音乐疗法对术前等候室护理质量的影响

Effect of music treatment on nursing quality in preoperative waiting room

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。

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 un-derwent 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 nurs-ing 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＆#39; 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＆#39; tension and improve their satisfaction with the preoperative care. Therefore, it is an effective nursing interven-tion.