双耳鼓动对在没有镇静的情况下接受上胃肠内镜检查的患者焦虑和耐受性的影响:一项随机对照试验
1Division of Gastroenterology, Department of Internal Medicine, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey.
双耳节奏音乐显著降低了焦虑,并在无镇静的上部胃肠内镜期间改善了耐受性. 这为接受手术的患者提供了一个非镇静剂的选择.
科学领域:
- 胃肠病学 胃肠病学
- 心理学 心理学 心理学
- 听觉神经科学 听觉神经科学
背景情况:
- 双耳鼓动是一种用于减轻焦虑的听觉错觉.
- 在上部胃肠道内镜中没有研究过对双耳音乐的暴露.
- 无镇静内镜需要方法来管理患者的焦虑和耐受性.
研究的目的:
- 为了研究双耳节奏音乐对接受无镇静上部胃肠内镜的患者焦虑和耐受性的影响.
- 为了比较患者的焦虑,耐受性和双耳跳动组和对照组之间的满意度.
主要方法:
- 一项前性随机对照试验,涉及96名接受上部胃肠道内镜检查的患者.
- 患者被随机分配,在手术前接受15分钟的双耳节拍音乐或没有音乐 (对照组).
- 使用国家特征焦虑清单测量焦虑,并通过医生记录的回复和患者反评估耐受性/满意度.
主要成果:
- 与手术前的分数相比,双耳鼓动组的手术后状态焦虑得分明显较低 (p=0.016).
- 两组之间心率或血压变化没有显著差异.
- 双耳鼓动组的程序耐受性和满意度得分显著更高 (p<0.05).
结论:
- 程序前的双耳节奏音乐显著降低了在接受上部胃肠内镜术的患者的焦虑水平.
- 双耳节奏音乐可以提高患者在手术过程中的耐受性和满意度.
- 这种听觉干预是一种潜在的非镇静剂替代方案,用于在内镜检查期间管理患者的体验.
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