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Effects of Preferred Music Intervention on Anxiety, Vital Signs and Blood Sugar of Surgical Patients Undergoing Operation Using Spinal Anesthesia

환자 선호도를 고려한 음악중재가 척추 마취 환자의 수술 중 불안, 활력 징후 및 혈당에 미치는 영향

  • Received : 2014.01.09
  • Accepted : 2014.05.21
  • Published : 2014.05.31

Abstract

Purpose: The purpose of this research was to examine the effects of preferred music intervention on anxiety, vital signs and blood sugar of surgical patients undergoing spinal anesthesia. Methods: A quasi-experimental research with non-equivalent control group non-synchronized design was carried out. Subjects consisted of 40 patients (experimental group 20, control group 20) who were scheduled to undergo surgery with spinal anesthesia. During the operation, music individual patients preferred was provided to the experimental group. The data were collected from July 4 to November 10, 2011 and analyzed with descriptive statistics, t-test, chi-square test, ANCOVA and repeated measured ANCOVA using SAS (ver 9.2). Results: 1) Patient anxiety during the operation of the experimental group was significantly lower than the control group (F=93.77, p<.001). 2) There was no significant difference in diastolic blood pressure (F=.00, p=.979), Systolic blood pressure (F=.19, p=.668), heart rate (F=.00, p=.955), and blood sugar (F=.73, p=.399) between the experimental group and the control group. Conclusion: Letting patients hear their preferred music during surgery is an effective nursing intervention to relieve anxiety of patients undergoing surgery with spinal anesthesia.

Keywords

References

  1. Bartlett, D., Kaufman, D., & Smeltekop, R. (1993). The effects of music listening and perceived sensory experiences on the immune system as measured by interleukin-a and cortisol. Journal of Music Therapy, 30(4), 194-209. https://doi.org/10.1093/jmt/30.4.194
  2. Eisenman, A., & Cohen, B. (1995). Music therapy for patients undergoing regional anesthesia. AORN Journal, 62(6), 947-950. https://doi.org/10.1016/S0001-2092(06)63563-1
  3. Hahn, D. W., Lee, C. H., & Chon, K. K. (1996). Korean adaptation of Spielberger's STAI (K-STAI). Korean Journal of Health Psychology, 1(1), 1-14. https://doi.org/10.1111/j.2044-8287.1996.tb00486.x
  4. Hohener, D., Blumenthal, S., & Borgeat, A. (2008). Sedation and regional anaesthesia in the adult patient. British Journal Anaesthesiology, 100(1), 8-16. https://doi.org/10.1093/bja/aem342
  5. Hong, S. T. (1994). The effects of music therapy on vital sign changes of operational patients. Journal of Korean Academy of Nursing, 24(3), 337-388.
  6. Hwang, A. R. (1984). Physiological response to stress. The Korean Nurse, 23(4), 38-48.
  7. Kaempf, G., & Amodei, M. E. (1989). The effect of music on anxiety. AORN Journal, 50(1), 112-118. https://doi.org/10.1016/S0001-2092(07)67642-X
  8. Kim, J. H., & Baek, S. H. (2008). Effect of tailored music intervention on intra-operative anxiety among those undergoing regional anesthesia. Journal of Korean Clinical Nursing Research, 14(1), 187-198.
  9. Kim, J. T., & Shin, D. K. (1978). A study based on the standardization of the STAI for Korea. The New Medical Journal, 21(11), 69-75.
  10. Kim, K. S. (2005). (The) effects of the closed and open musical therapies studied with spinal and epidural anesthesia operation patients. Unpublished master's thesis, Kangwon National University, Chuncheon.
  11. Kim, M. J., Lee, D. J., Han, M. A., Ha, K. H., Kim, M. C., & Joh, K. H. (2006). The effect of intraoperative and postoperative music on patients of regional anesthesia. Korean Journal of Anesthesiology, 50(4), 444-448.
  12. Kim, M. J., et al. (2009). Fundamental Nursing. Seoul: Hyunmoonsa.
  13. Kim, M. S. (2004). (The) effects on anxiety of nursing intervention therapy using music in the patients undergoing regional anesthesia. Unpublished master's thesis, Kosin University, Busan.
  14. Kim, Y. M. (2002). (The) effects of nursing information and music therapy on anxiety of the patient undergo operation with epidural anesthesia. Unpublished master's thesis, KyungHee University, Seoul.
  15. Lepage, C., Drolet, P., Girard, M., Grenier, Y., & Degagne, R. (2001). Music decrease sedative requirements during spinal anesthesia. Anesthesia & Analgesia, 93(4), 912-916. https://doi.org/10.1097/00000539-200110000-00022
  16. Lim, Y. S. (2001). Music therapy (Nursing intervention). Seoul: Hyunmoonsa.
  17. Lloyd, C., Smith, J., & Weinger, K. (2005). Stress and diabetes: A review of the links. Diabetes Spectrum, 18(2), 121-127. https://doi.org/10.2337/diaspect.18.2.121
  18. Mok, E., & Wong, K. Y. (2003). Effect of music on patient anxiety. AORN Journal, 77(2), 396-410. https://doi.org/10.1016/S0001-2092(06)61207-6
  19. Moon, Y. H., Kang, I. S., & Hwang, S. K. (2009). The effect of listening to music on anxiety, sedation, and vital signs of patients undergoing spinal anesthesia. Journal of Korean Biological Nursing Science, 11(2), 105-113.
  20. Park, E. J. (2002). The Effect of music therapy on the anxiety and the vital sign of patients with LASIK surgery under local anesthesia. Unpublished master's thesis, Gyeong-sang National University, Jinju.
  21. Park, H. S., & Choi, E. S. (1997). Effects of music listening on anxiety in patients before undergoing hysterectomy. Korean Journal of Women Health Nursing, 3(1), 72-81.
  22. Park, S. H., & Park, K. S. (2000). The effect of music therapy on the preoperative anxiety of surgical patients. Korean Journal of Adult Nursing, 12(4), 654-665.
  23. Smolen, D., Topp, R., & Singer, L. (2002). The effect of self-selected music during colonoscopy on anxiety, heart rate, and blood pressure. Applied Nursing Research, 15(3), 126-136. https://doi.org/10.1053/apnr.2002.34140
  24. Snyder, M., & Lindquist, R. (2002). Complementary/alterative therapies in nursing. 4th edition. New York, NY: Springer Publishing Company.
  25. Spielberger, C. D., Gorsuch R, L., & Lushene, R. E. (1970). Manual for the state-trait anxiety inventory. Inc, Palo Alto, CA: Consulting Psychologists Press.
  26. Spintage, R., & Droh, R. (1987). The effects of anxiolytic music on plasma levels of stress hormones in different medical specialties, the fourth international symposium on music. Lantham, MD: University Press of America.
  27. Steelman, V. M. (1990). Intraoperative music therapy: Effect on anxiety, blood pressure. AORN Journal, 52(5), 1026-1034. https://doi.org/10.1016/S0001-2092(07)69164-9
  28. Stevens, K. (1990). Patients' perception of music during surgery. Journal of Advanced Nursing, 15(9), 1045-1051. https://doi.org/10.1111/j.1365-2648.1990.tb01985.x
  29. The Korean Society of Anesthesiologists (2002). Anesthesiology. Seoul: Ryomoongak.
  30. White, J. M. (2000). State of the science of music interventions. Critical care and perioperative practice. Critical Care Nursing Clinics of North America, 12(2), 219-225.

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