Effect of Music Therapy on Pre-Operative Stress in Patients Facing Open Heart Surgery
Resource
中華精神醫學 v.10 n.2 pp.128-137
Journal
中華精神醫學,v.10
Journal Issue
n.2
Pages
128-137
Date Issued
1996
Date
1996
Author(s)
CHANG, YING
HWANG, SHIOW-LI
LEE, MING-BEEN
SHIU, SHIN-TIAN
LIAO, WEN-CHUN
Abstract
Cardiovascular disease is a high risk disease in Taiwan as well as in the west. Patients undergoing heart surgery face many physical and psychological stresses. Music therapy has been widely used to improve the quality of patient care in many clinical fields, but no study has been done using music therapy to manage the stress of heart surgery patients . The purpose of this study was to investigate the effect of relaxing music on physiological reaction, pain and tension perception of patients before receiving heart surgery. Sixty -two patients, 33 men and 29 women, with a mean age of 52 years were included in the study. They were randomly assigned to experimental or control groups. The experimental group received relaxing or religious music therapy while the control group patients rested only during the treatment period. Each session of music therapy lasted for 20 minutes. Heart rate, systolic pressure, diastolic pressure, respiration rate, pain and tension perception were recorded before and after each treatment. The present study demonstrates that music therapy is capable of decreasing heart rate, and perception of pain and tension. Effectiveness of music therapy was influenced by marital status and frequency of operation. Music provided a scientific, artistic and humanistic stress reducing care to the patients. It can be applied to decrease preoperative anxiety and improve the quality of patient care.目前 台灣心血管疾病相當盛行，每年接受心臟手術者眾多，病患在心臟手術前的身體與心 理面臨極大的威脅與壓力，本研究的目的在探討心臟手術病人於手術前，接受音樂治 療對生理反應、疼痛程度、及緊張感受的壓力反應成效及其影響因素。研究採實驗設 計法,選取心臟手術62位病患，實驗組於手術前給予音樂治療。研究結果發現，音樂 對病患能夠減少心跳次數，減輕疼痛程度，改善緊張感受。另外，音樂治療的效果受 到婚姻狀況和手術次數的影響。音樂治療為兼具科學性、藝術性及人性化的壓力處置 ，可作為病患降低手術前焦慮、改善生理反應的活動之一，值得臨床上廣為應用。
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