文章摘要
林 静,陈娜芬,苏雅漩,马劝劝,陈宝霞.急诊手术患儿家长等候区焦虑和应激状况及音乐干预研究[J].实用中西医结合临床,2020,20(4):
急诊手术患儿家长等候区焦虑和应激状况及音乐干预研究
State Anxiety among Parents in a Emergency Pediatric Surgical Waiting Area and Effect of Music Intervention.
投稿时间:2019-09-02  修订日期:2019-11-14
DOI:
中文关键词: 儿科  急诊手术  等候区  家长  焦虑  应激
英文关键词: Pediatrics  Emergency Surgery  Waiting Area  parents Anxiety  Stress
基金项目:厦门医学院教学研究专项课题(J2013-32-12)
作者单位E-mail
林 静* 厦门大学附属成功医院暨解放军第174医院 3425863816@qq.com 
陈娜芬 厦门大学附属成功医院暨解放军第174医院  
苏雅漩 厦门大学附属成功医院暨解放军第174医院  
马劝劝 厦门大学附属成功医院暨解放军第174医院  
陈宝霞 厦门大学附属成功医院暨解放军第174医院  
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中文摘要:
      目的 探讨急诊手术患儿家长等候区状态焦虑、应激状况及音乐干预效果。方法 选取2018年1月至2019年3月我院120例急诊手术患儿家长,随机分为实验组和对照组,每组60例。2组术前均接受相同的健康教育,但等候区等候手术期间干预方式不同:实验组佩戴专用耳机聆听放松减压音乐30min,对照组自由等候。使用状态-特质焦虑量表(State-Trait Anxiety Inventory, STAI)评定2组干预前、后焦虑状况,监测2组干预前、后平均动脉压(MAP)和心率(HR)水平。结果 急诊手术患儿家长等候区干预前STAI评分为54.9±10.5分,状态焦虑(STAI>47.42分)发生率为82.5%(99/120)。干预前,2组STAI评分、MAP和HR差异无统计学意义(P均>0.05)。干预后,实验组STAI评分、MAP和HR均较干预前显著下降(P均<0.05),而对照组STAI评分、MAP和HR未见显著下降(P均>0.05)。结论 急诊手术患儿家长等候区存在较高比例的状态焦虑,放松减压音乐干预能够有效改善患儿父母焦虑情绪,减轻心理和生理应激。
英文摘要:
      Objective To investigate the state anxiety, stress of parents of children undergoing emergency operation in the waiting area and the effect of music intervention. Methods A series of 120 parents of children with emergency operation in our hospital from January 2018 to March 2019 were randomly divided into experimental group and control group, 60 cases in each group. Both groups received the same health education before operation, but the intervention methods were different during waiting period: the experimental group wore earphones to listen to specific music for 30 minutes, while the control group waited freely. State-Trait Anxiety Inventory (STAI) was used to assess anxiety before and after intervention in both groups, and the mean arterial pressure (MAP) and heart rate (HR) were measured before and after intervention in both groups. Results The STAI score of parents of children undergoing emergency operation before intervention in waiting area was 54.9±10.5, and the incidence of state anxiety (STAI > 47.42) was 82.5% (99/120). Before intervention, there was no significant difference in STAI score, MAP and HR between the two groups (P > 0.05). After intervention, the STAI score, MAP and HR in the experimental group were significantly lower than those before intervention (all P < 0.05), while the STAI score, MAP and HR in the control group were not significantly decreased (all P > 0.05). Conclusion There is a high proportion of state anxiety in waiting area of parents of children undergoing emergency operation. Relaxation of decompression music intervention can effectively improve parents"anxiety and alleviate psychological and physiological stress.
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