선호음악요법이 자궁절제술 환자의 스트레스 반응에 미치는 효과
Effect of Favorite Music Therapy on Stress Response in Patients Undergoing Hysterectomy
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초록
목적 : 본 연구의 목적은 전신마취 하 자궁절제술 환자에게 선호음악요법이 스트레스 반응에 미치는 효과를 규명하기 위함이다. 방법 : 자료수집은 2015년 6월 29부터 2016년 1월 18일까지 자궁절제술 환자 79명으로 실험군 40명, 대조군 39명으로 수행되었다. 실험군에게는 수술 대기실 입실 직후부터 회복실에서 퇴실 시 까지 이어폰을 통해 선호음악을 제공하였다. 결과 : 선호음악요법을 적용한 실험군과 적용하지 않은 대조군 간의 측정 시점에 따른 불안(F=15.92, p<.001),, 수축기혈압(F=4.23, p=.008), 이완기혈압(F=3.07, p=.033), 심박동수(F=19.93, p〈.001) 의 변화 양상은 통계적으로 유의한 차이가 있었다. 결론 : 이상의 연구결과는 환자 선호도를 고려한 선호음악요법이 전신마취 하 자궁절제술 환자의 불안을 감소시키고, 혈압과 심박동수를 안정적으로 변화시키는데 효과적인 것으로 사료된다.
Abstract
Purpose: The aim of this study was to evaluate the effects of favorite music therapy on the stress response of hysterectomy patients undergoing general anesthesia. Methods: Date were collected from June 29, 2015 to January 18, 2016 and the participants were 79 hysterectomy patients (experimental group 40 and control group 39). The experimental group listened to their favorite music through earphones from the moment they entered the surgical waiting room until they exited from the post anesthesia care unit. Results: There were statistically significant differences in anxiety (F=15.92, p<.001), systolic blood pressure (F=4.23, p=.008), diastolic blood pressure (F=3.07, p=.033), and heart rate (F=19.93, p<.001) between participants in the experimental group and the control group according to measurement times. Conclusion: The study results show that favorite music therapy considering patients' preferences is effective in reducing anxiety among patients undergoing a hysterectomy under general anesthesia, thus leading to a stable change in their blood pressure and heart rate.
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