手術(shù)等待期穴位按摩聯(lián)合音樂療法對患者術(shù)前焦慮的影響研究
發(fā)布時間：2019-02-14 19:34
【摘要】：目的：觀察手術(shù)等待期運(yùn)用穴位按摩聯(lián)合音樂療法對患者術(shù)前焦慮的影響。方法：選擇某三甲醫(yī)院2014年1月到8月?lián)衿谌槲改c手術(shù)患者共150例,且病例符合納入標(biāo)準(zhǔn)。將患者分為三組,分別為音樂組(音樂療法)、按摩組(穴位按摩法)和聯(lián)合組(穴位按摩聯(lián)合音樂療法),每組50例。三組患者術(shù)前常規(guī)護(hù)理準(zhǔn)備后,音樂組患者入手術(shù)等待間后戴耳機(jī)音樂療法15-20分鐘,按摩組患者接受穴位按摩15-20分鐘,聯(lián)合組耳機(jī)聽音樂結(jié)合穴位按摩15-20分鐘。運(yùn)用視覺模擬焦慮評分尺、心電監(jiān)護(hù)儀、主觀滿意度調(diào)查問卷對三組患者干預(yù)前后的術(shù)前焦慮水平、血壓、心率及滿意度進(jìn)行比較。結(jié)果：(1)一般資料：從2014年1月到8月在某三甲醫(yī)院進(jìn)行擇期全麻胃腸手術(shù)病人共150例,且符合病例納入標(biāo)準(zhǔn)。其中男性有86例,女性有64例,分別占到總?cè)藬?shù)的57.33%和42.67%,平均年齡為55.78±10.7歲。三組患者在職業(yè)、文化程度、經(jīng)濟(jì)、既往手術(shù)史等方面均無統(tǒng)計(jì)學(xué)差異(P0.05),因此具有可比性。(2)從干預(yù)前患者整體焦慮情況來看,三組患者干預(yù)前焦慮評分平均為5.70±1.45分,各組間比較P0.05,沒有統(tǒng)計(jì)學(xué)差異；三組焦慮評分干預(yù)后與干預(yù)前比較均有改善,存在統(tǒng)計(jì)學(xué)差異(P0.05)；音樂組和按摩組干預(yù)后比較,兩者沒有統(tǒng)計(jì)學(xué)意義(P0.05),聯(lián)合組干預(yù)后的焦慮評分分別低于音樂組和按摩組,P0.01統(tǒng)計(jì)學(xué)差異明顯,說明聯(lián)合組在降低等待期術(shù)前焦慮評分方面,效果優(yōu)于音樂組和按摩組。(3)從焦慮程度來看,干預(yù)前三組手術(shù)患者都有不同程度的焦慮情緒,其中中度焦慮患者占45.3%,而重度以上焦慮的患者共52%,從干預(yù)前后不同焦慮患者的例數(shù)及所占百分比的分布情況可以看出患者整體焦慮程度呈下降趨勢。三組療效評價(jià)結(jié)果可見,聯(lián)合組顯效率58%,優(yōu)于音樂組和按摩組,P0.01；三組總有效率分別為80%、76%、98%,聯(lián)合組與音樂組、按摩組比較,P0.01,說明聯(lián)合組緩解焦慮程度效果優(yōu)于音樂組和按摩組。(4)入院時、干預(yù)前三組患者的血壓(包括收縮壓和舒張壓)、心率比較,差異沒有統(tǒng)計(jì)學(xué)意義(P0.05)。三組患者進(jìn)入等待間時的血壓值高于入院時的血壓值；干預(yù)后三組患者的血壓值趨于穩(wěn)定。聯(lián)合組的平均血壓值更接近入院時的平均基礎(chǔ)血壓值,聯(lián)合組分別與音樂組、按摩組比較,P0.01,說明聯(lián)合組在穩(wěn)定患者血壓方面效果優(yōu)于音樂組和按摩組。干預(yù)后三組患者的心率趨于穩(wěn)定,聯(lián)合組的心率更接近入院時的心率水平,聯(lián)合組分別與音樂組、按摩組比較,P0.01,說明聯(lián)合組在穩(wěn)定患者心率方面效果優(yōu)于音樂組和按摩組。(5)患者主觀評價(jià)方面(包括主觀感受和滿意度),經(jīng)過調(diào)查問卷發(fā)現(xiàn)聯(lián)合組優(yōu)于音樂組和按摩組。在主觀感受維度方面,聯(lián)合組的患者感覺穴位按摩聯(lián)合音樂療法比單純的音樂療法或單純的穴位按摩更能使人放松,感到平靜,幫助減少緊張、壓力和疼痛,效果優(yōu)于前兩組,P0.05。94%的患者整體感到非常滿意。結(jié)論：客觀方面,手術(shù)等待期采用穴位按摩結(jié)合音樂的療法,不僅可以有效改善擇期全麻胃腸手術(shù)患者術(shù)前焦慮的程度,而且可以幫助更好地穩(wěn)定患者血壓、心率的波動,并且效果優(yōu)于單純使用音樂療法或穴位按摩。主觀方面,手術(shù)患者對聯(lián)合法的主觀評價(jià)較高,接受程度較好。以上兩方面表明聯(lián)合法在緩解術(shù)前焦慮,提升手術(shù)室患者滿意度效果明顯,對開展手術(shù)室優(yōu)質(zhì)護(hù)理服務(wù)具有較好的臨床使用價(jià)值。
[Abstract]:Objective: To observe the effect of acupoint massage combined with music therapy on the preoperative anxiety of the patients during the operation waiting period. Methods: 150 cases were selected from January to August of 2014, and the cases met the criteria. The patients were divided into three groups: music group (music therapy), massage group (acupuncture point massage method) and combined group (point massage combined with music therapy), each group of 50 cases. After the three groups of patients were prepared for routine nursing, the music group was put into operation for 15-20 minutes after the operation, and the massage group received the acupuncture point massage for 15-20 minutes, and the combined group of headphones listened to music and combined with the acupuncture points for 15-20 minutes. The pre-operative anxiety level, blood pressure, heart rate and degree of satisfaction before and after the intervention of three groups of patients were compared with the visual simulation anxiety scale, the ECG monitor and the subjective satisfaction questionnaire. Results: (1) General data: 150 cases of patients undergoing elective general anesthesia and gastrointestinal operation from January to August, 2014, and the cases were included in the standard. There were 86 males and 64 females, accounting for 57. 33% and 42. 67% of the total population, with an average age of 55. 78% and 10. 7 years. There was no statistical difference between the three groups in terms of occupation, degree of culture, economy and history of previous operation (P0.05). (2) The average anxiety score of the three groups was 5.70% and 1.45 in the overall anxiety of the patients before and after the intervention. There was no statistical difference between the groups, and there was no statistical difference between the three groups. After the intervention of the music group and the massage group, there was no significant difference between the two groups (P0.05). The scores of anxiety after the combined group intervention were lower than that of the music group and the massage group. (3) From the degree of anxiety, there were different degrees of anxiety among the three groups of patients before the intervention, among which, the patients with moderate anxiety accounted for 45. 3%, and the patients with the above anxiety had a total of 52%. The number of patients with different anxiety and the distribution of the percentage of anxiety before and after intervention can be seen as a trend of the overall anxiety of the patient. The results of the three groups showed that the effective rate of the combined group was 58%, which was better than that of the music group and the massage group. The total effective rate of the three groups was 80%, 76% and 98%, respectively. The combined group was compared with the music group and the massage group. The effect of the combined group on the degree of anxiety was better than that of the music group and the massage group. (4) At the time of admission, the blood pressure (including systolic and diastolic blood pressure) and heart rate of the three groups before intervention were not statistically significant (P0.05). The blood pressure of the three groups was higher than the blood pressure at the time of admission, and the blood pressure values of the three groups were stable after intervention. The average blood pressure value of the combined group was closer to the average basic blood pressure value at the time of admission, and the combined group was compared with the music group and the massage group, and the effect of the combined group on the blood pressure of the stable patient was better than that of the music group and the massage group. After the intervention, the heart rate of the three groups was stable, and the heart rate of the combined group was closer to the heart rate level at the time of admission. The combined group was compared with the music group and the massage group, and the effect of the combined group on the heart rate of the stable patient was better than that of the music group and the massage group. (5) The subjective evaluation of the patient (including subjective feeling and satisfaction), through the questionnaire, found that the combined group was superior to the music group and the massage group. In terms of the subjective feeling dimension, the patients of the combined group feel that the combined music therapy of the acupuncture point massage is more relaxed and calmer than the simple music therapy or the simple acupuncture point massage, and the effect is better than that of the first two groups, P 0.05. 94% of the patients were very satisfied. Conclusion: Objective: In order to improve the level of pre-operative anxiety of patients undergoing elective general anesthesia, and to help stabilize the patient's blood pressure and heart rate. and the effect is better than the simple use of the music therapy or the acupuncture point massage. In the subjective aspect, the patients with the operation had higher subjective evaluation and better acceptance. The above two aspects show that the joint method can relieve the anxiety before the operation, improve the satisfaction effect of the patient in the operating room, and has good clinical application value for the high-quality nursing service in the operating room.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R473.6
本文編號：2422532
[Abstract]:Objective: To observe the effect of acupoint massage combined with music therapy on the preoperative anxiety of the patients during the operation waiting period. Methods: 150 cases were selected from January to August of 2014, and the cases met the criteria. The patients were divided into three groups: music group (music therapy), massage group (acupuncture point massage method) and combined group (point massage combined with music therapy), each group of 50 cases. After the three groups of patients were prepared for routine nursing, the music group was put into operation for 15-20 minutes after the operation, and the massage group received the acupuncture point massage for 15-20 minutes, and the combined group of headphones listened to music and combined with the acupuncture points for 15-20 minutes. The pre-operative anxiety level, blood pressure, heart rate and degree of satisfaction before and after the intervention of three groups of patients were compared with the visual simulation anxiety scale, the ECG monitor and the subjective satisfaction questionnaire. Results: (1) General data: 150 cases of patients undergoing elective general anesthesia and gastrointestinal operation from January to August, 2014, and the cases were included in the standard. There were 86 males and 64 females, accounting for 57. 33% and 42. 67% of the total population, with an average age of 55. 78% and 10. 7 years. There was no statistical difference between the three groups in terms of occupation, degree of culture, economy and history of previous operation (P0.05). (2) The average anxiety score of the three groups was 5.70% and 1.45 in the overall anxiety of the patients before and after the intervention. There was no statistical difference between the groups, and there was no statistical difference between the three groups. After the intervention of the music group and the massage group, there was no significant difference between the two groups (P0.05). The scores of anxiety after the combined group intervention were lower than that of the music group and the massage group. (3) From the degree of anxiety, there were different degrees of anxiety among the three groups of patients before the intervention, among which, the patients with moderate anxiety accounted for 45. 3%, and the patients with the above anxiety had a total of 52%. The number of patients with different anxiety and the distribution of the percentage of anxiety before and after intervention can be seen as a trend of the overall anxiety of the patient. The results of the three groups showed that the effective rate of the combined group was 58%, which was better than that of the music group and the massage group. The total effective rate of the three groups was 80%, 76% and 98%, respectively. The combined group was compared with the music group and the massage group. The effect of the combined group on the degree of anxiety was better than that of the music group and the massage group. (4) At the time of admission, the blood pressure (including systolic and diastolic blood pressure) and heart rate of the three groups before intervention were not statistically significant (P0.05). The blood pressure of the three groups was higher than the blood pressure at the time of admission, and the blood pressure values of the three groups were stable after intervention. The average blood pressure value of the combined group was closer to the average basic blood pressure value at the time of admission, and the combined group was compared with the music group and the massage group, and the effect of the combined group on the blood pressure of the stable patient was better than that of the music group and the massage group. After the intervention, the heart rate of the three groups was stable, and the heart rate of the combined group was closer to the heart rate level at the time of admission. The combined group was compared with the music group and the massage group, and the effect of the combined group on the heart rate of the stable patient was better than that of the music group and the massage group. (5) The subjective evaluation of the patient (including subjective feeling and satisfaction), through the questionnaire, found that the combined group was superior to the music group and the massage group. In terms of the subjective feeling dimension, the patients of the combined group feel that the combined music therapy of the acupuncture point massage is more relaxed and calmer than the simple music therapy or the simple acupuncture point massage, and the effect is better than that of the first two groups, P 0.05. 94% of the patients were very satisfied. Conclusion: Objective: In order to improve the level of pre-operative anxiety of patients undergoing elective general anesthesia, and to help stabilize the patient's blood pressure and heart rate. and the effect is better than the simple use of the music therapy or the acupuncture point massage. In the subjective aspect, the patients with the operation had higher subjective evaluation and better acceptance. The above two aspects show that the joint method can relieve the anxiety before the operation, improve the satisfaction effect of the patient in the operating room, and has good clinical application value for the high-quality nursing service in the operating room.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R473.6
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