기본간호학회지 (Journal of Korean Academy of Fundamentals of Nursing)

  • 제26권2호
  • /
  • Pages.75-85
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  • 2019
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  • 1225-9012(pISSN)
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  • 2287-1802(eISSN)
기본간호학회 (Korean Academy of Fundamentals of Nursing)
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음악중재가 간이식 환자의 환경 스트레스와 수면의 질에 미치는 효과

The Effects of Music Intervention on Environmental Stress and Sleep Quality in Patients with Liver Transplantation

  • 이인선 (양산부산대학교병원 외과계중환자실) ;
  • 박형숙 (부산대학교 간호대학)
  • Lee, In-Seon (Surgical Intensive Care Unit, Pusan National University Yangsan Hospital) ;
  • Park, Hyoung-Sook (College of Nursing, Pusan National University)
  • 투고 : 2018.10.09
  • 심사 : 2019.05.14
  • 발행 : 2019.05.31
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초록

Purpose: The purpose of this study was to examine effects of music intervention on environmental stress and sleep quality in liver transplant patients who are receiving care in one-person isolation rooms of an ICU. Methods: The study was a quasi-experimental design pre-and-post nonequivalent control group. Participants were 37 patients (18 in the experimental group and 19 in the control group) who, after receiving liver transplant, were hospitalized in one-person isolation rooms of the ICU. The study covered patients admitted between August 2016 and December 2017. Earplugs and sleep shades were provided as ordinary care to both experimental and control groups, and music intervention was provided to the experimental group three times a day for 30 minutes each from the first day of hospitalization. Results: The first hypothesis, "The experimental group who received music intervention will experience a lower environmental stress level than the control group" was supported (Z=-3.212, p<.001). The second hypothesis, "The experimental group who received music intervention will experience a higher sleep quality than the control group" was also supported (t=3.715, p=.001). Conclusion: Findings show that music intervention is an effective nursing intervention to reduce environmental stress and improve sleep quality in liver transplant patients in the ICU.

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참고문헌

  1. Chu CW. Necessity of liver transplantation program, establishment and activation. The 18th Annual Meeting of the KASL;2012 June 14-16; Sheraton Grand Walkerhill Hotel. Seoul: The Korean Association for the Study of the Liver. 2012. p. 245-248.
  2. KONOS. Statistics [Internet]. Seoul: KONOS; 2018 [cited 2018 July 30]. Available from: https://www.konos.go.kr/konosis
  3. Crawford I, Hogan T, Silverman MJ. Effects of music therapy on perception of stress, relaxation, mood, and side effects in patients on solid organ transplant unit: A randomized effectiveness study. The Arts in Psychotherapy. 2013;40(2):224-229. https://doi.org/10.1016/j.aip.2013.02.005
  4. Kim HJ, Song KY, Park HR, Choi DW. Perceived anxiety and uncertainty in hematopoietic stem cell transplantation recipients to and from isolation unit. Journal of Korean Academy of Fundamentals of Nursing. 2006;13(3):428-436.
  5. McGuire BE, Basten CJ, Ryan CJ, Gallagher J. Intensive care unit syndrome: a dangerous misnomer. Archives of Internal Medicine. 2000;160(7):906-909. https://doi.org/10.1001/archinte.160.7.906
  6. Kim EM, Suh MJ. Adjustment experience of liver transplant recipient. The Korean Journal of Rehabilitation Nursing. 2003;6(1):61-69.
  7. Biancofiore G, Maria LB, Anna MR, Lucio U, Franco M, Franco F. Stress-inducing factor in ICUs: what liver transplantation recipients experience and what caregivers perceive. Liver Transplantation. 2005;11(8):967-972. https://doi.org/10.1002/lt.20515
  8. Reilly-Spong M, Park T, Gross CR. Poor sleep in organ transplant recipients: self reports and actigraphy. Clinical Transplantation. 2013;27:901-913. https://doi.org/10.1111/ctr.12255
  9. Lewis SR, Pritchard MW. Schofield-Robinson OJ. Alderson P. Smith AF. Melatonin for the promotion of sleep in adults in the intensive care unit. Cochrane Database of Systematic Review. 2018:5. https://doi.org/10.1002/14651858.CD012455.pub2
  10. Park HR, Choi SE, Park HR, Moon YI, Park JH. Sleep disturbance and related variables during hospitalization for hematoopoietic stem cell transplantation. Journal of Korean Oncology Nursing. 2005;5(2):126-135.
  11. Kim JS, Moon H, Sun JJ, Lee ES. The effect of sleep improvement intervention on the patients' sleep quality in the intensive care unit. Chonnam Journal of Nursing Science. 2007;12(1):45-57.
  12. Kim MY, Jeon SY, Song YH, Choi EJ, Kim JH, Kim MS, et al. The effects of head and neck massage on the sleep and anxiety of ICU patients. Journal of Korean Clinical Nursing Research. 2006;11(2):49-60.
  13. Park OK. Effect of musical listening on sleep and perceived environmental stress of intensive care unit patients-The patients with coronary angiography [master's thesis]. Seoul: Korea University;2008. p. 2-26.
  14. Eliassen KM, Hopstock LA. Sleep promotion in the intensive care unit-a survey of nurses' interventions. Intensive and Critical Care Nursing. 2011;27(3):138-142. https://doi.org/10.1016/j.iccn.2011.03.001
  15. Hu RF, Jiang XY, Hegadoren KM, Zhang YH. Effect of earplugs and eye masks combined with relaxing music on sleep, melatonin and cortisol levels in ICU patients: a randomized cotrolled trial. Critical Care. 2015;19:115-123. https://doi.org/10.1186/s13054-015-0855-3
  16. Shin KM, Choi HR. Effects of prior information about intensive care unit environment on anxiety and environmental stress in patients undergoing open heart surgery. The Journal of Korean Academic Society of Nursing Education. 2015;21(1):28-35. https://doi.org/10.5977/jkasne.2015.21.1.28
  17. Ryu MJ. The effects of sleep-inducing music on sleep patterns with percutaneous transluminal coronary angiography patients in CCU [master's thesis]. Daegu: Keimyung University;2010. p. 3-22.
  18. Lim SY, Park HJ. The effects of aroma inhalation therapy on stress, anxiety and depression in coronary care unit patients. International Journal of Contents. 2016;16(3):1-10. https://doi.org/10.5392/JKCA.2016.16.03.001
  19. Cassileth BR, Vickers AJ, Magill LA. Music therapy for mood disturbance during hospitalization for autologous stem cell transplantation. American Cancer Society. 2003;98(12):2723-2729. https://doi.org/10.1002/cncr.11842
  20. Su CP, Lai HL, Chang ET, Yiin LM, Perng SJ, Chen PW. A randomized controlled trial of the effects of listening to noncommercial music on quality of nocturnal sleep and relaxation indices in patients in medical intensive care unit. Journal of Advanced Nursing. 2012;69(6):1377-1389. https://doi.org/10.1111/j.1365-2648.2012.06130.x
  21. Madson AT, Silverman MJ. The effect of music therapy on relaxation, anxiety, pain perception, and nausea in adult solid organ transplant patients. Journal of Music Therapy. 2010;47(3):220-232. https://doi.org/10.1093/jmt/47.3.220
  22. Kim SH. A meta-analysis of the effects of music therapy outcome research literature. Korean Journal of Music Therapy. 2002;4(2):19-40.
  23. Hwang JI. An analysis of literatures on the use of music in the ICU: from music therapy perspectives [master's thesis]. Seoul:Ewha Womans University; 2015. p. 11-45.
  24. Ballard KS. Identification of environmental stressors for patients in a surgical intensive care unit. Issues in Mental Health Nursing. 1981;3(1-2):89-108. https://doi.org/10.3109/01612848109140863
  25. Cochran J, Ganong LH. A comparison of nurses' and patients' perceptions of intensive care unit stressors. Journal of Advanced Nursing. 1989;14(12):1038-1043. https://doi.org/10.1111/j.1365-2648.1989.tb01515.x
  26. Parrott AC, Hindmarch I. The Leeds Sleep Evaluation Questionnaire in psychopharmacological investigations. Psychopharmacology. 1980;71(2):173-179. https://doi.org/10.1007/BF00434408
  27. Kim IJ, Choi HJ, Kim BJ. Psychometric properties of Korean version of modified Leeds Sleep Evaluation Questionnaire (KMLSEQ). The Korean Journal of Rehabilitation Nursing. 2014;17(1):10-17. https://doi.org/10.7587/kjrehn.2014.10
  28. Hansen IP, Langhorn L, Dreyer P. Effects of music during daytime rest in the intensive care unit. Nursing in Critical Care. 2018;23(4):207-213. https://doi.org/10.1111/nicc.12324
  29. Jeong HC. The effect of music therapy on the physiological and psychological status of women college students based on their preference of music. Korean Academy of Adult Nursing. 2008;20(2):136-145.