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首页> 外文期刊>Pain management nursing: official journal of the American Society of Pain Management Nurses >A Randomized Controlled Trial of Music for Pain Relief after Arthroplasty Surgery
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A Randomized Controlled Trial of Music for Pain Relief after Arthroplasty Surgery

机译：音乐缓解关节置换术后疼痛的随机对照试验

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Purpose: Effective pain management for patients undergoing orthopedic surgery, using pharmacological and nonpharmacological strategies, is essential. This pilot study evaluated music as an adjuvant therapy with prescribed analgesics to reduce acute pain and analgesic use among patients undergoing arthroplasty surgery. Design: Prospective randomized controlled trial of 50 participants scheduled for arthroplasty surgery at a large university-affiliated hospital. Methods: Participants were randomly assigned to treatment (music and analgesic medication; n = 25) or control (analgesic medication only; n = 25) groups. The intervention consisted of listening to selfselected music for 30 minutes, three times per day postoperatively in hospital and for 2 days postdischarge at home. Participants rated pain intensity and distress before and after music listening (treatment group) or meals (control group). Analgesic medication use was assessed via medical records in hospital and self-report logs postdischarge. Results: Forty-seven participants completed the study. Participants who listened to music after surgery reported significantly lower pain intensity and distress in hospital and postdischarge at home. There were no statistically significant differences in analgesic medication use after surgery between groups. Conclusions: Study findings provide further evidence for the effectiveness of music listening, combined with analgesics, for reducing postsurgical pain, and extend the literature by examining music listening postdischarge. Music listening is an effective adjuvant pain management strategy. It is easy to administer, accessible, and affordable. Patient education is needed to encourage patients to continue to use music to reduce pain at home during the postoperative recovery period.
机译：目的：使用药物和非药物策略对接受骨科手术的患者进行有效的疼痛管理至关重要。这项初步研究评估了音乐作为处方镇痛药的辅助疗法，以减少接受关节置换术的患者的急性疼痛和镇痛药的使用。设计： 前瞻性随机对照试验，纳入 50 名参与者，计划在一家大型大学附属医院进行关节置换术。方法：受试者被随机分配到治疗组（音乐和镇痛药物;n = 25）或对照组（仅镇痛药物;n = 25）组。干预包括听自选音乐 30 分钟，术后在医院每天 3 次，出院后在家 2 天。参与者对听音乐（治疗组）或进餐（对照组）前后的疼痛强度和痛苦进行评分。通过医院的医疗记录和出院后的自我报告日志来评估镇痛药物的使用。结果：47名受试者完成了研究。手术后听音乐的参与者报告说，在医院和出院后在家中的疼痛强度和痛苦显着降低。两组之间手术后镇痛药物的使用无统计学意义差异。结论：研究结果为听音乐与镇痛药联合减轻术后疼痛的有效性提供了进一步的证据，并通过检查出院后的音乐聆听来扩展文献。听音乐是一种有效的辅助疼痛管理策略。它易于管理、可访问且价格合理。需要对患者进行教育，以鼓励患者在术后恢复期间继续使用音乐来减轻家中的疼痛。

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