音乐疗法在普外科患儿术后镇痛中的应用

Application of music therapy in postoperative analgesia for children in department of general surgery

目的探讨音乐疗法(MT)在普外科患儿术后镇痛中的应用效果。方法选取本院收治的128例普外科患儿,按照随机数字表法划分为MT组和常规组,每组64例。MT组在采用在常规护理上加用音乐疗法,常规组仅给予常规护理,比较2组患儿疼痛、心率及血压、焦虑抑郁情况、疲劳程度和睡眠质量。结果术后24 h,2组患儿的视觉模拟量表(VAS)分数均显著升高(P <0. 05);干预后,2组VAS均显著下降(P <0. 05),且MT组显著低于常规组(P <0. 05);术后24 h,2组患儿心率、收缩压和舒张压均显著升高(P <0. 05);干预后,2组心率、收缩压、舒张压均显著下降(P <0. 05),MT组干预后各指标均低于常规组(P <0. 05);干预后,2组状态焦虑量表(S-AI)、特质焦虑量表(T-AI)、流调中心用抑郁量表(CESD)评分均下降显著(P <0. 05),MT组各指标均低于常规组(P <0. 05);干预后,2组匹兹堡睡眠指数(PSQI)、Flinders疲劳量表(FFS)得分均显著下降(P <0. 05),MT组PSQI、FFS得分均低于常规组(P <0. 05)。结论音乐疗法能够显著减轻术后疼痛,降低心率和血压,改善疲劳,提升睡眠质量。

Objective To explore the effect of music therapy （MT） on postoperative analgesia in children in department of general surgery. Methods A total of 128 general surgery cases in our hospital were selected and divided into MT group and conventional group, with 64 cases per group, given music therapy based on conventional nursing, routine nursing, respectively. Pain, heart rate, blood pressure, anxiety and depression, fatigue and sleep quality were compared in the two groups. Results After 24 h after surgery, visual analogue scale （VAS） scores in two groups were significantly increased （ P 〈0.05）, and were significantly decreased after intervention （ P 〈0.05）, and the MT group was significantly lower than the conventional group （ P 〈0.05）. At 24 h after operation, the heart rate, systolic pressure and diastolic pressure in the two groups were significantly increased （ P 〈0.05）, and decreased significantly after intervention（ P 〈0.05）, and the MT group was lower than the conventional group （ P 〈0.05）. State Anxiety Inventory（S-AI）, State-Trait Anxiety lnventoty（T-AI） and Center Epidemiological Studies of Depression（CESD） of teo groups decreased significantly after imtervention （ P 〈0.05）, and the MT group was lower than the conventional group （ P 〈0.05）. The scores of Pittsburgh Sleep Quality Index（PSQI） and Flinders Fatigue Scale（FFS） were significantly lower in the two groups （ P 〈0.05）, and MT group had lower above indicators than the conventional group. Conclusion Music therapy can relieve pain, reduce heart rate and blood pressure, improve fatigue and enhance sleep quality.