音樂(lè)療法對(duì)面部整形美容局麻手術(shù)患者生命體征的影響研究(1)
[摘要]目的：探討音樂(lè)療法對(duì)面部整形美容局麻手術(shù)患者生命體征的影響。方法：將80例整形美容局麻患者隨機(jī)分為實(shí)驗(yàn)組與對(duì)照組，每組40例，對(duì)照組給予常規(guī)護(hù)理，實(shí)驗(yàn)組在常規(guī)護(hù)理的基礎(chǔ)上進(jìn)行音樂(lè)療法，觀察兩組患者就診當(dāng)天、術(shù)前(進(jìn)入手術(shù)室時(shí))、術(shù)中(手術(shù)開(kāi)始30min)、術(shù)后(手術(shù)結(jié)束30min)的生命體征變化及術(shù)后疼痛視覺(jué)模擬評(píng)分法(Visual analogue scale，VAS)評(píng)分變化。結(jié)果：兩組患者就診當(dāng)天及術(shù)前血壓、心率比較，差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)；而術(shù)中及術(shù)后實(shí)驗(yàn)組患者的血壓、心率均低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。實(shí)驗(yàn)組的VAS評(píng)分均低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論：舒緩的音樂(lè)可以有效緩解面部整形美容患者的緊張情緒，穩(wěn)定生命體征，利于手術(shù)的順利進(jìn)行，整體提高護(hù)理滿意度。
[關(guān)鍵詞]音樂(lè)療法；面部整形美容；生命體征；心率；血壓；疼痛程度
[中圖分類號(hào)]R47 [文獻(xiàn)標(biāo)志碼]B [文章編號(hào)]1008-6455(2018)12-0148-02
, 百拇醫(yī)藥
Study on the Effect of Music Therapy on Vital Signs of Patients Undergoing Facial Plastic Surgery with Local Anesthesia
ZHANG Dong-mei，SONG Kai-li，LIU Chang，WANG Peng，ZHU Xiong-xiang
(Department of Plastic Surgery and Burns，Shenzhen Hospital of Southern Medical University，Shenzhen 518100，Guangdong，China)
Abstract： Objective To explore the effect of music therapy on the vital signs of patients who underwent plastic or cosmetic facial surgery using local anesthesia. Methods 80 patients who underwent plastic or cosmetic facial surgery using local anesthesia were randomly divided into the experimental group (n=40) and the control group (n=40). The patients in the control group received regular care， while the patients in the experimental group received music therapy in addition to regular care. The changes of vital signs and postoperative visual analog scale (VAS) of the two groups were observed at the day before surgery， preoperatively (at the time before entering the operating room)， intraoperatively (30 minutes after the beginning of the operation) and postoperatively (30 minutes after the operation). Results There was no significant difference in blood pressure and heart rate between the two groups on the day of consultation and before operation (P>0.05)， but the blood pressure and heart rate of the experimental group were lower than those of the control group during and after operation (P<0.05). The VAS scores in the experimental group were lower than those in the control group (P<0.05). Conclusion Soothing music could effectively relieve the nervousness of the patients who undergo facial plastic or cosmetic surgery， stabilize vital signs， facilitate the operation procedures and increase the overall satisfaction of nursing.
, 百拇醫(yī)藥
Key words： music therapy； facial plastic or cosmetic surgery； vital sign； heart rate； blood pressure； pain level
隨著人們物質(zhì)生活水平日益提高，得到滿足，對(duì)美的追求日趨強(qiáng)烈，整形外科技術(shù)也得到了迅猛發(fā)展[l]。面部是人體中最暴露的部位，也是最受人關(guān)注的部位。音樂(lè)療法是醫(yī)學(xué)、心理學(xué)和音樂(lè)相結(jié)合的產(chǎn)物，通過(guò)傾聽(tīng)欣賞的方式，達(dá)到治療疾病的效果[2]。研究表明，音樂(lè)療法可以有效降低機(jī)體應(yīng)激反應(yīng)，減輕手術(shù)患者的緊張、煩躁情緒[3]，改善患者心率、血壓、呼吸頻率，在手術(shù)中的應(yīng)用廣泛，療效確切。手術(shù)作為一種應(yīng)激源，可導(dǎo)致患者產(chǎn)生焦慮反應(yīng)[4]。大部分患者術(shù)前會(huì)出現(xiàn)不同程度的焦慮、緊張心理，特別是局麻手術(shù)患者，由于局麻手術(shù)藥穿透性的局限，患者術(shù)中常感覺(jué)疼痛，加之手術(shù)是在患者清醒狀態(tài)下實(shí)施，手術(shù)過(guò)程中，器械的傳遞聲、電刀的燒灼聲、醫(yī)護(hù)人員的說(shuō)話聲都會(huì)對(duì)患者造成干擾[5]。對(duì)手術(shù)的恐懼以及處于手術(shù)室的隔離環(huán)境，往往導(dǎo)致患者術(shù)前心率、血壓升高，不利于手術(shù)進(jìn)行。本研究通過(guò)對(duì)整形美容局麻手術(shù)患者進(jìn)行音樂(lè)干預(yù)，探討其對(duì)心理狀態(tài)的影響。, 百拇醫(yī)藥(張冬梅 宋凱麗 劉暢 王鵬 朱雄翔)
[關(guān)鍵詞]音樂(lè)療法；面部整形美容；生命體征；心率；血壓；疼痛程度
[中圖分類號(hào)]R47 [文獻(xiàn)標(biāo)志碼]B [文章編號(hào)]1008-6455(2018)12-0148-02
, 百拇醫(yī)藥
Study on the Effect of Music Therapy on Vital Signs of Patients Undergoing Facial Plastic Surgery with Local Anesthesia
ZHANG Dong-mei，SONG Kai-li，LIU Chang，WANG Peng，ZHU Xiong-xiang
(Department of Plastic Surgery and Burns，Shenzhen Hospital of Southern Medical University，Shenzhen 518100，Guangdong，China)
Abstract： Objective To explore the effect of music therapy on the vital signs of patients who underwent plastic or cosmetic facial surgery using local anesthesia. Methods 80 patients who underwent plastic or cosmetic facial surgery using local anesthesia were randomly divided into the experimental group (n=40) and the control group (n=40). The patients in the control group received regular care， while the patients in the experimental group received music therapy in addition to regular care. The changes of vital signs and postoperative visual analog scale (VAS) of the two groups were observed at the day before surgery， preoperatively (at the time before entering the operating room)， intraoperatively (30 minutes after the beginning of the operation) and postoperatively (30 minutes after the operation). Results There was no significant difference in blood pressure and heart rate between the two groups on the day of consultation and before operation (P>0.05)， but the blood pressure and heart rate of the experimental group were lower than those of the control group during and after operation (P<0.05). The VAS scores in the experimental group were lower than those in the control group (P<0.05). Conclusion Soothing music could effectively relieve the nervousness of the patients who undergo facial plastic or cosmetic surgery， stabilize vital signs， facilitate the operation procedures and increase the overall satisfaction of nursing.
, 百拇醫(yī)藥
Key words： music therapy； facial plastic or cosmetic surgery； vital sign； heart rate； blood pressure； pain level
隨著人們物質(zhì)生活水平日益提高，得到滿足，對(duì)美的追求日趨強(qiáng)烈，整形外科技術(shù)也得到了迅猛發(fā)展[l]。面部是人體中最暴露的部位，也是最受人關(guān)注的部位。音樂(lè)療法是醫(yī)學(xué)、心理學(xué)和音樂(lè)相結(jié)合的產(chǎn)物，通過(guò)傾聽(tīng)欣賞的方式，達(dá)到治療疾病的效果[2]。研究表明，音樂(lè)療法可以有效降低機(jī)體應(yīng)激反應(yīng)，減輕手術(shù)患者的緊張、煩躁情緒[3]，改善患者心率、血壓、呼吸頻率，在手術(shù)中的應(yīng)用廣泛，療效確切。手術(shù)作為一種應(yīng)激源，可導(dǎo)致患者產(chǎn)生焦慮反應(yīng)[4]。大部分患者術(shù)前會(huì)出現(xiàn)不同程度的焦慮、緊張心理，特別是局麻手術(shù)患者，由于局麻手術(shù)藥穿透性的局限，患者術(shù)中常感覺(jué)疼痛，加之手術(shù)是在患者清醒狀態(tài)下實(shí)施，手術(shù)過(guò)程中，器械的傳遞聲、電刀的燒灼聲、醫(yī)護(hù)人員的說(shuō)話聲都會(huì)對(duì)患者造成干擾[5]。對(duì)手術(shù)的恐懼以及處于手術(shù)室的隔離環(huán)境，往往導(dǎo)致患者術(shù)前心率、血壓升高，不利于手術(shù)進(jìn)行。本研究通過(guò)對(duì)整形美容局麻手術(shù)患者進(jìn)行音樂(lè)干預(yù)，探討其對(duì)心理狀態(tài)的影響。, 百拇醫(yī)藥(張冬梅 宋凱麗 劉暢 王鵬 朱雄翔)
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