聆聽音樂對於減輕使用呼吸器病患生心理焦慮之成效

焦慮是病患於接受呼吸器治療中常見的反應，但焦慮對病患的疾病復原，具相當負向的影響。音樂為非侵入性的措施，極易被病患所接受，國外已廣泛運用音樂治療於住院病患的焦慮緩解，效果頗受肯定。本研究之目的是探討聆聽音樂對於使用呼吸器病患焦慮緩解成效，研究中以實驗性研究設計，針對南部某醫學中心進行收案。實驗組病患每天接受一次，每次30分鐘的音樂治療，而控制組則予30分鐘休息，共進行為期兩天之研究。研究工具包括簡式焦慮量表及視覺焦慮量表，並以非侵入性的生理儀器監測血壓、心跳、呼吸、血氧濃度及指溫。本研究結果顯示，於第一天聆聽音樂過程後，能顯著的改善病患的焦慮主觀感受及舒張壓、平均動脈壓、呼吸；第二天聆聽音樂後，顯著的改善病患焦慮主觀感受、心跳、呼吸(p＜.05)。於比較兩組改變量之結果，接受第一天的聆聽音樂處置後，呼吸及主觀焦慮程度能顯著下降，且於第二天重複給予後，除呼吸及主觀焦慮程度顯著下降外，血氧濃度亦會顯著上升。實驗組病患在經重複聆聽音樂後，血氧濃度會上升0.77％，達統計上的顯著差異。本研究結果，可提供臨床護理人員之參考，期望運用聆聽音樂的方式，達到人性化護理之目標。

關鍵字

聆聽音樂；使用呼吸器病患；焦慮

並列摘要

Anxiety is a common reaction happened in patients who receive ventilation therapy, and it often leads to negative impacts on patients’ recovery from diseases. Music therapy is considered as a non-invasion intervention and is easy for patients to accept. In some countries, music therapy has been used to relieve anxiety from patients with some encouraging results. The purpose of this study was to investigate the effectiveness of music listening on reduction of anxiety for patients who were on mechanical ventilators. Under the experimental design, all cases were collected from a medical center in southern Taiwan. While the experimental group patients were taking music therapy for 30 minutes daily, resting were assigned for the control group patients. Both facility anxiety and anxiety visual scales were utilized as the research tools for this two-day study. In addition, other non-invasive medical instruments for measuring heart and breathing rates, blood pressure, blood oxygen saturation and finger temperature of the experimental and control group patients were also employed. When compared with the controls, the experimental group patients showed significant improvements in sense of anxiety, diastolic pressure, mean arterial pressure and breathing rate after the first day’s therapy. Moreover, the result also showed significant improvements in sense of anxiety, heart and breathing rates of the experimental group patients after the second day’s therapy (p<0.05). To analyze the two groups’ data, we found that the breathing rate and sense of anxiety of experimental group patients were significant decreased after listening to music in the first day. We also found that not only the breath rate and sense of anxiety were significantly decreased in experimental group patients, but their blood oxygen concentrations were also increased after listening to music in the second day. This mean that the experimental group patients had their average blood oxygen concentration raised to 0.77% after listening to muscle, and that reached the statistical significant. The outcome of this study might serve as an important reference for clinical nursing staff. Finally, the use of music listening method was hoped to achieve the goal of humanized nursing.