在腹患者护理中进行外科手术期间的音乐实施:一项干预性研究
Kayleigh van Dam1,2, Victor Fu1, Geert Verkoulen1
1Surgery, Zuyderland Medical Center, Heerlen, NLD.
Cureus
|March 3, 2025
概括
外科手术期间的音乐没有显著减少腹部外科手术患者的疼痛或药物使用. 然而,患者在未来的外科手术过程中更喜欢音乐,这表明他们对音乐的看法是积极的.
科学领域:
- 麻醉学 麻醉学
- 手术患者护理手术患者护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 术后音乐可以减少术后疼痛,阿片类药物需求和焦虑.
- 即使在全身麻醉期间播放音乐时也观察到这些好处.
- 这项研究评估了在腹代谢手术 (BMS) 中将术前音乐作为标准护理的实施.
研究的目的:
- 评估术前音乐对选择性腹代谢手术中术后疼痛的影响.
- 为了评估音乐对患者满意度,恶心和手术后药物需求的影响.
主要方法:
- 一项前性研究,比较2023年3月至10月实施前后组 (控制与干预).
- 干预组在麻醉期间通过耳机收到患者选择的音乐.
- 包括的患者接受了选择性的减肥代谢手术 (Roux-en-Y胃绕道);主要结局是术后疼痛 (NRS).
主要成果:
- 在对照组 (n=66) 和干预组 (n=65) (p = 0.325) 之间,数值评分表 (NRS) 疼痛评分的中位数没有显著差异.
- 在不同组中,阿片类药物和抗药的使用情况相似.
- 两组患者的满意度都很高 (p = 0.137),其中86%的干预患者希望在未来的手术中使用音乐.
结论:
- 在减肥手术中实施术后音乐并没有显著减少术后疼痛或药物需求.
- 在减肥手术中患者的积极经验可能会掩盖音乐的增量益处.
- 患者对音乐的强烈偏好突出了其在术后护理中的积极看法.
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