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Effect of music therapy with emotional-approach coping on pre-procedural anxiety in cardiac catheterization.

机译：音乐疗法配合情绪应对对心脏导管插入术前焦虑的影响。

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摘要

Individuals undergoing cardiac catheterization, and related procedures such as electrophysiological studies involving cardiac catheter placement, are likely to experience elevated anxiety periprocedurally, with highest anxiety levels occurring in the waiting period immediately prior to the procedure. Elevated anxiety has the potential to negatively impact these individuals psychologically and physiologically in ways that may interfere with the procedure itself. Pre-medication via various common anxiolytics does not always adequately lower patients' level of perceived anxiety, and at high dosages such medication may interfere with patient compliance during the procedure itself. This study evaluated the use of music therapy, with a specific emphasis on emotional-approach coping, immediately prior to cardiac catheterization in order to impact periprocedural outcomes. The randomized, pre-test/post-test control group design consisted of two experimental groups---the Music Therapy with Emotional-Approach Coping group (n = 13), and a talk-based Emotional-Approach Coping group (n = 14), compared with a standard care Control group (n = 10). Results support the use of music therapy with an emphasis on emotional-approach coping to improve positive affective states in adults awaiting elective cardiac catheterization and electrophysiological study. Statistically significant improvements in positive affect were seen after a single session of music therapy lasting 30-minutes in length. Conversely, participants who received a talk-based emphasis on emotional-approach coping or standard care did not demonstrate improvements in positive affect. There was a significant overall decrease in negative affect for all participants in the study, regardless of group membership. Heart rate, respiratory rate, and oxygen saturation levels did not differ significantly between groups. The MT/EAC group demonstrated a statistically significant increase in systolic blood pressure from pre-test to end of study intervention while the EAC group demonstrated a significant increase in diastolic blood pressure from pre-test to post-test. The observed mean increase in systolic blood pressure was less than 10% over baseline, and thus likely reflects a benign increase in sympathetic nervous system arousal due to engagement in active music making. Though group means display a trend toward the MT/EAC group having shortest procedure length and least amount of anxiolytic required during the procedure, while the EAC group had least amount of analgesic required during the procedure, none of these differences was statistically significant.
机译：进行心脏导管插入术以及相关过程（例如涉及心脏导管放置的电生理研究）的个体很可能会在手术过程中经历焦虑升高，在该过程之前的等待时间段内焦虑程度最高。焦虑加剧有可能以可能干扰手术本身的方式在心理和生理上对这些人产生负面影响。通过各种常见的抗焦虑药进行预用药并不总是能充分降低患者的焦虑感，在高剂量时，此类药物可能会在手术过程中干扰患者的依从性。这项研究评估了音乐疗法的使用，特别是在心脏导管插入术之前，特别着重于应对情绪的方法，以影响围手术期结局。随机，测试前/测试后的对照组设计由两个实验组组成-带有情绪应对方式的音乐疗法组（n = 13）和基于谈话的情绪应对方式的对照组（n = 14） ），与标准护理对照组（n = 10）相比。结果支持音乐疗法的使用，重点是应对情绪的方法，以改善等待择期心脏导管插入术和电生理研究的成年人的积极情感状态。单次持续30分钟的音乐疗法后，在积极效果方面的统计上有显着改善。相反，接受基于谈话的强调情感方法应对或标准护理的参与者并没有表现出积极影响的改善。不论小组成员身份如何，研究中所有参与者的负面影响均显着降低。两组之间的心率，呼吸频率和血氧饱和度水平无显着差异。从试验前到研究结束干预，MT / EAC组的收缩压有统计学意义的升高，而从试验前到试验后，EAC组的舒张压显着升高。所观察到的平均收缩压比基线降低了不到10％，因此可能反映了由于参与活跃的音乐创作而引起的交感神经系统唤醒的良性增长。尽管组方法显示出朝向MT / EAC组的趋势，该过程具有最短的程序长度和最小的过程中所需的抗焦虑药，而EAC组的最小止痛剂的数量在过程中却无统计学意义。

著录项

  • 作者

    Ghetti, Claire Mathern.;

  • 作者单位

    University of Kansas.;

  • 授予单位 University of Kansas.;
  • 学科 Health Sciences General.;Health Sciences Alternative Medicine.;Music.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 120 p.
  • 总页数 120
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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