音乐疗法对术前等候室护理质量的影响(1)
[摘要] 目的 将术前等候室引入音乐干预护理措施，以期通过音乐干预降低患者术前的紧张情绪，提高患者对手术室护理的满意度。 方法 选择2011年2月～2014年2月在浙江省丽水市中心医院行择期手术患者860例，分A、B两组，各430例。A组患者在完成术前准备的同时，入室后开始播放背景音乐，播放节拍为60～80 拍/min，音乐强度为60～80 dB。B组患者不接受音乐干预护理，其他护理方式同A组。记录两组患者进入手术等候室时(T1)、手术等候室10 min(T2)、离开等候室(T3)3个时间点的焦虑评分及心率、血压等生命体征。 结果 两组患者一般情况比较差异无统计学意义(P > 0.05)。A组焦虑评分由T1时(38.51±6.12)分降到T2时(31.23±5.65)分;B组患者自T2时间点开始心率增快，平均动脉压升高，焦虑评分较T1时升高显著，A组与B组比较差异有高度统计学意义(P < 0.01)。A组患者的满意率(94.89%)显著高于B组(76.70%)，差异有高度统计学意义(P < 0.01)。 结论 术前等候室应用音乐干预护理辅助治疗能有效改善患者术前紧张情绪，并提高护理满意度，是一种有效的护理干预措施。
[关键词] 音乐疗法;术前等候室;护理
[中图分类号] R473 [文献标识码] B [文章编号] 1673-7210(2015)01(a)-0126-04
Effect of music treatment on nursing quality in preoperative waiting room
WU Xingjiao1 GAO Lijuan2 WANG Chuanguang3▲ CHENG Rui1 WU Wei3 LEI Lipei3
1.Operating Room， Lishui Central Hospital， Zhejiang Province， Lishui 323000， China; 2.Department of Neonatology， Lishui Central Hospital， Zhejiang Province， Lishui 323000， China; 3.Department of Anesthesiology， Lishui Central Hospital， Zhejiang Province， Lishui 323000， China
[Abstract] Objective To introduce the music nursing intervention into the preoperative preparation room， expecting the music intervention to reduce the preoperative tension of patients and improve their satisfaction with the operating room nursing. Methods 860 cases of patients waiting for anesthesia and surgery in Lishui Central Hospital of Zhejiang Province from February 2011 to February 2014 were divided into groups A and B (n = 430). All patients of group A underwent the treatment of music nursing intervention， and the background music， with a play speed of 60-80 beats/min and a intensity of 60-80 dB， started up once they entered the room. Patients in group B were not given the music nursing intervention， while the nursing measures in rest aspects were the same as group A. Patients' anxiety score and vital signs， including heart rate and blood pressure were monitored and recorded at three time points of T1 (into the operating waiting room)， T2 (10 min into the operating waiting room) and T3 (leaving the waiting room). Results Comparison of the general conditions between the two groups showed no statistically significant difference (P > 0.05). The anxiety score of group A decreased significantly at T2 [(31.23±5.65) scores] when compared with that at the time point of T1 [(38.51±6.12) scores]; while the HR and MAP increased from the time point of T2 in the patients of group B， and their anxiety score was also significantly elevated compared with that at T1， suggesting that the differences between groups A and B in those aspects were statistically significant (P < 0.01). Patients' satisfaction rate of group A was 94.89%， which was significantly higher than that of group B (76.70%)， the difference between the two groups was statistically significant (P < 0.01). Conclusion Auxiliary nursing of music intervention in preoperative preparation room can effectively relieve patients' tension and improve their satisfaction with the preoperative care. Therefore， it is an effective nursing intervention.
------
吴兴娇 高丽娟 王传光 程锐 吴炜 雷李培 浙江省丽水市中心医院手术室;浙江省丽水市中心医院新生儿科;浙江省丽水市中心医院麻醉科;
【摘要】目的将术前等候室引入音乐干预护理措施,以期通过音乐干预降低患者术前的紧张情绪,提高患者对手术室护理的满意度。方法选择2011年2月~2014年2月在浙江省丽水市中心医院行择期手术患者860例,分A、B两组,各430例。A组患者在完成术前准备的同时,入室后开始播放背景音乐,播放节拍为60~80拍/min,音乐强度为60~80 d B。B组患者不接受音乐干预护理,其他护理方式同A组。记录两组患者进入手术等候室时(T1)、手术等候室10 min(T2)、离开等候室(T3)3个时间点的焦虑评分及心率、血压等生命体征。结果两组患者一般情况比较差异无统计学意义(P0.05)。A组焦虑评分由T1时(38.51±6.12)分降到T2时(31.23±5.65)分;B组患者自T2时间点开始心率增快,平均动脉压升高,焦虑评分较T1时升高显著,A组与B组比较差异有高度统计学意义(P0.01)。A组患者的满意率(94.89%)显著高于B组(76.70%),差异有高度统计学意义(P0.01)。结论术前等候室应用音乐干预护理辅助治疗能有效改善患者术前紧张情绪,并提高护理满意度,是一种有效的护理干预措施。
【关键词】 音乐疗法 术前等候室 护理
【分类号】R472.3
术前患者由于与家人分离,对陌生环境、麻醉、手术过程及手术预后的担忧,对术后疼痛和死亡等方面的顾虑,导致术前紧张、焦虑。紧张、焦虑可加重患者内心的痛苦,降低满意度。因此,如何减轻患者术前紧吴兴娇1高丽娟2王传光3▲程锐1吴炜3雷李培31.浙江省丽水市中心医院手术室,浙江 (吴兴娇 高丽娟 王传光 程锐 吴炜 雷李培)
[关键词] 音乐疗法;术前等候室;护理
[中图分类号] R473 [文献标识码] B [文章编号] 1673-7210(2015)01(a)-0126-04
Effect of music treatment on nursing quality in preoperative waiting room
WU Xingjiao1 GAO Lijuan2 WANG Chuanguang3▲ CHENG Rui1 WU Wei3 LEI Lipei3
1.Operating Room， Lishui Central Hospital， Zhejiang Province， Lishui 323000， China; 2.Department of Neonatology， Lishui Central Hospital， Zhejiang Province， Lishui 323000， China; 3.Department of Anesthesiology， Lishui Central Hospital， Zhejiang Province， Lishui 323000， China
[Abstract] Objective To introduce the music nursing intervention into the preoperative preparation room， expecting the music intervention to reduce the preoperative tension of patients and improve their satisfaction with the operating room nursing. Methods 860 cases of patients waiting for anesthesia and surgery in Lishui Central Hospital of Zhejiang Province from February 2011 to February 2014 were divided into groups A and B (n = 430). All patients of group A underwent the treatment of music nursing intervention， and the background music， with a play speed of 60-80 beats/min and a intensity of 60-80 dB， started up once they entered the room. Patients in group B were not given the music nursing intervention， while the nursing measures in rest aspects were the same as group A. Patients' anxiety score and vital signs， including heart rate and blood pressure were monitored and recorded at three time points of T1 (into the operating waiting room)， T2 (10 min into the operating waiting room) and T3 (leaving the waiting room). Results Comparison of the general conditions between the two groups showed no statistically significant difference (P > 0.05). The anxiety score of group A decreased significantly at T2 [(31.23±5.65) scores] when compared with that at the time point of T1 [(38.51±6.12) scores]; while the HR and MAP increased from the time point of T2 in the patients of group B， and their anxiety score was also significantly elevated compared with that at T1， suggesting that the differences between groups A and B in those aspects were statistically significant (P < 0.01). Patients' satisfaction rate of group A was 94.89%， which was significantly higher than that of group B (76.70%)， the difference between the two groups was statistically significant (P < 0.01). Conclusion Auxiliary nursing of music intervention in preoperative preparation room can effectively relieve patients' tension and improve their satisfaction with the preoperative care. Therefore， it is an effective nursing intervention.
------
吴兴娇 高丽娟 王传光 程锐 吴炜 雷李培 浙江省丽水市中心医院手术室;浙江省丽水市中心医院新生儿科;浙江省丽水市中心医院麻醉科;
【摘要】目的将术前等候室引入音乐干预护理措施,以期通过音乐干预降低患者术前的紧张情绪,提高患者对手术室护理的满意度。方法选择2011年2月~2014年2月在浙江省丽水市中心医院行择期手术患者860例,分A、B两组,各430例。A组患者在完成术前准备的同时,入室后开始播放背景音乐,播放节拍为60~80拍/min,音乐强度为60~80 d B。B组患者不接受音乐干预护理,其他护理方式同A组。记录两组患者进入手术等候室时(T1)、手术等候室10 min(T2)、离开等候室(T3)3个时间点的焦虑评分及心率、血压等生命体征。结果两组患者一般情况比较差异无统计学意义(P0.05)。A组焦虑评分由T1时(38.51±6.12)分降到T2时(31.23±5.65)分;B组患者自T2时间点开始心率增快,平均动脉压升高,焦虑评分较T1时升高显著,A组与B组比较差异有高度统计学意义(P0.01)。A组患者的满意率(94.89%)显著高于B组(76.70%),差异有高度统计学意义(P0.01)。结论术前等候室应用音乐干预护理辅助治疗能有效改善患者术前紧张情绪,并提高护理满意度,是一种有效的护理干预措施。
【关键词】 音乐疗法 术前等候室 护理
【分类号】R472.3
术前患者由于与家人分离,对陌生环境、麻醉、手术过程及手术预后的担忧,对术后疼痛和死亡等方面的顾虑,导致术前紧张、焦虑。紧张、焦虑可加重患者内心的痛苦,降低满意度。因此,如何减轻患者术前紧吴兴娇1高丽娟2王传光3▲程锐1吴炜3雷李培31.浙江省丽水市中心医院手术室,浙江 (吴兴娇 高丽娟 王传光 程锐 吴炜 雷李培)