在结直肠外科手术的术后标准护理中音乐的实施 (IMPROVE研究)
Ellaha Kakar1, Oddeke van Ruler2, Bas Hoogteijling3
1Department of Surgery and Intensive Care Unit, Erasmus Medical Centre, Rotterdam, The Netherlands.
音乐干预可以减少外科手术患者的术后焦虑和药物需求. 这项研究发现,音乐在降低手术后的焦虑和二胺使用方面是可行的和有效的,尽管坚持需要改进.
科学领域:
- 麻醉学 麻醉学
- 在外科手术期间的医学.
- 音乐治疗 音乐治疗
背景情况:
- 手术患者经常经历手术前焦虑和疼痛.
- 音乐在缓解这些问题和减少药物需求方面已经显示出潜力.
研究的目的:
- 评估术后音乐干预的可行性和有效性.
- 评估患者和医疗保健专业人员对音乐作为治疗工具的接受程度.
主要方法:
- 一项前性试点研究,比较实施前后阶段.
- 评估了坚持,术后疼痛评分 (数值评分表),焦虑程度和药物使用情况.
- 包括一个对照组来比较疼痛得分.
主要成果:
- 在手术前和手术期间的坚持率很高 (95.2%和95.7%),但在术后的坚持率较低 (31.9%).
- 音乐显著降低了手术后的焦虑 (p=0.02) 和二胺消费 (p=0.04).
- 患者 (73%) 和医疗保健专业人员对该干预措施表现出积极的态度.
结论:
- 术后音乐干预是可行的,可以减少术后焦虑和二胺使用.
- 患者和工作人员的接受度很高,表明治疗潜力.
- 术后坚持需要加强,以获得更广泛的有效性.
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