pISSN : 2383-6415   eISSN : 2383-6423

The Effect of Music Therapy on Anxiety and Vital Signs of Spinal Anesthesia Operative Patients


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INFORMATION : page. 113~120 / 2008 Vol.10 No.2


ABSTRACT

수술은 위협적인 경험이며 상황위기로 수술을 받는 많은 환자들이 수술과 관련된 불안을 경험하게 된다(Jo & Hong, 2001). 특히 척추마취를 이용한 수술은 수술동안 환자의 의식 상태가 명료하게 유지되어 수술과정이나 수술기구, 수술로 인해 나타나는 여러 자극들을 보고 느끼게 되므로 수술을 받 는 동안 불안의 정도가 더 높아진다(Hong, 1994). 수술과 관 련된 불안은 자율신경계인 교감신경을 활성화시켜 심박출량 증가, 혈당증가, 기관지확장, 말초혈관 수축, 혈압 증가 등의 다양한 생리적 반응을 야기한다(White, 1999). 이러한 반응들을 최소화하기 위해 수술 불안을 완화시키는 방법으로 수술 전 투약법과 수술 중 신경안정제나 수면제 등 의 침습적인 불안 경감법 등이 실시되어 왔다. 이는 마취로 인 한 저혈압, 호흡곤란 등의 부작용과 함께 환자를 위해한 상황 에 노출시킬 우려가 있으므로 척추마취수술환자의 수술 불안 을 줄일 수 있는 비침습적인 경감법이 절실히 요구된다.

Purpose: The aim of this study is to evaluate the effect of music therapy according to preferred music and to identify the effect of duration time and starting point of music therapy on anxiety and vital signs in spinal anesthesia operations. Method: These subjects were categorized into three groups based on the order of the date of operation. Data on anxiety and vital signs for this study were collected from them. The collected data were analyzed by χ2-test, t-test, paired ttest and ANCOVA. Result: The results of this study showed that preferred music, differences of duration times and starting points of music therapy didn't make significant differences in anxiety and vital signs among the three groups. However for anxiety, there was a meaningful difference within three groups. This result indicates even randomly chosen music by nurses considering the patients’ age makes a meaningful difference in anxiety. Conclusion: Based on the results of this study, the conclusion can be made that music therapy is a useful nursing implementation to reduce anxiety in patients undergoing operations with spinal anesthesia.

Keyword :

Music therapy; Spinal anesthesia; Anxiety; Vital signs


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