个体化音乐干预对肝癌经导管动脉化疗栓塞患者术前焦虑的研究

Study on individual music on the preoperative anxiety of patients with hepatic carcinoma undergoing transcatheter arterial chemoembolization

目的:探讨个体化音乐干预对肝癌经导管动脉化疗栓塞(TACE)患者术前焦虑的影响。方法:调查107例肝癌行TACE手术患者的音乐背景并随机分为实验组和对照组,实验组术前1～2小时给予个体化音乐干预30分钟,对照组则只戴耳机不听音乐,观察干预前后焦虑、血压、心率。结果:(1)个体化音乐对术前焦虑的影响:实验组音乐干预后焦虑评分下降显著低于对照组(P=0.02);实验组收缩压呈下降趋势(P=0.04)。(2)个体化音乐对不同人群效果不同:女性患者焦虑的下降程度显著高于男性患者,差异有统计学意义(P=0.04)。受教育程度高下降明显(F=4.36,P=0.02)。结论:个体化音乐可减轻肝癌TACE患者术前焦虑,尤其对女性、文化程度高者效果更明显。

Objective ：To explore the effects of individual music on the preoperative anxiety of patients with hepatic carcinoma undergoing transcatheter arterial ehemoembolization. Methods ：107 patients with hepatic carcinoma undergoing transeatheter arterial chemoembolization were investigated and allocated randomly to two groups： the music group listened to a 30 min individual music session by earphone 1-2 h preoperatively, and the control group listened no sound by earphone.Anxiety,blood,pressure, heart rate were polymeasured before, during and after intervention.Results： （1）Individual music decreased anxiety significantly after music intervention compared with the control group and prentervention（P=0.02 ）, The systolic pressure in the music group showed a downward trend （P=0.04）. （2）Contrast analysis indicated that females decreased more in anxiety than males after listening to individual music （P=0.04）, and this result was also found in the well-educated patients （F=4.36, P=0.02 ）, Conclusion：Individual music,which set up by according to patients＇ preference, can reduce preoperative anxiety, and the females and the well educated patients have better effects.