EVALUATION OF PAIN, ANXIETY AND HEMODYNAMIC PARAMETERS IN THE GROUPS LİSTENING AND NOT LISTENING TO MUSIC IN PATIENTS UNDERGOING CORONARY ANGIOGRAPHY

Ayşe ALBAYRAK PIROL, Meral Gün, S. Erdoğan
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Abstract

This study was conducted to determine the effect of music listened to during compulsory bed rest after coronary angiography on pain, anxiety and hemodynamic parameters experienced by patients. 80 patients were randomized into the music and control groups. The patients in the music group were allowed to listen to music (Sufi, relaxing, sounds of nature) preferred by them for 20-30 minutes half an hour after admission to the service for follow-up after angiography. No music was listened for the control group. The pain, anxiety, and hemodynamic parameters of the patients were measured before, immediately after, one hour after listening to music, and at discharge. Descriptive statistics, Student t, Mann Whitney U, Repeat Measurament, Fridman and Chi-square tests were used to evaluate the data. There was no statistically significant intergroup difference in terms of average scores of pain and anxiety and hemodynamic parameters at the baseline (p>0.05). The difference between the average scores of pain and anxiety between groups in all measurements after listening to music was found to be significant (p<0.05). The mean anxiety and pain scores of the patients in the study group were lower. In the study group, systolic and diastolic blood pressure, heart rate, respiratory rate decreased, and oxygen saturation increased in all measurements after listening to music (p<0.05).
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评估疼痛,焦虑和血流动力学参数lİstening组和不听音乐的冠状动脉造影患者
本研究旨在确定冠状动脉造影后强制卧床休息期间听音乐对患者疼痛、焦虑和血流动力学参数的影响。80名患者被随机分为音乐组和对照组。音乐组患者在入院后半小时,可聆听自己喜欢的音乐(苏菲、放松、自然之声)20-30分钟,用于血管造影后随访。对照组不听音乐。分别在听音乐前、听音乐后、听音乐后1小时和出院时测量患者的疼痛、焦虑和血流动力学参数。采用描述性统计、Student t、Mann Whitney U、Repeat measurement、friedman检验和卡方检验对数据进行评价。两组间疼痛、焦虑平均评分及基线血流动力学参数比较,差异均无统计学意义(p>0.05)。各组听音乐后疼痛和焦虑平均得分差异有统计学意义(p<0.05)。实验组患者的焦虑和疼痛平均得分较低。实验组患者听音乐后收缩压、舒张压、心率、呼吸频率均降低,血氧饱和度升高(p<0.05)。
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