Effect of Music Therapy Integrated with ORTCC Model-Based Nursing on Patients Undergoing Vacuum Sealing Drainage in...

This study aimed to analyse the effects of music therapy combined with the Objective-Rules-Training-Check-Culture (ORTCC) model-based nursing in patients undergoing vacuum sealing drainage (VSD) for surgical wounds.

In this retrospective cohort study, clinical data of 132 patients from Cangzhou Central Hospital receiving VSD for hand and foot surgeries between June 2022 and June 2023 were retrospectively analysed. In accordance with actual nursing protocols, participants were allocated to either the ORTCC group (n = 67), receiving systematic ORTCC model-based nursing, or the combination group (n = 65), receiving additional music therapy alongside ORTCC nursing. Outcomes included fear of disease progression [Fear of Progression Questionnaire-Short Form (FoP-Q-SF)], mood states [Brief Profile of Mood States (BPOMS)], quality of life [Generic Quality of Life Inventory-74 (GQOLI-74)], compliance rates, satisfaction scores and complication incidence.

No significant intergroup differences were observed in wound healing time, pain scores and complication rates (P > 0.05). Both groups exhibited reduced FoP-Q-SF and BPOMS scores after care compared with baseline, with significantly lower scores in the combination group than in the ORTCC group (P < 0.05). All GQOLI-74 domain scores increased after care in both groups, but they were significantly higher in the combination group (P < 0.05). The combination group demonstrated superior nursing compliance rates and satisfaction scores (P < 0.05).

Surgical patients undergoing VSD and receiving combined music therapy and ORTCC model-based nursing exhibited significantly reduced fear of disease progression, mood improvement, enhanced quality of life and superior compliance and satisfaction, though no additional advantages were observed in physiological wound healing.