摘要
目的探讨手术等待期不同干预方法对剖宫产产妇术前焦虑的影响。方法将200例剖宫产妇按照随机数字表法分为静卧组、触摸组、音乐组和联合组4组，每组各50例。在送人手术室等待间后分别对各组产妇实施不同干预方法即静卧组静卧于病床；触摸组给予触摸疗法；音乐组给予音乐治疗；联合组同时给予触摸及音乐疗法。每组均持续15～20min。采用视觉模拟焦虑评分尺（VASA）评价各组剖宫产产妇焦虑水平及血压、心率情况。结果干预后触摸组VASA得分为（3．09±0．82）分，音乐组为（3．14±0．83）分，联合组为（2．74±050）分，三组产妇的焦虑评分均低于静卧组的（5．83±1．11）分，联合组焦虑评分低于触摸组和音乐组。触摸组、音乐组和联合组的血压及心率均有所下降，且低于静卧组，差异均有统计学意义（P〈0．01）。结论触摸疗法、音乐疗法及联合疗法均能有效缓解剖宫产妇术前焦虑、稳定血压、心率，而联合实施音乐和触摸疗法对缓解产妇术前焦虑更为有效。
Objective To discuss the effect of difference methods of intervention on preoperative anxiety of cesarean section women. Methods A total of 200 cases of cesarean section women were randomly divided into four groups, each with 50 cases. The first group keep repose, the second group received therapeutic touch, the third group received music therapy, and the fourth group used touch and music therapy both, all of which lasted for 15-20 min. VASA was used to evaluate the level of anxiety, blood pressure and heart rate in four groups. Results The VASA score was （3.09 ± 0. 82） in the therapeutic touch group, （3.14 ± 0. 83 ） in the music group, （2.74 ± 0. 50） in the combination group, and （5.83 ± 1.11 ） in the repose group. The blood pressure and heart rate also declined in the therapeutic touch group, music group and combination group, compared with those in the repose group, with statistically significant differences （ P 〈 0. 01 ）. Conclusions Therapeutic touch, music therapy and their combination can effectively relieve the preoperative anxiety and stabilize the blood pressure as well as heart rate of women undergoing cesarean section surgery. The combination of therapeutic touch and music is more effective to alleviate their anxiety.
出处
《中华现代护理杂志》
2014年第8期913-915,共3页
Chinese Journal of Modern Nursing
关键词
剖宫产
焦虑
触摸疗法
音乐疗法
Cesarean section
Anxiety
Therapeutic touch
Music therapy
