- 期刊
The Effects of Western Music on Postoperative Pain in Taiwan
西方音樂對於台灣病人術後疼痛的影響
摘要
音樂是護士用於協助病人減經疼痛的一種方法，然而在運用上很少考慮到文化上的差異。本研究採等組隨機及前後測實驗設計，用視覺比例尺(Visual Analogue Scalse)測量38位個案的疼痛度及疼痛惱度，來探討西方音樂對於減函台灣病人術後疼痛的效果，並評估台灣病人決定其術後接受性。個案經隨機方式來決定其術後接受音樂錄帶(實驗組)或一般照顧(對的組)。分派至音樂試用帶中，選擇一種最適合其術後使用的音樂。在手術後第一天及救二天，測試病人在臥床休息時，於聆聽15分鐘音樂錄音帶後對於減經術後疼痛的效果。並在手術後第三天，以訪談方式來確定病人的對於音樂的喜歡度，以及音樂的鎮靜效果和幫助性。變異數分析重複測量統計(Repeated Measures Analysis of Variance)結果顯示術後第一天疼痛苦惱度及第二天的疼痛度在時間及組別上有顯示差異性，但術後第一天的疼痛度及第二天疼痛苦惱度則無顯著差異。在音樂的喜歡度，以及音樂對疼痛度及疼痛苦惱度的幫助性方面，台灣的個案與先前在美國的研究個案非常相似。不過只有少數台灣病人認為音樂有鎮靜效果。另外在音樂上的選擇上，台灣的個案較美國的個案偏愛豎琴，而沒有人喜歡士樂，同時有些個案希望聽佛經或流行歌曲來減痛。本研究結果支持在止痛劑使用之外，不同文化的音樂仍可用於減經術後疼痛及疼痛苦惱度。
關鍵字
無資料並列摘要
Music is a method nurses can use to help relieve pain, however little is known about its effectiveness across cultures. In this study, Western music was tested for its effectiveness in reducing postoperative pain in 38 Taiwanese patients, and its acceptability was explored. A pretest and post-test experimental design was used with visual analogue acales to measure sensation and distress of pain. Before surgery, subjects were randomly assigned to receive tape recorded music or the usual care. Those who were assigned to the music group chose among 5 types of sedative music. On postoperative Day 1 and Day 2, the effectiveness of the tape-recorded music was investigated during 15 minutes of rest in bed. Patients were interviewed on Day 3 to determine their liking for the music, its calming effects, and the helpfulness of the music. Repeated measured analysis of variance showed a significant interaction between time and group in the distress of pain on Day 1, but on Day 2, and in pain sensation on Day 2, but not Day 1, Subjects from Taiwan were similar to subjects in a previous study in the United States in their liking for the music, and in reports of the helpfulness of the music for pain sensation and distress, but fewer Taiwanese found the music calming, and they and different choices: more chose harp music and fewer chose jazz than subjects in the U.S. study, and some would prefer Buddhist hymns or popular songs heard in Taiwan. Findings support the use of culturally acceptable music in addition to analgesic medication for the sensation and distress of postoperative pain.