手术室利用耳机音乐点播对改善腹股沟疝修补术患者不良心理的影响

Analysis of the effect of using earphone music on demand in operating room for inguinal hernia repair

目的探析手术室利用耳机音乐点播对改善腹股沟疝修补术患者的不良心理的影响。方法收集2018年5月至2018年12月于天长市中医院手术室住院治疗的60例腹股沟疝修补术的病例资料。其中男性57例,女性3例;年龄33~87岁,平均(62.6±11.5)岁。按照随机数表法随机分为对照组和观察组,每组30例。对照组给予常规手术室护理模式,观察组给予常规手术室护理模式联合耳机音乐点播。对比2组研究对象焦虑心理、术中舒适程度、护理满意率等指标的变化。结果与对照组相比,观察组术中、术后1 d的焦虑情绪明显较低,差异有统计学意义(F=4.741、22.271,P<0.05);在舒适度对比方面,观察组的环境评分、社会文化评分、心理精神评分、生理评分以及舒适度总分等明显高于对照组,差异有统计学意义(t=6.951、7.059、4.770、4.538、9.1910,P<0.05);观察组对于手术室服务态度满意率明显高于对照组,差异有统计学意义(χ^2=4.043,P<0.05)。结论在手术期间对腹股沟疝修补术患者给予耳机音乐点播进行干预,能降低患者术中焦虑的情绪,提升手术期间的舒适度,获得较为理想的手术效果,建议推广应用。

Objective To explore the effect of music on demand through headphones on improving the negative psychology of inguinal hernia repair patients in operating room.Methods From January 2018 to December 2018,60 cases of inguinal hernia repair hospitalized in Tianchang Hospital of Traditional Chinese Medicine were collected.There were 57 males and 3 females.The age range was 33-87 years old,and the average age was(64.6±11.5)years.According to the random number table method,they were randomly divided into control group and experimental group with 30 cases in each group.The control group was given conventional operating room nursing mode,while the experimental group was given conventional operating room nursing mode combined with earphone music on demand.The changes of anxiety,intraoperative comfort and nursing satisfaction rate were compared between the two groups.Measurement data and counting data are expressed by mean standard±deviation and rate(%),respectively,and comparative analysis is made by t test and chi-square test.Results Compared with the control group,the anxiety of the experimental group during operation and 1 d after operation was significantly lower,and the difference was statistically significant(F=4.741;22.271,P<0.05).In terms of comfort level comparison,the environmental score,social and cultural score,psychological and spiritual score,physiological score and total comfort score of the experimental group were significantly higher than those of the control group,and the differences were statistically significant(t=6.951;7.059;4.770;4.538;9.1910,P<0.05).The satisfaction rate of operating room service attitude in the experimental group was significantly higher than that in the control group,with statistically significant difference(χ^2=4.043,P<0.05).Conclusion The intervention of earphone music on demand in inguinal hernia repair during operation can reduce the anxiety of patients,improve the comfort level and obtain ideal operation effect.It is recommended to popularize and apply it.