音乐疗法对行体外冲击波碎石患者舒适度的影响.pdfVIP

现代临床护 (Modem Clinical Nu~ing)2008．7(1) 3 · 论 著· 音乐疗法对行体外冲击波碎石患者舒适度的影响 车小波，曾 莹，黄小敏，李健常 (湛江市中心人民医院泌尿外科，广东湛江，542037) [摘要] 目的 观察音乐疗法对行体外冲击波碎石患者舒适度的作用。 方法 将160例首次接受体外冲击波碎石 患者分为观察组和对照组，各80例。观察组采用音乐疗法进行干预，对照组采用常规护理方法。采用焦虑问卷进行焦虑状 况测定，直观模拟量表评定疼痛程度，同时观察两组患者碎石中痛苦行为表现和辅助用药情况，并监测血压、心率、呼吸变 化。结果 与对照组相比，观察组患者焦虑程度得到改善(P0．05)，疼痛程度明显降低(P0．01)，循环系统较稳定，波 动少(P0．05)。观察组痛苦行为表现和辅助药物使用率也明显低于对照组。结论 音乐疗法有利于提高体外冲击波碎 石患者舒适度。 [关键词] 音乐疗法；体外冲击波碎石；舒适度 [中图分类号]R473．6 [文献标识码] A [文章编号] 1671—8283(2008)01—0003—03 [Abstract] Objective To observe the effect of music thin‘ap3’on comfort degree of patients undelgoing extraco~oreal shock wave lithotripsy(ESWL)． Methods 1 60 cases of patients undergoing ESWL for the first time were dix ided into the obsea ation group(n=80)and the control group(n=80)，the observation group treated with nmsic thet’apy and the control group with routine nul‘sing． Anxiety was ’aluated with Hospital Anxiety and Depression Scale(HADS)， while pain degree was evaluated by Visualized Sinmlation(VAS)． Adjuvant drug and painful behavim’S were observed in both groups and blood pressure， heart rate and respiration were monitored at the same time． Result Compared with the control group， anxiety was alIeviated in the observation group，pain degree was lowered，circulatory system was more stable，painful behaviors were less and adjuvant drugs were less used(alI P0．05)．Conclusion Music therapy has the effect of improving comfort degree of patients during ESWL． [Key words] music therapy；extracorporeal shock wave lithotripsy；comfort degree 体外冲击波碎石，由于其简便、直观、准确等特 采用便利取样法选择2005年4月～2006年5 点，在临床上被广泛应用，但在治疗过程中由于电极 月首次接受体外冲击波碎石治疗泌尿系结石患者 尖端放电，形成光斑并发出响声，患者易出现紧张和 160例。样本人选标准：患者神志清楚，语言能力 恐慌等心理反应，再加上体外冲击波直接刺激，会引 表达较好，没有妊娠、脑血管疾患、严重高血压、 起患者产生痛苦和不适，往往会影响碎石过程顺利