右美托咪定经鼻给药联合音乐疗法在TKA术前患者中的应用效果

Application effects of dexmedetomidine nasal administration combined with music therapy in patients before TKA surgery

目的探讨右美托咪定经鼻给药联合音乐疗法在膝关节置换(TKA)手术前患者中的应用效果。方法选取TKA术前采用常规方法干预的50例患者作为常规干预组,采用音乐疗法干预的患者50例为音乐疗法组,采用右美托咪定经鼻给药联合音乐疗法的患者50例为联合干预组。比较3组入手术准备间前(T0)、入手术间前(T1)的生命体征指标、焦虑程度及干预满意度。结果3组的T0心率、舒张压、收缩压等生命体征指标及术前焦虑量表(SAQ)评分差异无统计学意义(P>0.05);T1生命体征指标及SAQ评分均有不同程度升高,但联合干预组低于音乐疗法组与常规干预组,差异有统计学意义(P<0.05)。联合干预组的干预满意度96.00%(48/50)高于音乐疗法组的84.00%(42/50)和常规干预组的68.00%(34/50)(P<0.05)。结论TKA术前,采用右美托咪定经鼻给药联合音乐疗法可有效减轻手术等待期的焦虑状况,稳定生命体征,提高患者的干预满意度。

Objective To explore the application effects of dexmedetomidine nasal administration combined with music therapy in patients before total knee arthroplasty(TKA)surgery.Methods 50 patients who were received routine intervention before TKA surgery were selected as the routine intervention group,50 patients who were received music therapy intervention were selected as the music therapy group,and 50 patients who were received nasal administration of dexmedetomidine combined with music therapy were selected as the combined intervention group.The vital signs,anxiety levels,and intervention satisfaction before entering the surgical preparation room(T0)and before entering the surgical room(T1)were compared among three groups.Results There was no statistically significant difference in T0 heart rate,diastolic blood pressure,systolic blood pressure,and preoperative anxiety scale(SAQ)scores among the three groups(P>0.05).The T1 vital sign indicators and SAQ scores were increased to varying degrees,but the T1 vital sign indicators and SAQ scores in the combined intervention group were lower than those in the music therapy group and the conventional intervention group,and the difference was statistically significant(P<0.05).The intervention satisfaction rate of 96.00%(48/50)in the combined intervention group was higher than 84.00%(42/50)in the music therapy group and 68.00%(34/50)in the conventional intervention group(P<0.05).Conclusion Before TKA surgery,nasal administration of dexmedetomidine combined with music therapy can effectively alleviate anxiety during the waiting period,stabilize vital signs,and improve patient satisfaction with intervention.