音乐治疗对在全身麻醉下进行腹部手术的患者手术后疼痛感知的影响:前性随机对照临床研究
Subha Teresa J Vazhakalayil1, Sanya Varma1
1Anaesthesiology, DR. D.Y. Patil Medical College, Hospital and Research Centre, DR. D.Y. Patil Vidyapeeth University, Pune, IND.
Cureus
|September 30, 2024
概括
在接受手术的患者中,术后音乐治疗显著降低了疼痛感知,并改善了患者的满意度. 这种音乐干预也有助于控制血压,提供了一种安全,具有成本效益的疼痛管理方法.
科学领域:
- 麻醉学 麻醉学
- 心理神经免疫学 心理神经免疫学
- 疼痛管理 疼痛管理
背景情况:
- 音乐治疗因其降低镇静剂和止痛药需求的潜力而得到认可.
- 以前的研究表明,音乐治疗可以降低像皮质醇和上腺素这样的压力激素.
- 这项研究专门研究了音乐在术后疼痛和应激反应中的作用.
研究的目的:
- 评估术后音乐治疗在缓解疼痛感知方面的有效性.
- 评估音乐治疗对手术内皮质醇水平的影响.
- 为了确定与手术期间的音乐治疗相关的患者满意度.
主要方法:
- 一项前性随机对照试验,涉及60名接受选择性腹部下部手术的成年患者.
- 患者被分配到使用耳机的音乐组 (M组) 或对照组 (C组).
- 使用视觉模拟尺度 (VAS) 测量疼痛,并分析血清皮质醇水平.
主要成果:
- 音乐治疗组 (M组) 的视觉模拟尺度 (VAS) 疼痛评分明显较低 (p < 0.05).
- 在麻醉诱导后,M组表现出更好的静脉血压控制.
- 患者满意度在M组 (81.4%) 与C组 (51.4%) (p < 0.05) 相比明显更高.
结论:
- 术后音乐治疗是一种安全有效的干预措施,可以减少疼痛感知.
- 音乐治疗可以与现有的疼痛管理策略相结合,以改善术后护理.
- 这种干预会提高患者的满意度和在手术期间更好的生理稳定性.
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