聆聽音樂對改善末期腎臟病老人接受血液透析時併發症之成效探討

The Effectiveness of Listening Preferable Music on Decreasing Complications of Hemodialysis Among Elderly With End-Stage Renal Disease

林燕如(Yen-Ju Lin)

指導教授 ： 張佳琪

臺北醫學大學/護理學院/護理學研究所/碩士(2010年)

https://doi.org/10.6831/TMU.2010.00176

摘要

本研究之主要目的係探討聆聽音樂對末期腎臟病老人接受血液透析時併發症之發生頻率及嚴重程度的改善成效。採類實驗前後測研究設計，以方便取樣方式，選取北部某區域教學醫院之血液透析中心接受血液透析治療的末期腎臟病老人為研究對象。共收集88位個案，實驗組與對照組各44名。實驗組於血液透析進行時，除了接受常規照護外並聆聽預錄之喜好音樂；而對照組僅採常規照護。資料收集包括有「透析時併發症自我評估量表」、「血液透析壓力源量表」及「生理測量值」，所蒐集的資料以SPSS 16.0 for windows套裝軟體進行統計分析。。
研究結果顯示，接受血液透析老人聆聽音樂，能顯著降低透析時併發症之發生頻率（z = -3.886, p < .001）及嚴重程度（z = -4.303, p < .001），改善透析壓力感（z = -3.931, p < .001），且有顯著生理值之改變，包括呼吸次數下降（z = -6.433, p < .001）、指溫上升（z = -2.651, p = .008）及血氧飽和濃度增加（z = -4.718, p < .001）。因此建議血液透析中心可藉由聆聽音樂來改善末期腎臟病老人透析時併發症之發生率及嚴重程度，以提高血液透析治療之接受度，並提升生活品質。

關鍵字

音樂 ； 老人 ； 血液透析 ； 併發症

並列摘要

The purpose of this study was to investigate the effectiveness of listening preferable music during hemodialysis on decreasing the complications in elderly with end-stage renal disease (ESRD). This was a quasi-experimental study with pre and post tests. Convenience subjects were recruited from a teaching hospital in North Taiwan. Eighty-eight eligible subjects were enrolled (experimental group: 44; control group: 44) The experimental group received routine medical care with listening preferable music during hemodialysis, while the control group received only routine medical care. The instruments included the Hemodialysis Complications Self-Assessment Scale, Hemodialysis Stressor Scale and Physiological indices. The data were analyzed by SPSS 16.0 for Windows.
The study results showed that the experimental group had fewer complications due to hemodialysis included frequency (z = -3.886, p < .001) and the severity (z = -4.303, p < .001)、less hemodialysis stresses (z = -3.931, p < .001) and had signifcianly biophysical data changes include decresing breath (z = -6.433, p < .001), increasing finger temperature (z = -2.651, p < .001) and higher oxygen saturation (z = -4.718, p < .001). In conculsion, listensing preferable music during hemodialysis can reduced the complications and easyliy to be implemented by clinical carers. The applications of music need to be promote in order to maintain the quality of life in elderly with ESRD during hemodialysis treatment.

並列關鍵字

Music ； Older ； Hemodialysis ； Complication

參考文獻

王淑美、葉美玉、張麗雲（2003）•慢性精神病患音樂治療成效研究•長庚護理，14（4），342－352。

江彥駸、吳采虹（2005）•透析病人腎移植前的評估與準備•腎臟與透析，17（1），44－54。

呂以榮（2005）•音樂治療初探•臺灣老人保健學刊，1（2），15－30。

宋惠娟（2006）•音樂治療在失智症老人躁動行為處置的運用•護理雜誌，53（5），58－62。

李玲玉、詹乃穎、何函儒、鄭如晶、蘇秀娟（2005）•音樂治療對自閉症幼兒發展之成效探討•特殊教育學報，21，1－21。