莫扎特音乐对剖腹产患者满意度的影响:随机对照试验。

IF 1.6 Q2 ANESTHESIOLOGY
Dan M Drzymalski, Mohammad Dahlawi, Robert R Hall, Shreya Ranjan, Craig L Best
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引用次数: 0

摘要

背景:音乐是一种可提高患者满意度的低成本干预措施:这是一项前瞻性、随机对照试验,在美国一家城市三级医疗学术中心进行。年龄在 18-50 岁、孕龄≥ 37 周、健康的单胎妊娠、在神经麻醉下进行选择性剖腹产的女性被随机分配到音乐组(莫扎特奏鸣曲)或对照组(无音乐)。在患者入院前立即向音乐组播放莫扎特奏鸣曲,并在整个手术过程中保持播放。主要结果是使用剖腹产产妇满意度量表(MSSCS)得出的患者满意度。次要结果为术前和术后焦虑的变化以及术后平均动脉压 (MAP)。统计分析中酌情使用了学生 t 检验、Wilcoxon 秩和检验和 c2 检验。结果:2018 年至 2019 年期间,共有 27 名产妇接受了参与评估,其中 22 人报名参加。由于两人退出,最终研究对象人数为 20 人。基线人口统计学、生命体征和焦虑方面没有临床意义上的差异。音乐与对照组相比,患者总满意度的平均值(标清)为 116(16) vs. 120(22),平均差异为 4(95% CI:-14.0 至 22.0),P = 0.645。音乐与对照组相比,焦虑的平均(标清)变化为 2.7 (2.7) vs. 2.5 (2.6),平均差异为 -0.4 (95% CI: -4.0 to 3.2),P = 0.827。使用音乐与对照组相比,术后血压中位数(IQR)为 77.7 (73.7-85.3) vs. 77.3 (72.0-87.3),P = 0.678:使用莫扎特奏鸣曲并不能提高择期剖腹产产妇的满意度、焦虑感或 MAP。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The effect of Mozart music on patient satisfaction during caesarean delivery: a randomised controlled trial.

The effect of Mozart music on patient satisfaction during caesarean delivery: a randomised controlled trial.

Background: Music is a low-cost intervention that can improve patient satisfaction.

Methods: This was a prospective, randomised, controlled trial conducted at an urban tertiary care academic medical centre in the United States. Nulliparous women 18-50 years old with a healthy singleton pregnancy at ≥ 37 weeks gestational age undergoing elective caesarean delivery under neuraxial anaesthesia were randomised to the music group (Mozart sonatas) or control group (no music). Mozart sonatas were broadcast to the music group immediately prior to patient entry and maintained throughout the procedure. The primary outcome was patient satisfaction using the Maternal Satisfaction Scale for Caesarean Section (MSSCS). Secondary outcomes were changes in anxiety pre- and post-operatively and post-operative mean arterial pressure (MAP). Student's t-test, the Wilcoxon rank sum test, and the c2 test were used where appropriate for statistical analyses.

Results: 27 parturients were evaluated for participation between 2018 and 2019, and 22 enrolled. The final study subject number was 20 due to two withdrawals. There were no clinically meaningful differences in baseline demographics, vital signs, and anxiety. The mean (SD) total patient satisfaction for music vs. control was 116 (16) vs. 120 (22), mean difference 4 (95% CI: -14.0 to 22.0), P = 0.645. The mean (SD) change in anxiety with music vs. control was 2.7 (2.7) vs. 2.5 (2.6), mean difference -0.4 (95% CI: -4.0 to 3.2), P = 0.827. The median (IQR) post-operative MAP with music vs. control was 77.7 (73.7-85.3) vs. 77.3 (72.0-87.3), P = 0.678.

Conclusions: The use of Mozart sonatas did not result in improvements in patient satis-faction, anxiety or MAP in parturients undergoing elective caesarean delivery.

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来源期刊
CiteScore
3.00
自引率
5.90%
发文量
48
审稿时长
25 weeks
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