放松音乐对结肠镜检查患者疼痛影响的研究  

Effects of relaxed music therapy on pain of patients undergoing colonoscopy

作　　者：李秀芬[1] 杨立新[1] 殷悦[1] 

机构地区：[1]首都医科大学附属北京朝阳医院消化内科,100020

出　　处：《中国实用护理杂志（下旬版）》2008年第8期15-17,共3页Chinese Journal of Practical Nursing

摘　　要：目的探讨戴耳机听音乐与播放背景音乐对减轻结肠镜检查患者疼痛的效果。方法将180例接受结肠镜检查患者随机分为戴耳机听音乐组、听背景音乐组和对照组各60例。戴耳机听音乐组患者在测量生命体征后即戴上耳机听放松音乐，听背景音乐组患者在测量生命体征后即开始听用CD机播放的放松音乐，对照组患者不听音乐。应用疼痛数字分级法评价3组患者结肠镜检查中的疼痛程度，进镜前、后心率、血压、血氧饱和度变化及前2组对音乐的评价。结果戴耳机听音乐组和听背景音乐组的疼痛评分显著低于对照组，差异有统计学意义（P〈0.05）；戴耳机听音乐组疼痛评分较听背景音乐组低，但差异无统计学意义（P〉0.05）；对照组检查后心率比检查前快，差异有统计学意义（P〈0.05）。结论放松音乐对结肠镜检查患者疼痛具有一定缓解作用，听背景音乐是一种实施方便、经济的缓解结肠镜检查患者疼痛有效方法之一。Objective To study the effect of hstening to music with headphone or background music on pain reduction of patients undergoing colonoscopy. Methods 180 patients undergoing colonoscopy were randomly selected as the headphone group, background music group and the control group. The headphone group listened to relaxed music with headphone after measurement of vital signs. The background music group listened to relaxed music played by CD after measurement of vital signs.The control group did not listen to music.Pain degree was measured by pain intensity number scale during colonoscopy. Heart rate,blood pressure, sat- uration of blood oxygen and appraisal to the music by the former two groups were observed. Results Pain degree of the headphone group and the background music group was lower than that of the control group （P 〈 0.05）. Pain degree of the headphone group was lower than that of the background music group with no significant difference （P 〉 0.05）.Heart rate of the control group after colonoscopy was faster than before colonoscopy（P 〈 0.05）. Conclusions Relaxed music can alleviate pain of patients undergoing colonoscopy. Listening to background music is a convenient and economical method for alleviation of pain without any side effects for patients undergoing colonoscopy.

关 键 词：结肠镜检查 放松音乐 疼痛 

分 类 号：R574.62[医药卫生—消化系统] R454.9[医药卫生—内科学]