음악요법이 PCA사용 중인 자궁절제술환자의 불편감과 불안에 미치는 효과

An Effect of Music on Anxiety and Distress Level in Hysterectomy Patients under PCA Management

Purpose: This study was carried out in a postoperative gynecologic setting to evaluate the effect of music on the anxiety and distress levels and physiologic responses in hysterectomy patients under PCA management. Method: Nonequivalent control group non-synchronized design was utilized. Data were collected from Feb. 2003 to April 2003. Twenty five patients in the experimental group who underwent abdominal hysterectomy procedures at C university hospital in G city listened to classical music through headphones for 25-30 minutes at a time as their demand during the first 24 hours of postoperative period except the first 8 hours after surgery. And twenty five patients in the control group did not listened to music. Subjective distress was measured by visual analog scales and anxiety, by the Spielberger State Anxiety Inventory each at post-op 8hrs and 24 hours. Objective distress scores and vital signs were collected by trained nurses. Data were analyzed with x2- test and t-test using SPSS WIN 11.0. Result: Hypothesis that the experimental group who used music therapy would express a lesser degree of subjective distress than the control group who did not use music therapy was supported (t = -2.38, P = .023). However on the levels of pain and muscle tension in sub-scales of subjective distress, there were no differences between the two groups. Hypothesis that the experimental group would have a lower score in objective distress than the control group was not supported. However, a difference in systolic blood pressure was demonstrated with a decrease in the experimental group patients (t = -3.91, P = < .001). Other variables of state anxiety, amount of analgesic medication, diastolic blood pressure, and pulse rate in their levels did not differ between the two groups. Conclusion: The result suggest that music therapy would be effective in reducing distress experienced by patients with postoperative pain and stabilizing systolic blood pressure in them. Considering usefulness of music in human s body and mind, clinical use of music combined with relaxation strategy for 1 or 2 days following PCA removal deserves further study.