音乐对机械通气患者生理与焦虑状态的影响  

Effect of music on the physiological responses and anxiety levels of patients receiving mechanical ventilation

作　　者：钟月欢[1] 陈安琪[1] 陈满辉[1] 

机构地区：[1]香港理工大学护理学院

出　　处：《中华护理杂志》2005年第7期481-484,共4页Chinese Journal of Nursing

摘　　要：目的观察音乐对机械通气患者的心率(HR)、呼吸频率(RR)、血压(Bp)及焦虑程度的影响。方法将64例机械通气患者随机分为30min音乐治疗组与对照组。研究前后,以中国人状态特性焦虑量表(CSTAI)对两组患者分别进行测试,同时记录HR、RR、Bp以及休息状态。结果与对照组相比,音乐组HR(-3.8±7.0,P=0.009)和RR(-3.6±4.9,P<0.001)下降更快。音乐可以显著降低患者的HR、RR、收缩压和舒张压(P均<0.005)。音乐组患者的焦虑得分比对照组降低,但差异无统计学意义。音乐组患者的舒适行为比对照组多。结论音乐可以明显改善机械通气患者的生理状态,减轻焦虑反应。Objective To investigate the effects of music on the anxiety of patients on mechanical ventilation, as assessed by objective parameters and a subjective validated anxiety scale. Method 64 patients receiving mechanical ventilation were randomly assigned to undergo either 30 minutes of music intervention or a rest period, The patiens were asked to answer the Chinese State Trait Anxiety Inventory （C-STAI） scale before and after the study period and physiological indices and resting behaviors were recorded before and after the study period in both groups. The patients＇ satisfaction with music was also obtained after music intervention. Result The findings indicate that patients on mechanical ventilation that listened to a single 30 minute session of music appeared to show greater relaxation as manifested by a decrease in physiological indices and an increase in comfortable resting behaviors, Conclusion Music can provide a confirmed effect on reducing potentially harmful physiological responses arising from anxiety in mechanically ventilated patients.

关 键 词：音乐 机械通气 生理状态 焦虑状态 呼吸频率 血压 

分 类 号：R395[哲学宗教—心理学]