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JAN:图片和音乐可减少病人术前焦虑感

来源:生物谷 2016-02-18 15:15

2016年2月18日讯/生物谷BIOON/一项新的研究发现一边听音乐一边看照片可以减缓病人手术前的焦虑感,而且可以共同改善他们的身体和心理健康。

手术前的等待时间对病人来说通常是不愉快和焦虑的。焦虑会影响病人身体和心理健康的恢复,可延长手术后病人住院和康复时间。改善术前焦虑症对减少护理的成本、提高病人的满意度和幸福感是一种有影响力的挑战。

本次实验分为三组,两组是实验组,一组是对照组。180名受试者来自格拉纳达省三级医院耳鼻咽喉科专业眼科手术室,每组60名受试者。实验变量测量受试者焦虑状态,心脏和呼吸率和血压。数据收集从2013年5月到12月。

与仅看照片组相比较,当病人看照片时听音乐可舒缓其焦虑感,这样对病人的心脏,呼吸率以及血压都有不同程度的好处。

该发现提供了一种简单易行且成本较低的方法来改善病人的健康状况,这种方法不需用药物或侵入性治疗,仅仅只是在手术开始前等待的房间里看看视频和照片,听听音乐就可以。

“听不同类型的音乐,看不同风格的照片,病人可以根据自己的喜好来选择想看到的照片和想听到的音乐,这可能是治疗术前焦虑症的一种低成本和低风险的方法。”Jose Gomez-Urquiza说,他是发表在《Journal of Advanced Nursing》杂志上的该文的第一作者。(生物谷Bioon.com)

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A randomized controlled trial of the effect of a photographic display with and without music on pre-operative anxiety

Jose L. Gómez-Urquiza RN MN PhD Student/Assistant Lecturer1,*, César Hueso-Montoro PhD RN Assistant Lecturer2, Josefa Urquiza-Olmo RN Bachelor of Fine Arts3, Rocío Ibarrondo-Crespo Ms Degree in Psychology4, Emilio González-Jiménez PhD Assistant Lecturer2 andJacqueline Schmidt-Riovalle PhD RN Professor2

Abstract Aims To determine the effectiveness of photographic display at reducing pre-operative anxiety in an ear, nose and throat surgery unit; alone and in combination with music. Background The waiting time prior to the surgery is often unpleasant and a time of anxiety for patients. Anxiety can affect physical recovery and psychological well-being; lengthening convalescence and hospital stay after the surgery. Improving pre-operative anxiety is a challenge with potential impacts on improving patients' satisfaction and well-being and decreasing the cost of care. Design A clinical trial was conducted with two intervention groups and one control group. Methods The sample consisted of 180 subjects from the otolaryngology major ambulatory surgery unit in a tertiary hospital in the province of Granada, with 60 subjects per group. The outcome variables measured were state anxiety, heart and respiratory rate and blood pressure. The data were collected from May–December 2013. Results After the intervention, in the comparison between control group and photographic display group, all variables had lower means in the intervention group, although a significant P value was only obtained for respiratory rate using one-way anova test. When comparing control group and photographic display combined with music group, using one-way anova test, all mean values were lower in the intervention group and a significant P value were observed for all variables except diastolic blood pressure. Conclusion Photographic display in combination with music is more effective at reducing pre-operative anxiety than the standard intervention and photographic display alone.

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