音乐疗法在眼科老年患者围手术期中的应用  

Effects of musicotherapy on elderly ophthalmic patients during perioperative period

作　　者：闫美华 叶辉[1] Yan Meihua;Ye Hui(Department of Cadre Health, Beijing Tongren Hospital, Capital Medical University, Beijing 100005, China)

机构地区：[1]首都医科大学附属北京同仁医院干部保健科,100005

出　　处：《中华现代护理杂志》2019年第9期1150-1152,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨音乐疗法在眼科老年患者围手术期中的应用效果。方法采用目的抽样法,选取2018年5—9月北京同仁医院眼科手术老年患者40例为研究对象。将患者随机分为观察组和对照组,每组各20例。对照组患者给予围手术期常规优质护理,观察组在此基础上给予音乐疗法。采用SAS、VAS视觉模拟评分、自制满意度问卷比较干预的效果。结果出院时观察组患者SAS评分(44.4±3.26)分,低于对照组的(53.4±2.42)分,差异有统计学意义(t=-9.913,P<0.01)。术后观察组患者VAS视觉模拟评分(2.10±0.50)分,低于对照组的(4.78±0.72)分,差异有统计学意义(t=-13.299,P<0.01)。观察组患者对护理工作的满意率为95%,高于对照组的70.0%,差异有统计学意义(χ^2=4.329,P<0.05)。结论眼科患者围手术期中给予音乐疗法,可以降低患者焦虑状态,减轻疼痛,提高对护理工作的满意度,此方法值得推广。Objective To explore the effects of musicotherapy on elderly ophthalmic patients during the perioperative period. Methods Totally 40 elderly patients receiving ophthalmic surgery in the Department of Ophthalmology, Beijing Tongren Hospital between May and September 2018 were selected using purposive sampling and divided into the observation group (n=20) and the control group (n=20). Patients in the control group received conventional optimal nursing care during the perioperative period, while patients in the observation group received musicotherapy on this basis. Self-Anxiety Scale (SAS), Visual Analogue Scale (VAS) and the self-designed satisfaction questionnaire were used to compare the effects of intervention. Results The SAS score of the observation group at discharge was (44.4±3.26), lower than that of the control group (t=-9.913, P<0.01), which was (53.4±2.42). The VAS score of the observation group postoperatively was (2.10±0.50), lower than that of the control group (t=-13.299, P<0.01), which was (4.78±0.72). The observation group's satisfaction with nursing was 95%, higher than that of the control group (χ^2=4.329, P<0.05), which was 70.0%. Conclusions Musicotherapy for ophthalmic patients during the perioperative period can reduce the anxiety and pain and improve the satisfaction with nursing in the patients, which is worth promoting in clinical practice.

关 键 词：围手术期护理 老年人 焦虑 眼科 音乐疗法 疼痛 

分 类 号：R473.77[医药卫生—护理学]