背景音乐在甲状腺细针穿刺抽吸活检术中的应用

Application of background music for patients undergoing thyroid fine needle aspiration biopsy

[目的]探讨背景音乐对行甲状腺细针穿刺抽吸活检术病人手术过程中焦虑状态、疼痛及术后并发症的影响。[方法]选择在天津某三级甲等医院行甲状腺细针穿刺活检术的病人120例,采用随机数字表法随机分成干预组及对照组各60例。手术过程中,对照组病人只接受常规护理,干预组在常规护理基础上播放背景音乐,分别应用状态焦虑量表和疼痛数字评分表法对两组病人的焦虑和疼痛程度进行评定,并观察病人术后虚脱及手术24h后疼痛的情况。[结果]手术前两组的焦虑状态评分差异无统计学意义(t=0.300,P>0.05)。手术后干预组焦虑状态评分、疼痛评分及术后虚脱的发生率均明显低于对照组,差异有统计学意义(P<0.05)。两组病人手术后24h疼痛之间的比较,差异无统计学意义(χ2=0.901,P>0.05)。[结论]甲状腺细针穿刺抽吸活检术中播放背景音乐能降低病人的焦虑程度和对疼痛的敏感性,缓解其紧张情绪,并能减少术后并发症的发生。

Objective：To probe into the influence of background music on anxiety,pain and postoperative compli-cations in patients undergoing thyroid fine needle aspiration biopsy.Methods：A total of 120 patients receiving thyroid fine needle aspiration biopsy in a three grade A hospital in Tianjin were selected and randomly divided into intervention group and control group by using random number table,60 cases in each.During surgery,the patients in control group only received routine care,the background music was played for patients in interven-tion group in addition to routine care.Then the State Anxiety Inventory （SAI）scale and Numerical Rating Scale （NRS）were used for assessment of anxiety and pain of two groups of patients,and to observe the pa-tients’postoperative exhaustion and pain after 24 hours after surgery.Results：The results showed that there was no statistically significant difference in SAI score between both groups before operation （t=0.300,P〉0.05）. After operation,the SAI,NRS scores and the incidence of postoperative exhaustion in intervention group were lower than that of control group,and there was statistically significant difference between both groups（P〈0.05）. However,there was no significant difference in pain after 24 hours after the operation（χ^2=0.901,P〉0.05）. Conclusion：The background music for patients undergoing thyroid fine needle aspiration biopsy can reduce anxi-ety level and pain sensitivity,alleviate the tension of patients and reduce postoperative complications.