Yan Zheng, Hai-Fang Ni, Yan Shi, Dan-Qian Cui, Zhen-Zhu Wu, Yu-Feng Ling, Shui-Qing He, Xiao-Yun Qin
{"title":"音乐治疗配合麻醉恢复护理对腹腔镜大肠癌根治术麻醉恢复有促进作用。","authors":"Yan Zheng, Hai-Fang Ni, Yan Shi, Dan-Qian Cui, Zhen-Zhu Wu, Yu-Feng Ling, Shui-Qing He, Xiao-Yun Qin","doi":"10.4240/wjgs.v17.i9.106301","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Current standard nursing practices demonstrate limited effectiveness in perioperative colorectal cancer (CRC) management, highlighting the need to explore alternative care strategies that improve clinical outcomes.</p><p><strong>Aim: </strong>To investigate the impact of music therapy and anesthesia recovery care on anesthesia recovery in patients with CRC undergoing laparoscopic radical resection.</p><p><strong>Methods: </strong>One hundred and twenty patients scheduled for elective laparoscopic CRC radical resection at Affiliated Hospital of Jiangnan University from January 2022 to May 2024 were enrolled. The patients were assigned to control (<i>n</i> = 60, receiving standard nursing care) and observation groups (<i>n</i> = 60, receiving music therapy, anesthesia recovery care, and standard nursing care). We comparatively analyzed the time to regain consciousness, extubation time, and length of stay in the postanesthesia care unit; heart rate, systolic blood pressure, and diastolic blood pressure before anesthesia and during recovery; cortisol, aldosterone, norepinephrine, and adrenaline levels before anesthesia and 24 hours postoperatively; Postoperative Quality of Recovery Scale scores; and complication rates between the groups.</p><p><strong>Results: </strong>The observation group exhibited a significantly shorter time to regain consciousness, extubation time, and postanesthesia care unit stay than the control group (<i>P</i> < 0.05). During the recovery period, heart rate, systolic blood pressure, and diastolic blood pressure significantly increased in both groups compared with preanesthesia levels, with the levels in the observation group being significantly lower than those in the control group (<i>P</i> < 0.05). At 24 hours postoperatively, cortisol, aldosterone, norepinephrine, and adrenaline levels were elevated in both groups compared with preanesthesia levels, with levels in the observation group being significantly lower than those in the control group (<i>P</i> < 0.05). The observation group achieved significantly higher Postoperative Quality of Recovery Scale scores than the control group (<i>P</i> < 0.05). Moreover, the complication rate in the observation group was significantly lower than that in the control group (10.00% <i>vs</i> 40.00%, <i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Music therapy combined with anesthesia recovery care remarkably boosted the quality of anesthesia recovery in patients undergoing laparoscopic CRC radical resection, mitigated fluctuations in vital signs and stress responses, improved postoperative recovery quality, and reduced complication rates, demonstrating substantial clinical value.</p>","PeriodicalId":23759,"journal":{"name":"World Journal of Gastrointestinal Surgery","volume":"17 9","pages":"106301"},"PeriodicalIF":1.7000,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476748/pdf/","citationCount":"0","resultStr":"{\"title\":\"Music therapy combined with anesthesia recovery care boosts anesthesia recovery in colorectal cancer patients undergoing laparoscopic radical resection.\",\"authors\":\"Yan Zheng, Hai-Fang Ni, Yan Shi, Dan-Qian Cui, Zhen-Zhu Wu, Yu-Feng Ling, Shui-Qing He, Xiao-Yun Qin\",\"doi\":\"10.4240/wjgs.v17.i9.106301\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Current standard nursing practices demonstrate limited effectiveness in perioperative colorectal cancer (CRC) management, highlighting the need to explore alternative care strategies that improve clinical outcomes.</p><p><strong>Aim: </strong>To investigate the impact of music therapy and anesthesia recovery care on anesthesia recovery in patients with CRC undergoing laparoscopic radical resection.</p><p><strong>Methods: </strong>One hundred and twenty patients scheduled for elective laparoscopic CRC radical resection at Affiliated Hospital of Jiangnan University from January 2022 to May 2024 were enrolled. The patients were assigned to control (<i>n</i> = 60, receiving standard nursing care) and observation groups (<i>n</i> = 60, receiving music therapy, anesthesia recovery care, and standard nursing care). We comparatively analyzed the time to regain consciousness, extubation time, and length of stay in the postanesthesia care unit; heart rate, systolic blood pressure, and diastolic blood pressure before anesthesia and during recovery; cortisol, aldosterone, norepinephrine, and adrenaline levels before anesthesia and 24 hours postoperatively; Postoperative Quality of Recovery Scale scores; and complication rates between the groups.</p><p><strong>Results: </strong>The observation group exhibited a significantly shorter time to regain consciousness, extubation time, and postanesthesia care unit stay than the control group (<i>P</i> < 0.05). During the recovery period, heart rate, systolic blood pressure, and diastolic blood pressure significantly increased in both groups compared with preanesthesia levels, with the levels in the observation group being significantly lower than those in the control group (<i>P</i> < 0.05). At 24 hours postoperatively, cortisol, aldosterone, norepinephrine, and adrenaline levels were elevated in both groups compared with preanesthesia levels, with levels in the observation group being significantly lower than those in the control group (<i>P</i> < 0.05). The observation group achieved significantly higher Postoperative Quality of Recovery Scale scores than the control group (<i>P</i> < 0.05). Moreover, the complication rate in the observation group was significantly lower than that in the control group (10.00% <i>vs</i> 40.00%, <i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Music therapy combined with anesthesia recovery care remarkably boosted the quality of anesthesia recovery in patients undergoing laparoscopic CRC radical resection, mitigated fluctuations in vital signs and stress responses, improved postoperative recovery quality, and reduced complication rates, demonstrating substantial clinical value.</p>\",\"PeriodicalId\":23759,\"journal\":{\"name\":\"World Journal of Gastrointestinal Surgery\",\"volume\":\"17 9\",\"pages\":\"106301\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-09-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12476748/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World Journal of Gastrointestinal Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4240/wjgs.v17.i9.106301\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"GASTROENTEROLOGY & HEPATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Gastrointestinal Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4240/wjgs.v17.i9.106301","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景:目前的标准护理实践在结直肠癌(CRC)围手术期管理中显示出有限的有效性,这突出了探索改善临床结果的替代护理策略的必要性。目的:探讨音乐治疗和麻醉恢复护理对腹腔镜大肠癌根治术患者麻醉恢复的影响。方法:选取2022年1月至2024年5月在江南大学附属医院行选择性腹腔镜结直肠癌根治术的患者120例。将患者分为对照组(n = 60,接受标准护理)和观察组(n = 60,接受音乐治疗、麻醉恢复护理和标准护理)。比较分析麻醉后患者恢复意识时间、拔管时间和住院时间;麻醉前和恢复期间的心率、收缩压、舒张压;麻醉前及术后24小时皮质醇、醛固酮、去甲肾上腺素和肾上腺素水平;术后恢复质量量表评分;以及两组之间的并发症发生率。结果:观察组患者恢复意识时间、拔管时间、麻醉后护理时间均明显短于对照组(P < 0.05)。恢复期两组患者心率、收缩压、舒张压均较麻醉前显著升高,且观察组显著低于对照组(P < 0.05)。术后24 h,两组患者皮质醇、醛固酮、去甲肾上腺素、肾上腺素水平均较麻醉前升高,且观察组显著低于对照组(P < 0.05)。观察组患者术后恢复质量评分明显高于对照组(P < 0.05)。观察组并发症发生率显著低于对照组(10.00% vs 40.00%, P < 0.05)。结论:音乐治疗联合麻醉恢复护理显著提高了腹腔镜结直肠癌根治术患者的麻醉恢复质量,缓解了患者生命体征波动和应激反应,提高了术后恢复质量,降低了并发症发生率,具有重要的临床价值。
Music therapy combined with anesthesia recovery care boosts anesthesia recovery in colorectal cancer patients undergoing laparoscopic radical resection.
Background: Current standard nursing practices demonstrate limited effectiveness in perioperative colorectal cancer (CRC) management, highlighting the need to explore alternative care strategies that improve clinical outcomes.
Aim: To investigate the impact of music therapy and anesthesia recovery care on anesthesia recovery in patients with CRC undergoing laparoscopic radical resection.
Methods: One hundred and twenty patients scheduled for elective laparoscopic CRC radical resection at Affiliated Hospital of Jiangnan University from January 2022 to May 2024 were enrolled. The patients were assigned to control (n = 60, receiving standard nursing care) and observation groups (n = 60, receiving music therapy, anesthesia recovery care, and standard nursing care). We comparatively analyzed the time to regain consciousness, extubation time, and length of stay in the postanesthesia care unit; heart rate, systolic blood pressure, and diastolic blood pressure before anesthesia and during recovery; cortisol, aldosterone, norepinephrine, and adrenaline levels before anesthesia and 24 hours postoperatively; Postoperative Quality of Recovery Scale scores; and complication rates between the groups.
Results: The observation group exhibited a significantly shorter time to regain consciousness, extubation time, and postanesthesia care unit stay than the control group (P < 0.05). During the recovery period, heart rate, systolic blood pressure, and diastolic blood pressure significantly increased in both groups compared with preanesthesia levels, with the levels in the observation group being significantly lower than those in the control group (P < 0.05). At 24 hours postoperatively, cortisol, aldosterone, norepinephrine, and adrenaline levels were elevated in both groups compared with preanesthesia levels, with levels in the observation group being significantly lower than those in the control group (P < 0.05). The observation group achieved significantly higher Postoperative Quality of Recovery Scale scores than the control group (P < 0.05). Moreover, the complication rate in the observation group was significantly lower than that in the control group (10.00% vs 40.00%, P < 0.05).
Conclusion: Music therapy combined with anesthesia recovery care remarkably boosted the quality of anesthesia recovery in patients undergoing laparoscopic CRC radical resection, mitigated fluctuations in vital signs and stress responses, improved postoperative recovery quality, and reduced complication rates, demonstrating substantial clinical value.