音乐干预对手术患者应激反应和焦虑心理的影响

The influence of music on stress reaction and anxiety of patients in operation

目的探讨音乐干预对围术期机体应激反应及状态焦虑的改善效果。方法手术患者100例,按手术日期不同随机分为音乐组和常规组,音乐组除常规护理外,术中播放背景音乐;常规组术中仅常规护理。观察2组干预前和干预后血压、心率和状态焦虑。结果音乐组干预后收缩压、舒张压、心率和状态焦虑分值较干预前显著降低(P均<0.05);常规组干预后收缩压显著高于干预前(P<0.05),干预前后舒张压、心率和状态焦虑分值变化差异无统计学意义(P均>0.05);干预前音乐组和常规组血压、心率差异无统计学意义(P均>0.05),干预后音乐组血压、心率和状态焦虑分值显著低于常规组(P均<0.05)。结论音乐干预能有效降低术中应激反应,减轻状态焦虑。

Objective To investigate the influence of music on stress reaction and state anxiety of patients in operation. Methods 100 operated patients were randomly divided into music group and control group according to the date of operation.Background music was kept during the whole operation for music group while only usual care was given to control group. Blood pressure,heart rate and state anxiety were observed before and after intervention. Results SBP,DBP,heart rate and state anxiety value of music group after intervention were significantly lower than those before intervention （P0.05）. SBP of control group after intervention was higher than before intervention （P0.05）,but no statistical significance was found in DBP,heart rate and state anxiety value before and after intervention（P0.05）. There was no statistical significance of blood pressure and heart rate between the two groups before intervention,while blood pressure,heart rate and state anxiety value of music group was much lower than control group after intervention（all P0.05）.Conclusion Music could depress stress reaction and state anxiety of patients in operation.