音樂治療對接受泌尿外科手術患者其焦慮及壓力改善之成效

The Effectiveness of Music Therapy for Improving Anxiety and Stress among Urologic Surgical Patients

本研究目的為探討音樂介入對泌尿外科手術病人焦慮及壓力降低情形，採類實驗設計，樣本取自台灣南部某一區域教學醫院，以隨機抽樣，實驗組及對照組各為30人。實驗組於手術全期由手術前、手術中直至恢復室觀察時給予病患常規手術護理外並播放音樂60分鐘，對照組僅採傳統手術常規護理沒有音樂的介入；兩組收案時間各為手術前15分鐘及術後出恢復室前15分鐘，共兩次採前後施測。本研究之研究工具為基本資料、情境焦慮量表、視覺焦慮量表及視覺壓力量表。研究結果顯示音樂介入後實驗組較對照組在情境焦慮（F = 5.03, p = 0.03）、視覺類比焦慮（F = 9.46, p ＜0.01）及視覺類比壓力分數（F = 8.93, p ＜0.01）皆呈現顯著性降低。本研究結果可供手術室護理實務工作者應用音樂療法於泌尿外科手術病人之參考。

The purpose of this study was to evaluate the effectiveness of music in decreasing anxiety and stress among urologic surgical patients. The participants were recruited from a hospital in southern Taiwan. A quasi-experimental design was applied. Participants were randomly assigned to experimental and control groups, each with 30 patients. Participants assigned to the experimental group received 60-min of music therapy and regular operative nursing care, and those assigned to the control group received regular operative nursing care. Data were collected before the surgery and the recovery room respectively. The tools of this study included basic data, the State-Trait Anxiety Inventory (STAI), the Visual Analog Scale for Anxiety (VASA), and the Visual Analog Scale for Pressure (VASP). The results showed that the experimental group had lower scores on the STAI (F = 5.03, p = 0.03), VASA (F = 9.46, p ＜0.01), and VASP (F = 8.93, p ＜0.01), indicating that the experimental group had significantly lower anxiety and pressure than the control group. The results of this study provide a reference for nurses when applying music therapy with urologic surgical patients.