在手术患者体验现场床边音乐的心率变化; 一项探索性研究
Hanneke van der Wal-Huisman1, Remko Soer2,3, Grigory Sidorenkov4
1Department of Surgery, University of Groningen, University Medical Center Groningen, HPC BA60, P.O. Box 30.001, Groningen, RB 9700, The Netherlands. h.van.der.wal-huisman@umcg.nl.
Applied psychophysiology and biofeedback
|November 20, 2023
概括
现场的床边音乐通过促进放松和增加副交感活动,以心率变化 (HRV) 衡量,对老年手术患者产生积极影响. 这项研究探讨了在术后康复期间对音乐的自主神经系统 (ANS) 反应.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 麻醉学 麻醉学
背景情况:
- 手术通过自主神经系统 (ANS) 触发压力反应,影响恢复,特别是在老年人中.
- 音乐对术后康复的积极影响是公认的,但潜在的机制需要进一步研究.
- 心率变化 (HRV) 作为评估自主神经系统活动的有价值的非侵入性代理.
研究的目的:
- 为了研究自主神经系统 (ANS) 对老年手术患者的床边音乐的反应.
- 探索音乐作为一种干预手段的潜力,以减轻外科手术的压力,并促进老年人的康复.
- 使用心率变化 (HRV) 作为对ANS对音乐反应的定量测量.
主要方法:
- 一项探索性前性非随机控制队列研究,涉及101名老年非心脏手术患者 (平均年龄70岁).
- 患者被分为两组:一组接受现场床边音乐,一组没有收到音乐的对照组.
- 心率变化 (HRV) 在多个时间点测量:干预前,干预期间,干预后30分钟和干预后3小时.
主要成果:
- 与对照组相比,音乐干预组在低频和高频HRV频段 (p=0.041) 显示出显著的变化.
- 这些HRV变化表明,在接受现场音乐的患者中,放松状态和副交感活动增加.
- 虽然其他措施显示出趋势,但只有HRV显示出具有统计学意义的效果,这表明它对自主监管产生了特定影响.
结论:
- 在老年手术患者手术后,现场床边音乐似乎会诱导放松,并增强副交感活动.
- 这项研究提供了初步证据,证明音乐在康复阶段对自主神经系统 (ANS) 的有益作用.
- 需要进一步的研究,以充分阐明音乐干预在老年人手术护理中的机制和临床影响.
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