音乐护理干预在整形外科局部麻醉手术患者中的应用效果

Effect of music nursing intervention in patients underwent plastic surgery under local anesthesia

目的 探讨整形外科局部麻醉手术患者实施音乐护理干预的效果。方法 选取2019年3月-2020年8月于河南省人民医院接受局部麻醉整形美容的患者100例为研究对象,采用随机数字表法分为对照组(49例)与观察组(51例)。对照组患者采用常规手术护理干预,观察组患者在对照组基础上采用音乐护理干预。比较2组患者平均动脉压(MAP)、心率、疼痛视觉模拟评分(VAS)、汉密尔顿焦虑量表(HAMA)评分及手术配合度等指标。结果 2组患者术前MAP及心率比较,差异无统计学意义(P>0.05);2组患者术中及术后MAP及心率均低于术前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者术中VAS评分低于对照组,差异有统计学意义(P<0.05);2组患者术后VAS评分均低于术中,差异有统计学意义(P<0.05);2组患者术后VAS评分比较,差异无统计学意义(P>0.05)。2组患者术前HAMA评分比较,差异无统计学意义(P>0.05);2组患者术后HAMA评分均低于术前,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者术中干扰及中断发生率为7.84%(4/51),低于对照组的26.53%(13/49),差异有统计学意义(χ2=6.185,P=0.013)。结论 对整形外科局部麻醉手术患者实施音乐护理干预,有助于改善患者血压和心率水平,减轻患者疼痛,缓解患者焦虑,提高患者手术配合度。

Objective To investigate the effect of music nursing intervention in patients underwent plastic surgery under local anesthesia.Methods A total of 100 patients who underwent plastic surgery under local anesthesia in Henan Provincial People’s Hospital from March 2019 to August 2020 were selected as the study subjects,who were assigned to the control group(n=49)and the observation group(n=51)by the random number table.Patients in the control group received routine surgical nursing intervention,and patients in the observation group received music nursing intervention on top of the intervention in the control group.Mean Arterial Pressure(MAP),heart rate,Visual Analogue Scale(VAS)for pain,Hamilton Anxiety Rating Scale(HAMA)and surgical cooperation were compared between the two groups.Results There were no significant differences in preoperative MAP and heart rate between the two groups(P>0.05).The MAP and heart rate in the two groups were lower than those before the operation,and the observation group was lower than the control group,with statistically significant differences(P<0.05).The intraoperative VAS score in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05);the postoperative VAS score in both groups was lower than that during operation,and the difference was statistically significant(P<0.05);the difference in the postoperative VAS score between the two groups was not statistically significant(P>0.05).There was no significant difference in preoperative HAMA score between the two groups(P>0.05);the postoperative HAMA score in the two groups was lower than that before the operation,and the observation group was lower than the control group,with statistically significant differences(P<0.05).The incidence rate of intraoperative interference and interruption in the observation group was 7.84%(4/51),which was lower than that in the control group(26.53%(13/49)),and the difference was statistically significant(χ^(2)=6.185,P=0.013).Conclusion Music nursing intervention for patients underwent plastic surgery under local anesthesia is conducive to improving the blood pressure and heart rate,relieving pain and reducing anxiety,and raising the cooperation of patients.