机械通气病人实施音乐干预的效果研究  

A study on effect of carrying out music intervention for patients undergoing mechanical ventilation

作　　者：韩琳[1] 李继平[1] 钟月欢[2] 马伟光[1] 

机构地区：[1]四川大学华西临床医学院护理系 [2]香港理工大学护理学院

出　　处：《护理研究（上旬版）》2008年第9期2272-2275,共4页Chinese Nursing Researsh

摘　　要：[目的]了解音乐干预降低机械通气病人焦虑水平以及稳定机械通气病人生理指标的效果。[方法]将150例机械通气病人随机分为音乐组、耳机组、空白组,采用中国版状态-特质焦虑量表(C-STAI)对3组病人干预前后的焦虑水平进行测试,定时记录心率、呼吸和血压。[结果]音乐组、耳机组干预前后C-STAI得分差值差异均有统计学意义(P<0.001);音乐组干预前后心率、呼吸、收缩压和舒张压变化均有统计学意义(P≤0.001)。[结论]音乐干预与戴耳机均有降低机械通气病人焦虑水平的作用,且音乐的作用更显著;音乐可以稳定机械通气病人心率、呼吸、血压。Objective：To know about the effect of music intervention to lower the anxiety of patients undergoing mechanical ventilation and stabilize their physiological indexes. Methods. A total of 150 patients undergoing mechanical ventilation were randomly divided into music group, earphone group and blank group. The anxiety level of the three group cases was determined by using Chinese version of state anxiety inventory （C - STAI）. And heart rate, respiration and blood pressure of all cases have been recorded regularly. Results： There were statistical significant differences in C- STAI score difference between music group and earphone group before and after intervention （P〈0. 001）. There were statistical significant differences in changes of heart rate, respiration, systolic pressure and diastolic pressure of music intervention group cases before and after intervention（P≤0. 001）. Conclusion：Both music intervention and wearing earphone could lower the anxiety level of patients undergoing mechanical ventilation. And the effect of music intervention was more significant. Music can stabilize the heart rate, respiration, systolic and diastolic pressure of patients undergoing mechanical ventilation.

关 键 词：音乐干预 机械通气 焦虑 呼吸 心率 血压 

分 类 号：R473[医药卫生—护理学]