摘要
目的 探究音乐干预在甲状腺手术后疼痛管理以及对患者舒适度的影响。方法 在本次研究中，选取我院2024年1月至2024年12月接受甲状腺手术的100位患者为研究对象，分为研究组和参考组，每组50人，研究组采用音乐干预方法，参考组采用常规护理方法。结果 研究组的SAS评分较干预前均显著降低，同时也较参考组干预后有明显降低（P<0.05）。根据生活质量评分表，研究组在各项指标上的评分都显著高于干预前，并且也高于参考组干预后的评分（P<0.05）。在术后疼痛程度方面，研究组患者0级、Ⅰ级和Ⅱ级的疼痛者较多，Ⅲ级的疼痛者较少，与参考组比较，差异有统计学意义（P<0.05）。术后并发症方面，研究组的四肢抽搐、面部抽搐以及喉返神经受损的发生率均显著低于参考组，差异有统计学意义（P<0.05）。结论 音乐干预能够有效降低甲状腺手术后患者的焦虑和抑郁程度，提高患者的生活质量，减少手术后的疼痛及并发症的发生。
关键词： 音乐干预；甲状腺手术；疼痛管理；患者舒适度
Abstract
Objective To explore the effect of music intervention on pain management and patient comfort after thyroid surgery. Methods in this study, 100 patients who underwent thyroid surgery in our hospital from January 2024 to December 2024 were selected as the research objects and divided into the research group and the reference group, with 50 people in each group. The research group was treated with music intervention, and the reference group was treated with conventional nursing methods. Results the SAS scores of the study group were significantly lower than those before the intervention, and also significantly lower than those of the reference group after the intervention (p<0.05). According to the quality of life score table, the scores of all indicators in the study group were significantly higher than those before the intervention, and also higher than those in the reference group after the intervention (p<0.05). In terms of the degree of postoperative pain, there were more patients with grade 0, grade I and grade II pain in the study group, and fewer patients with grade III pain. Compared with the reference group, the difference was statistically significant (p<0.05). In terms of postoperative complications, the incidence of limb twitch, facial twitch and recurrent laryngeal nerve injury in the study group were significantly lower than those in the reference group, and the difference was statistically significant (p<0.05). Conclusion music intervention can effectively reduce the degree of anxiety and depression of patients after thyroid surgery, improve the quality of life of patients, and reduce the occurrence of postoperative pain and complications.
Key words： Music intervention; Thyroid surgery; Pain management; Patient comfort
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