Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Convergence study on Effects of Music Therapy in Patients Undergoing Prostatectomy with Spinal Anesthesia

척추마취 전립선절제술환자의 음악요법효과에 대한 융합연구

  • Received : 2016.11.24
  • Accepted : 2017.01.20
  • Published : 2017.01.28
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Abstract

The purpose of this convergence study was to identify the effects of favorite music therapy on anxiety, fatigue, and vital signs of patients undergoing prostatectomy with spinal anesthesia. This study used a nonequivalent control group design. A sample of 45 patients was included. The experimental group was given music therapy during operation. The data were collected using a structured questionnaire and monitoring at 30 min before operation, at 20 min and 40min undergoing operation, and at arrival recovery room after operation. Data were analyzed using descriptive statistics, ${\chi}^2-test$, Fisher's exact test, t-test, repeated measures ANOVA. The experimental group reported significantly lower anxiety and lower fatigue than the control group(p=.001; p=.020). However there were no significant differences in the systolic blood pressure, diastolic blood pressure and pulse rate between groups(p=.821; p=.473; p=.782). This findings indicate that the tailored favorite music therapy can be an effective nursing intervention for patient undergoing prostatectomy with spinal anesthesia to reduce anxiety and fatigue related to operation.

본 융합연구의 목적은 척추마취하에서 전립선절제수술을 받는 환자의 불안, 피로 및 활력징후에 미치는 선호 음악요법의 효과를 확인하기 위함이다. 본 연구는 비동등성 대조군 전후시차설계에 따라 환자 45명을 대상으로 하였으며 실험군에게는 수술 중 선호하는 음악을 들려주었다. 자료는 수술 30분전, 수술 20분 경과, 수술 40분 경과, 및 마취회복실 입실직후에 구조화된 질문지와 직접 계측을 통해 수집하였으며 기술통계, ${\chi}^2-test$, Fisher's exact test, t-test 및 repeated measures ANOVA로 분석하였다. 연구결과 실험군의 불안과 피로수준은 대조군보다 유의하게 낮았다(p=.001; p=.020). 그러나 수축기혈압, 이완기혈압 및 맥박에서는 두 집단 간 유의한 차이가 없었다(p=.821; p=.473; p=.782). 이상의 연구결과를 통해 척추마취 전립선절제술을 시행하는 환자에게 수술 중 환자의 선호 음악요법을 제공하는 것은 수술 관련 불안과 피로를 완화하는 유용한 간호중재가 될 수 있음을 확인하였다.

Keywords

References

  1. J. W. Kim, "Converged factors influencing depression of community dwelling elderly", Journal of the Korean Convergence Society, Vol. 7, No. 5, pp. 237-246, 2016. http://dx.doi.org/10.15207/JKCS.2016.7.5.237.
  2. Korea Institute for Health and Social Affairs, "2014 the Korean elderly survey", pp. 517-526, 2016, Retrieved September 2 from http://www.welfare24.net/ab-3876-107
  3. The Korean Urological Association.(2016, Oct 20). "Urology Health Information : prostate hyperplasia", Retrieved October 20, 2016, from http://www.urology.or.kr/common/sub_contents.php?number.
  4. H. K. Park, H. J. Park, , S. Y. Cho, J. B. Bae, S. J. Jeong, S. K. Hong, C. Y. Yoon, S. S. Byun, S. E. Lee, K. W. Kim, "The prevalence of benign prostatic hyperplasia in elderly men in Korea: a community-based study", Korean Journal of Urology, Vol. 50, No. 9, pp. 843-847, 2009. DOI:10.4111/kju.2009.50.9.843.
  5. J. S. Kim, V. N Moon,, "Factors influencing health-related quality of life in pateients with Benign prostatic hyperplasia", Journal of Korean Academy of Nursing, Vol. 40, No. 2, pp. 287-297, 2010. DOI:10.4040/jkan.2010.40.2.287.
  6. S. J. Hong, "Benign prostatic hyperplasia: multiple factors for prostate tissue change with aging", Korean Journal of Urology, Vol. 46, No. 6, pp. 547-554, 2005.
  7. K. S. Yoon, "A convergence study on the relationship among job rotation, verbal abuse and organizational commitment of perioperative nurses", Journal of the Korean Convergence Society, Vol. 7, No. 3, pp. 131-141, 2016. http://dx.doi.org/10.15207/JKCS.2016.7.3.131.
  8. S. H. Kim, H. J. Lee, "Effects of supportive nursing care program on hip function, anxiety and uncertainty for patients with total hip arthroplasty", Journal of Korean Clinical Nursing Research, Vol. 19, No. 3, pp. 419-431, 2013. https://doi.org/10.22650/JKCNR.2013.19.3.419
  9. J. L. Yang, M. Y. Noh, K. H. Yang, "Effect of favorite music therapy on anxiety and vital sign in pateiens undergoing gynecologic surgery using the general anesthesia", Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 2, pp. 1189-1199, 2015. http://dx.doi.org/10.5762/KAIS.2015.16.2.1189.
  10. J. H. Lee, B. S. Yu, C. D, Chung. T. H. An, "The effect of music on intraoperative anxiety during spinal anesthesia", Korean Journal of Anesthesiology, Vol. 47, No.1, pp. 38-41, 2004. https://doi.org/10.4097/kjae.2004.47.1.38
  11. S. M. Nam, M. H. Kim, "A study on needs of the spinal anesthesia patients", Korean Journal of Adult Nursing, Vol/ 12, No. 4, pp. 666-677, 2000.
  12. H. Y. Shin., M. S. Lee,, "Effects of intraoperative music therapy on anxiety in patients undergoing local anesthesia", Journal of Korean Academy of Fundamental Nursing, Vol. 13, No. 1, pp. 131-138, 2005.
  13. M. L. Martin, P. H. Lennox, "Sedation and analgesia in the interventional radiology department", Joumal of Vascular and Interventional Radiology, Vol. 14, pp. 1119-1128, 2003. https://doi.org/10.1097/01.RVI.0000086536.86489.82
  14. J. H. Kim, S. H. Baek, "Effect of tailored music intervention on intra-operative anxiety among those undergoing regional anesthesia", Journal of Korean Clinical Nursing Research, Vol. 14, No. 1, pp. 187-198, 2008.
  15. H. J. Sohn, H. K Lee, S. T. Kim, "The effect of sedation using propofol on the frequency of retrograde amnesia", Korean Journal of Anesthesiology, Vol. 46, pp. 578-582, 2004. https://doi.org/10.4097/kjae.2004.46.5.578
  16. Y. H. Moon, I. S. Kang,, S. K. Hwang, "The effect of listening to music on anxiety, sedation, and vital signs of patients undergoing spinal anesthesia", Journal of Korean Biological Nursing Science, Vol. 11, No. 2, pp. 105-113, 2009.
  17. D. M. Irvine, L. Vincent, N. Bubela, L. Thompson, J. Graydon, "A critical appraisal of the reserch literature investigating fatigue in the individual with cancer", Cancer Nursing, Vol. 14, No. 1, pp. 188-199. 1994.
  18. C. H. Oh, H. Y Pak, J. S. Lee, J. Y. Choi, " A test for psychobiologic entropy model on cancer related fatigue amng patients with solid tumors", Korean Journal of Adult Nursing, Vol. 28, No.1, pp. 1-12, 2016, http://dx.doi.org/10.7475/kjan.2016.28.1.1.
  19. E. H. Kong, M. H. Park, "Effects of music therapy on agitation in dementia:systematic review and meta-analysis", Korean Journal of Adult Nursing, Vol. 27, No. 1, pp. 106-116, 2015, http://dx.doi.org/10.7475/kjan.2015.27.1.106.
  20. H. C. Jeong, "The effect of music therapy on the physiological and psychological status of women college students based on their preference of music", Korean Journal of Adult Nursing, Vol. 20, No. 2, pp. 321-330, 2008.
  21. S. H. Kim, "The effects of music therapy on pain, anxiety, and discomfort behavior during burn dressing change", Journal of Korean Clinical Nursing Research, Vol. 13, No. 1, pp. 143-155, 2007.
  22. J. T Son, S. H. Kim, "The effects of self-selected music on anxiety and pain during burn dressing changes", Journal of Korean Academy of Nursing, Vol. 36, No. 1, pp. 159-168, 2006. https://doi.org/10.4040/jkan.2006.36.1.159
  23. G. S. Shim, N. S. Kim, S. H. Bang, "Effects of short-term music therapy in fire fighters with post-traumatic stress risk", Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 6, pp. 4040-4047, 2015. http://dx.doi.org/10.5762/KAIS.2015.16.6.4040.
  24. H. Cho, E. S. Heo, J. H. Lee, "Analysis of effects of yoga and music therapies on the care of alcohol dependents", Journal of the Korea Academia-Industrial cooperation Society, Vol. 11, No. 6, pp. 2144-2151, 2010. https://doi.org/10.5762/KAIS.2010.11.6.2144
  25. Y. H. Yoon, H. J. Yoon, S. K Lee, K. H. Kim, G. H. Kwon, "The effects of the communication accompanied with music therapy on the anxiety of the patients during the MRI examination", Journal of the Korea Academia-Industrial cooperation Society, Vol. 17, No. 3, pp. 93-102, 2016. http://dx.doi.org/10.5762/KAIS.2016.17.3.93.
  26. M. Y. Kim, A. R, Kim,, H. O. Choi. M. S. Whang, I. G. Kwon, "Effects of music therapy on level of pain and ambulation of patients with abdominal surgery", Journal of Korean Clinical Nursing Research, Vol. 13, No. 3, pp. 81-91, 2007.
  27. J. S. Park, J. H, Yeom, S. H. Jeong, "The effect of music therapy on postoperative pain in patients with total hip replacement", Korean Journal of Adult Nursing, Vol. 18, No. 2, pp. 183-193, 2006.
  28. J. H. Lee, E. M. Kim, H. T, Jung, O. N. Hwang, "The effects of music therapy on state anxiety and vital sign", Korean Journal of Rehabilitation Nursing, Vol. 9, No. 1, pp. 64-71, 2006.
  29. C. D. Spielberger, "Anxiety as an emotional state:current trend in theory and research", Vol 1, Academic Press Inc, pp. 481-493, 1972.
  30. S. U. Yoon, Y. S. Kwon, "Relationship between test anxiety and self-esteem in partial health related department convergence college students", Journal of the Korean Convergence Society, Vol. 6, No. 5, pp. 91-98, 2015. http://dx.doi.org/10.15207/JKCS.2015.6.5.091.
  31. J. T. Kim, D. K. Shin, "A study on the standardization of STAI for Korea", Newest Medical Journal, Vol. 21, No. 11, pp. 69-75, 1978.
  32. P. A. Potter, A. G. Perry, Fundamentals of nursing(6th ed.), pp. 617-666, Mosby Inc., 2005.
  33. K. S. Kim, J. H. Kim, S. J, Kim., "The effects of the closed and open musical therapies to the patients with spinal and epidural anesthesia operation", Journal of Korean Biological Nursing Science, Vol. 10, No. 2, pp. 154-161, 2008.
  34. H. K. Chang, "Influencing factors on fatigue of middle aged women", Journal of Korean Academy of Adult Nursing, Vol. 22, No. 6, pp. 634-643, 2010.
  35. A. J. Cha, S. J. Kang, "The convergent relationship of fatigue, CPR-related stress and job satisfaction long-term care hospital nurses", Journal of the Korean Convergence Society, Vol.7, No. 3, pp. 167-175, 2016. http://dx.doi.org/10.15207/JKCS.2016.7.3.167.
  36. E. S. Shin, "Convergence relationship between occupational stress and fatigue symptoms among blue collar workers in manufacturing plants", Journal of the Korean Convergence Society, Vol .7, No.1, pp. 57-68, 2016. http://dx.doi.org/10.15207/JKCS.2016.7.1.057.
  37. H. K. Shin, "Effects of depressive mood state on self-focused attention, somato-sensory amplification, somatic attribution, and somatic symptoms in somatization group", The Korean Journal of Clinical Psychology, Vol. 25, No. 2, pp. 467-488, 2006.
  38. S. J. Kang, N. Y. Kim, "The effects of aroma hand massage on pruritus, fatigue and stress hemodialysis patients", Journal of Korean academy of Adult Nursing, Vol. 20, No. 6, pp. 883-894, 2008
  39. E. J. Lee, B. S. Kim, I. H. Sa, K. E. Moon, J. H. Kim, "The effects of aromatherapy on sleep disorders, satisfaction of sleep and fatigue in hemodialysis patients", Korean Journal of Adult Nursing, Vol. 23, No. 6, pp. 615-623, 2011.
  40. N. S. Seo, S. J. Kim, "Differences in body mass index, anxiety, depression and fatigue by physical activities in cancer patients undergoing chemotherapy", Korean Journal of Adult Nursing, Vol. 23, No. 4, pp. 386-396, 2011.
  41. P. H. Lee, I. S. Suh, S. H. Chung, "The effect of music therapy on anxiety of patients in emergency room", Korean Journal of Adult Nursing, Vol. 20, No. 3, pp. 500-511, 2008.
  42. E. Mok, K. Y. Wong, "Effect of music on patient anxiety". AORN Journal, Vol. 77, No. 2, pp. 396-410, 2003. https://doi.org/10.1016/S0001-2092(06)61207-6