The effect of music intervention in stress response to cardiac surgery in a randomized clinical trial
The effect of music intervention in stress response to cardiac surgery in a randomized clinical trial
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DOI：
10.1016/j.hrtlng.2008.07.008
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发表时间：
2009-05-01
期刊：
影响因子：
2.8
通讯作者：
Nilsson, Ulrica
中科院分区：
文献类型：
--
作者：
Nilsson, Ulrica
目的：评价音乐卧床休息对心脏手术患者术后首次应激的影响。方法:采用重复测量随机对照试验。该研究在瑞典一所大学医院的心胸内科进行。本研究包括58例接受开放冠状动脉旁路移植术或主动脉瓣置换术的患者。通过测定血清皮质醇、心率、呼吸频率、平均动脉压、动脉血氧张力、动脉血氧饱和度以及主观疼痛和焦虑水平来评估应激反应。术后第1天中午12:00，患者被分配接受30分钟不间断卧床休息音乐，然后30分钟不间断卧床休息或选择60分钟不间断卧床休息。音乐柔和而轻松，包含了新时代风格的不同旋律，音量为50 ~ 60分贝，通过连接MP3播放器的音乐枕分发。结果：卧床休息30分钟后，两组间s-皮质醇水平差异有统计学意义；484. 音乐组为4 mmol/L，对照组为618.8 mmol/L （P < 0.02）。然而，这种s-皮质醇水平的差异在30分钟后（即总共60分钟后）没有被发现。两组患者的心率、呼吸频率、平均动脉压、动脉血氧张力、动脉血氧饱和度、主观疼痛和焦虑水平均无差异。结论：有充分的实践证据表明，心脏直视手术后卧床休息听音乐的治疗方案可用于临床。（心肺(R) 2009;38:201-207.）
OBJECTIVE: To evaluate the effect of bed rest with music on the first postoperative clay to decrease stress for patients who have undergone heart Surgery.METHODS: A repeated-measures randomized controlled trial was used. The study took place in a cardiothoracic intermediary unit of a University hospital in Sweden. Fifty-eight patients who had undergone open coronary artery bypass grafting or aortic valve replacement surgery v ere included. Stress response was assessed by determining the serum cortisol, heart rate, respiratory rate, mean arterial pressure, arterial oxygen tension, arterial oxygen saturation, and Subjective pain and anxiety levels. At 12:00 noon on postoperative day 1, patients were allocated to receive 30 minutes Of uninterrupted bed rest with Music and then 30 minutes of bed rest or alternatively 60 minutes of uninterrupted bed rest. The music was soft and relaxing, included different melodies in new-age style, played with a volume at 50 to 60 dB, and distributed through a music pillow connected to an MP3 player.RESULTS: After 30 minutes of bed rest, there was a significant difference in s-cortisol levels between the groups; 484. 4 mmol/L in the Music group versus 618.8 mmol/L in the control group (P < .02). However, this difference in s-cortisol levels was not found 30 minutes later (ie, after a total of 60 minutes). There was no difference in heart rate, respiratory rate, mean arterial pressure, arterial oxygen tension, arterial oxygen saturation, and Subjective pain and anxiety levels between the groups.CONCLUSION: There is sufficient practical evidence of stress reduction to Suggest that a proposed regimen of listening to music while resting in bed after open heart surgery be put into clinical use. (Heart Lung (R) 2009;38:201-207.)