音乐疗法提高玻璃体切除局麻患者手术配合依从性的效果
Application of music therapy in improving compliance of patients with vitrectomy under local anesthesia
目的 探讨音乐疗法在玻璃体切除局麻手术患者中的应用效果.方法整群抽取2016年9—12月在华中科技大学同济医学院附属协和医院行玻璃体切除手术治疗的200例患者,根据随机数字表分为观察组和对照组,每组各100例.对照组予以眼科局麻手术的常规术前访视及术中护理,观察组除给予常规护理外,术前10min至手术结束均给予个性化音乐干预.比较两组患者术中的生命体征、手术配合依从性及疼痛指数.结果观察组患者的心率、收缩压低于对照组,手术配合依从性高于对照组,疼痛指数低于对照组,差异均有统计学意义(P<0.05).结论对玻璃体切除手术患者行音乐干预,能有效提高患者手术配合的依从性,降低患者疼痛指数.
更多Objective To evaluate the effect of music therapy in vitrectomy patients under local anesthesia. Methods A total of 200 patients undergoing vitrectomy from September to December 2016 in Union Hospital of Tongji Medical College were recruited by cluster sampling method, and randomly divided into observation group and control group, with 100 cases in each. Routine preoperative visit and intraoperative care were given to the control group. Besides routine care,the observation group was given preoperative personalized music intervention from 10 minutes before the surgery to the end. Vital signs, patients' compliance and pain scores were compared between the two groups. Results The heart rate and systolic blood pressure of the observation group patients were significantly lower than the control group (P< 0.05). While surgery compliance was higher than the control group (P<0.05), and the pain score was lower than the control group (P<0.05). All of the differences were statistically significant. Conclusions Music intervention in perioperative period can effectively improve vitrectomy patients cooperate compliance, and reduce the patients pain score.
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