个体化音乐对腹腔镜手术患者术前焦虑的影响

Individualized Music Intervention to Reduce Preoperative Anxiety of Different Patients undergoing Laparoscopic Surgeries

目的探讨个体化音乐干预对腹腔镜手术患者术前焦虑的作用。方法对60例全麻腹腔镜手术患者依据音乐背景评估,制定个体化音乐干预方案,于术前1～2h实施音乐干预,时间持续30min。比较不同性别、年龄、文化程度患者在干预前后焦虑的变化。结果女性患者焦虑下降程度显著高于男性患者(P=0.04);不同文化程度者焦虑下降程度经方差分析显示,大学文化组较小学文化组下降明显(F=4.36,P=0.02);不同年龄之间焦虑下降程度无显著差异。结论个体化音乐对不同腹腔镜手术患者减轻术前焦虑的作用存在差异,音乐干预对女性、文化程度较高者减轻焦虑的效果更显著。

Objective To explore the effect of individualized music on reducing the preoperative anxiety of different patients undergoing laparoscopic surgeries. Methods Sixty patients undergoing laparoscopic surgeries with general anesthesia were investigated about music background. Individualized music intervention plans were made accordingly. The patients were asked to listen to a 30 - minute individualized music session by earphone 1 to 2 hours before surgery. Changes of anxiety level were compared among patients with different genders, ages, or levels of education. Results Female patients experienced more decline of anxiety level than male patients after listening to individualized music （ P = 0.04）. The decline degree of anxiety level was also compared among patients with different education background by ANOVA statistical method. The patients with college degree experienced more decline of anxiety level than the patients with elementary school degree （ F = 4.36, P = 0.02 ）. No significant difference in decline of anxiety level was found among patients with different ages. Conclusion Individualized music has different effects on reducing preoperative anxiety in different patients undergoing laparoscopic surgeries. It works better on reducing preoperative anxiety for female and well-educated patients.