통증 자가 조절요법 사용 중인 자궁절제술환자의 불편감과 불안에 미치는 음악 효과

The Effect of Music on Distress and Anxiety Levels in Postoperative Patients with Hysterectomy under PCA Management

Purpose: Present study was conducted to evaluate the effect of music on the levels of anxiety and distress for patients who underwent abdominal hysterectomy procedures. Method: For those of twenty five subjects assigned in the experimental group, classical music was provided through headphones for 25-30 minutes at a time as their demands during the first 48 hours after surgery, and without such intervention for the twenty five of control group patients. Subjective distress was measured by visual analog scales (VAS) and anxiety, by Spielberger State Anxiety Inventory each at 8, 24, & 48 hours postoperatively. Data were analyzed with x2-test. t-test, and Repeated Measures ANOVA using SPSS WIN 11.0. Result: There were no group differences in the subjective distress scores over time. However, It seemed that some subjects received music therapy expressed a lesser degree of distress than those without at the time points between 24 and 48 hours postoperatively. And also no music effects were observed in the state anxiety scores over time. However, the important finding was that the subjective distress and state anxiety scores in the experimental group gradually decreased over time, but in the control group those two variable scores started to increase at 48 hours after surgery. Conclusion: Music therapy could be effective in the reduction of perceived distress probably associated with anxiety. Further research is recommended to delineate the relationship.