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題名：音樂介入對脊椎手術病人術前焦慮之影響
書刊名：榮總護理
作者：李秋香／顏文娟 引用關係／林淑貞／徐彩育／賴慶祥 引用關係
作者(外文)：Lee, Chiu-hsiang／Yen, Wen-jiuan／Lin, Shu-chen／Hsu, Tsai-yu／Lai, Ching-hsiang
出版日期：2014
卷期：31:4
頁次：頁343-351
主題關鍵詞：脊椎手術；焦慮；音樂；Spinal surgery；Anxiety；Music
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:0
  • 點閱點閱:9
本研究目的主要在比較音樂介入可否減輕脊椎手術病人術前焦慮程度，採實驗性研究設計，於2011年2月至6月期間，以中部某醫學中心之脊椎手術病人為研究對象，符合收案條件之個案以隨機方式分成實驗組及對照組。實驗組36位在術前給予聆聽自選音樂30分鐘，而控制組34位則採一般之照護模式。分別於介入前及介入30分鐘後收集視覺類比焦慮量表、脈搏、血壓、呼吸及唾液可體松量等指標做前後測比較。研究結果顯示實驗組與對照組之平均數在視覺類比焦慮量表（p＜.001）、脈搏（p＜.001）等變項達顯著差異，但在收縮壓、舒張壓、呼吸及唾液可體松量等指標在兩組之間則未達顯著差異，由此得知，本研究音樂介入措施對緩解脊椎手術病人術前焦慮程度及主觀焦慮感受有部分正向的效果。本研究結果可作為臨床護理人員運用音樂介入來緩解手術病人術前焦慮之參考。
The purpose of this study was to evaluate the effects of music intervention on preoperative anxiety in patients undergoing spinal surgery. An experimental study design was conducted at a medical center in Taiwan from February 2011 to June 2011. Volunteers were assigned to either an experimental group (n=36) or a control group (n=34). Before surgery, the experimental group listened to music that they selected for 30 min. The control group did not listen to music. The patients' levels of anxiety were measured using the Visual Analogue Scale for Anxiety (VAS-A). Physiological measurements, including heart rate, respiratory rate, blood pressure, and salivary cortisol were performed. The results indicated that the VAS-A scores and heart rate decreased significantly more in the experimental group than in the control group after music intervention, but no significant differences were observed between the 2 groups in systolic blood pressure, diastolic blood pressure, respiration rate, or salivary cortisol. In summary, music intervention exhibited positive effects on the levels of anxiety in patients undergoing spinal surgery. The results of this study can provide an empirical basis for nursing treatments to alleviate anxiety in surgical patients.
期刊論文
1.Kagan, I.、Bar-Tal, Y.(2008)。The Effect of Preoperative Uncertainty and Anxiety on Short Term Recovery after Elective Arthroplasty。Journal of Clinical Nursing，17(5)，576-583。  new window
2.Walker, J. A.(2002)。Emotional and psychological preoperative preparation in adults。British Journal of Nursing，11(8)，567-575。  new window
3.Lee, D.、Henderson, A.、Shum, D.(2004)。The effect of music on preprocedure anxiety in Hong Kong Chinese day patients。Journal of Clinical Nursing，13(3)，297-303。  new window
4.Vachiramon, V.、Sobanko, J. F.、Rattanaumpawan, P.、Miller, C. J.(2013)。Music reduces patient anxiety during Mohs surgery: An open-label randomized controlled trial。Dermatologic Surgery，39(2)，298-305。  new window
5.Carr, E.、Brockbank, K.、Allen, S.、Strike, P.(2006)。Patterns and frequency of anxiety in women undergoing gynaecological surgery。Journal of Clinical Nursing，15(3)，341-352。  new window
6.Chlan, L. L.(2004)。Relationship between two anxiety instruments in patients receiving mechanical ventilatory support。Journal of Advanced Nursing，48(5)，493-499。  new window
7.Cooke, M.、Chaboyer, W.、Schluter, P.、Hiratos, M.(2005)。The effect of music on preoperative anxiety in day surgery。Journal of Advanced Nursing，52(1)，47-55。  new window
8.Gan, T. J.(2006)。Risk factors for postoperative nausea and vomiting。Anesthesia & Analgesia，102(6)，1884-1898。  new window
9.Gooding, L.、Swezey, S.、Zwischenberger, J. B.(2012)。Using music interventions in perioperative care。Southern Medical Journal，105(9)，486-490。  new window
10.Hellhammer, D. H.、Wust, S.、Kudielka, B. M.(2009)。Salivary cortisol as a biomarker in stress research。Psychoneuroendocrinology，34(2)，163-171。  new window
11.Joanna Briggs Institute(2009)。Clinical update 130. Music as an intervention in hospitals。Australian Nursing Journal，17(4)，29-31。  new window
12.Kemper, K. J.、Danhauer, S. C.(2005)。Music as therapy。Southern Medical Journal，98(3)，282-288。  new window
13.Khalfa, S.、Bella, S. Dalla、Roy, M.、Peretz, I.、Lupien, S. J.(2003)。Effects of relaxing music on salivary cortisol level after psychological stress。Annals of the New York Academy of Sciences，999(1)，374-376。  new window
14.Lee, K. C.、Chao, Y. H.、Yiin, J. J.、Chiang, P. Y.、Chao, Y. F.(2011)。Effectiveness of different music-playing devices for reducing preoperative anxiety: A clinical control study。International Journal of Nursing Studies，48(10)，1180-1187。  new window
15.Lin, P. C.、Lin, M. L.、Huang, L. C.、Hsu, H. C.、Lin, C. C.(2011)。Music therapy for patients receiving spine surgery。Journal of Clinical Nursing，20(7/8)，960-968。  new window
16.Manyande, A.、Chayen, S.、Priyakumar, P.、Smith, C. C.、Hayes, M.、Higgins, D.、Salmon, P.(1992)。Anxiety and endocrine responses to surgery: Paradoxical effects of preoperative relaxation training。Psychosomatic Medicine，54(3)，275-287。  new window
17.McCaffrey, R.、Locsin, R.(2006)。The effect of music on pain and acute confusion in older adults undergoing hip and knee surgery。Holistic Nursing Practice，20(5)，218-224。  new window
18.Mitchell, M.(2000)。Nursing intervention for preoperative anxiety。Nursing Standard，14(37)，40-43。  new window
19.Mok, E.、Wong, K. Y.(2003)。Effects of music on patient anxiety。AORN Journal，77(2)，396-397+401-404+406+409-410。  new window
20.Perks, A.、Chakravarti, S.、Manninen, P.(2009)。Preoperative anxiety in neurosurgical patients。Journal of Neurosurgical Anesthesiology，21(2)，127-130。  new window
21.Sarkamo, T.、Tervaniemi, M.、Laitinen, S.、Forsblom, A.、Soinila, S.、Mikkonen, M.、Hietanen, M.(2008)。Music listening enhances cognitive recovery and mood after middle cerebral artery stroke。Brain，131(3)，866-876。  new window
22.Sendelbach, S. E.、Halm, M. A.、Doran, K. A.、Miller, E. H.、Gaillard, P.(2006)。Effects of music therapy on physiological and psychological outcomes for patients undergoing cardiac surgery。The Journal of Cardiovascular Nursing，21(3)，194-200。  new window
23.Starkweather, A. R.、Witek-Janusek, L.、Nockels, R. P.、Peterson, J.、Mathews, H. L.(2006)。Immune function, pain, and psychological stress in patients undergoing spinal surgery。Spine，31(18)，E641-E647。  new window
24.Wakim, J. H.、Smith, S.、Guinn, C.(2010)。The efficacy of music therapy。Journal of PeriAnesthesia Nursing，25(4)，226-232。  new window
25.Wang, S. M.、Kulkarni, L.、Dolev, J.、Kain, Z. N.(2002)。Music and preoperative anxiety: A randomized, controlled study。Anesthesia & Analgesia，94(6)，1489-1494。  new window
研究報告
1.衛生福利部(2014)。2012年全民健康保險醫療統計。  延伸查詢new window
 
 
 
 
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