音乐对瘘针插入相关疼痛强度和疼痛困扰的影响:一项单中心、单盲、随机对照试验。

IF 1.5 4区 医学 Q3 NURSING Journal of renal care Pub Date : 2025-01-13 DOI:10.1111/jorc.70001
Sultan Baykan MSc, RN, Nazan Kılıç Akça PhD
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引用次数: 0

摘要

背景:当针头插入瘘管时,患者会感到疼痛和窘迫。这影响了患者的舒适度。其中一种用于减轻疼痛和压力的非药物方法是音乐干预。目的:本研究旨在评估土耳其古典音乐对患者首选的makams通过耳机对瘘针插入相关疼痛强度和疼痛困扰的影响。设计:单盲随机对照研究。参与者:本研究在2023年3月至6月期间对54名患者进行了研究。测量方法:通过患者信息表、视觉模拟量表和痛苦温度计收集患者数据。干预组在针入瘘前5分钟开始播放音乐10分钟。音乐干预是按照既定的音乐协议进行的。对照组仅给予常规治疗。结果:干预组患者瘘针插入相关疼痛强度和疼痛窘迫明显降低。结论:根据研究结果,患者听音乐是一种可靠、有效、低成本的护理干预方式,可降低瘘针插入相关疼痛强度和疼痛困扰水平。此外,结果将为透析护士的疼痛和痛苦管理提供循证指导。
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The effect of music on fistula needle insertion-related pain intensity and pain distress: A single-centre, single-blind, randomised controlled trial

Background

Patients feel pain and distress when a needle is inserted into the fistula. This affects the comfort of patients. One of the nonpharmacological methods used to decrease pain and stress is music intervention.

Objective

This study was conducted to assess the effect of Turkish classical music in makams, which the patients preferred, via headphones on fistula needle insertion-related pain intensity and pain distress.

Design

It was single-blind randomised controlled study.

Participants

This study was conducted with 54 patients between March and June 2023.

Measurements

The patient data were collected through a patient information form, visual analogue scale and distress thermometer. The intervention group was played music for 10 min, starting 5 min before the needle was inserted into the fistula. The music intervention was made in accordance with the established music protocol. The control group received only routine treatment.

Results

Patients in the intervention group were found to have a significant decrease in fistula needle insertion-related pain intensity and pain distress.

Conclusion

According to the results obtained from the research, music listening to patients is a reliable, effective and low-cost way of a nursing intervention to reduce levels of fistula needle insertion-related pain intensity and pain distress. Additionally, the results will provide evidence-based guidance to dialysis nurses for pain and distress management.

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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
期刊介绍: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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