예안전、편리，가작위비중격편곡교정수술술후회복과정적유효보조수단。
Objective To study the effects on post‐operative pain correction and quality of sleep for patients with nasal septum surgery by music intervention .Method 112 patients with nasal septum surgery was selected and ran‐domly divided into two groups .56 patients in control group was given routine post‐operative nursing .56 patients in music intervention(MI)group was given routine nursing and music intervention .The pain and vision score evalua‐tion ,heart rate ,blood pressure and quality of sleep was assessed by visual analogue scale (VAS) and compared be‐tween group .Result The pain score for patients in MI group was significant lower that of control group (P<0 .01) . The heart rate and blood pressure was significantly lower than that of the control group (P<0 .01) .The different score for sleep quality evaluation (Subjective sleep quality ,sleep efficiency ,sleep disorder ,hypnotic drugs ,day‐time function and total score) in MI group was improved(P<0 .05) .There was no significant improvement in sleep time (P>0 .05) .Conclusion The post‐operative pain and quality of sleep for patients with nasal septum surgery can be improved by music intervention .The music intervention was a safe ,convenience post‐operative supplementary means for patients with nasal septum surgery .