心脏手术中听音乐对焦虑、疼痛和心肺参数的影响：一项随机临床试验。

IF 4.9 2区医学 Q1 NURSING

Intensive and Critical Care Nursing Pub Date : 2025-01-17 DOI:10.1016/j.iccn.2024.103939

Érica Vieira de Andrade , Vanderlei José Haas , Maíla Fidalgo de Faria , Márcia Marques dos Santos Felix , Maria Beatriz Guimarães Raponi , Elizabeth Barichello , Patricia da Silva Pires , Sagrario Gómez-Cantarino , Maria Helena Barbosa

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引用次数: 0

摘要

目的：评价音乐对心脏手术患者术前焦虑、术后疼痛（休息时和咳嗽时）和心肺参数的影响。设计：单中心、随机、平行、优势临床试验。方法：本研究将50例接受择期心脏手术的成年患者按1:1的比例随机分为实验组（n = 25）和对照组（n = 25）。实验组分别在术前和术后第一天听音乐。对照组接受标准治疗。使用状态-特质焦虑量表和数字疼痛评定量表收集数据。结果：古典音乐显著降低术前状态焦虑评分（p Cohen = 2.1）、术后休息时疼痛强度（p Cohen = 1.4）和咳嗽时疼痛强度（p Cohen = 1.3）。收缩压也有统计学意义的降低(p = 0.001；dCohen = 0.9)和舒张压(p = 0.01；dCohen = 0.6)、心率（p Cohen = 2.5）、呼吸频率（p Cohen = 1.4）、血氧饱和度显著升高（p Cohen = 1.2）。结论：听音乐对评估结果有显著影响，表明其作为心脏手术患者药物治疗的补充干预的潜力。对临床实践的启示：研究结果进一步证明，在心脏手术围手术期，听音乐是一种很有前途的护理干预措施，具有促进患者健康和提高护理质量的潜力。

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Effect of listening to music on anxiety, pain, and cardiorespiratory parameters in cardiac surgery: A randomized clinical trial

Purpose

To evaluate the effect of listening to music on preoperative anxiety, postoperative pain (at rest and during coughing), and cardiorespiratory parameters in patients undergoing cardiac surgery.

Design

Single-centered, randomized, parallel, superiority clinical trial.

Methods

This study was carried out with 50 adult patients undergoing elective cardiac surgery randomly allocated at a 1:1 ratio to one of the groups, experimental (n = 25) or control (n = 25). The experimental group listened to music during the immediate preoperative period and on the first postoperative day. The control group received standard care. State-Trait Anxiety Inventory and Numeric Pain Rating Scale were used to collect data.

Findings

The classical music significantly reduced preoperative state anxiety scores (p < 0.001; d_Cohen = 2.1), postoperative pain intensity at rest (p < 0.001; d_Cohen = 1.4) and during coughing (p < 0.001; d_Cohen = 1.3). There was also a statistically significant reduction in systolic (p = 0.001; d_Cohen = 0.9) and diastolic blood pressure (p = 0.01; d_Cohen = 0.6), heart rate (p < 0.001; d_Cohen = 2.5), respiratory rate (p < 0.001; d_Cohen = 1.4), and a significant increase in oxygen saturation (p < 0.001; d_Cohen = 1.2).

Conclusions

Listening to music had a significant impact on the evaluated outcomes, demonstrating its potential as a complementary intervention to pharmacological treatment for patients undergoing cardiac surgery.

Implications for Clinical Practice

The findings reinforce the evidence that listening to music is a promising nursing intervention to be used in the perioperative period of cardiac surgeries, with the potential to promote well-being to patients and improve the quality of care provided.

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来源期刊

Intensive and Critical Care Nursing NURSING-

CiteScore

6.30

自引率

15.10%

发文量

144

审稿时长

57 days

期刊介绍： The aims of Intensive and Critical Care Nursing are to promote excellence of care of critically ill patients by specialist nurses and their professional colleagues; to provide an international and interdisciplinary forum for the publication, dissemination and exchange of research findings, experience and ideas; to develop and enhance the knowledge, skills, attitudes and creative thinking essential to good critical care nursing practice. The journal publishes reviews, updates and feature articles in addition to original papers and significant preliminary communications. Articles may deal with any part of practice including relevant clinical, research, educational, psychological and technological aspects.