个体化音乐干预减轻结肠镜检查患者疼痛的研究  

Study on individual music to reduce the pain of the coloendoscopy

作　　者：邓玉英 陈小丽 李秀清 黄慧芳 

机构地区：[1]广东省清远市清城区人民医院,511500

出　　处：《护理实践与研究》2007年第12期3-6,共4页Nursing Practice and Research

摘　　要：目的:探讨个体化音乐干预减轻结肠镜检查患者疼痛程度的作用。方法:将238例结肠镜检查患者随机分成实验组和对照组,采用对患者音乐背景和喜好进行调查及评估,制定个体化音乐干预方案。检查前15min实验组通过耳机欣赏选定音乐到检查结束,对照组则不戴耳机不听音乐。结果:两组音乐背景无统计学差异,较喜欢的音乐类型有流行歌曲(35.34%)和轻音乐(31.20%),实验组干预后疼痛程度、紧张程度、收缩压、心率、进镜时间与对照组相比有显著差异(P<0.01),舒张压和检查前15min的收缩压、心率两组相比无明显差异(P>0.05)。结论:依据患者喜好进行个体化音乐干预,可增强患者聆听音乐的专注性,更好地分散注意力,减轻患者疼痛程度,消除紧张心理,保持生理指标平衡,缩短检查时间,提升患者受检意愿,提高结肠镜检查的成功率。Objective： Discuss the role of individual music to reduce the pain of the coloendoscopy. Methods： Classify the 278 cases to two groups： experimental and control ,uses and likes to the patient music background carrying on theinvestigatinn and the appraisal,the formulation individual musicintervention plan. Before inspection 15 rain the experimental group choose the individual music until the inspection end,and control group no music. Results：Music background in two groups didn＇t show significant difference,pop（35.34% ） and light（31.20% ） music were loved by patients. The experimental group had the obvious difference（P 〈 0.01 ） in the degree of pain, the degree of tensity, conU＇active pressure, hart rate, the time of coloenduscopy enter. Before diastolic pressure and inspection 15 rain there were no obvious difference（P 〉 0.05 ）. Conclusion： Likes based on the patient carrying on the individual music-intervention, may strengten the patient to listen respectifully musiededicted, disperse the attention and reduce the degree of pain, eliminate the tensional mentality,keep the balance of the physiological index ,reduces the inspection time,promotes the patient to examinethc wish increase the successful rate of the coloendoscopy.

关 键 词：结肠镜检查 疼痛 音乐干预 紧张 注意力 

分 类 号：R473[医药卫生—护理学]