芳香疗法和音乐干预对乳腺癌患者围手术期疼痛和焦虑的影响

肖扬帆; 李乐之; 谢仪佳; 徐军美; 刘雁

doi:10.11817/j.issn.1672-7347.2018.06.013

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论著 | 更新时间：2020-06-14

芳香疗法和音乐干预对乳腺癌患者围手术期疼痛和焦虑的影响
Effects of aroma therapy and music intervention on pain and anxious for breast cancer patients in the perioperative period
中南大学学报（医学版） 中南大学学报（医学版） 2018年43卷第6期页码：656-661
作者机构：

1.中南大学湘雅二医院　麻醉科，长沙 410011
2.中南大学湘雅二医院　护理部，长沙 410011
3.中南大学湘雅二医院　血管外科，长沙 410011
作者简介：

肖扬帆，Email: xiaoyangfan@csu.edu.cn, ORCID: 0000-0003-0214-9602
刘雁，Email: liuyan@csu.edu.cn, ORCID: 0000-0003-2706-2407
基金信息：

湖南省发改委资助课题(湘财企指[2016]65号);中南大学中央高校基本科研业务费专项资金(2014zzts339);Funds for the Finance Department of Hunan Province([2016]65);Fundamental Research Funds for the Central Universities of Central South University(2014zzts339)
DOI：10.11817/j.issn.1672-7347.2018.06.013
中图分类号：
CSTR：
纸质出版日期： 2018-06-01 ，

收稿日期： 2017-07-10 ，

肖扬帆, 李乐之, 谢仪佳, 徐军美, 刘雁. 芳香疗法和音乐干预对乳腺癌患者围手术期疼痛和焦虑的影响[J]. 中南大学学报(医学版), 2018, 43(6): 656-661.

XIAO Yangfan, LI Lezhi, XIE Yijia, XU Junmei, LIU Yan. Effects of aroma therapy and music intervention on pain and anxious for breast cancer patients in the perioperative period[J]. Journal of Central South University. Medical Science, 2018, 43(6): 656-661.
肖扬帆, 李乐之, 谢仪佳, 徐军美, 刘雁. 芳香疗法和音乐干预对乳腺癌患者围手术期疼痛和焦虑的影响[J]. 中南大学学报(医学版), 2018, 43(6): 656-661. DOI：10.11817/j.issn.1672-7347.2018.06.013

XIAO Yangfan, LI Lezhi, XIE Yijia, XU Junmei, LIU Yan. Effects of aroma therapy and music intervention on pain and anxious for breast cancer patients in the perioperative period[J]. Journal of Central South University. Medical Science, 2018, 43(6): 656-661. DOI：10.11817/j.issn.1672-7347.2018.06.013

摘要

目的：

探讨芳香疗法和音乐干预对乳腺癌患者围手术期焦虑及疼痛反应的影响。

方法：

招募湖南省某综合性三级甲等医院乳甲外科收治的100例接受乳腺癌根治术治疗的患者，将患者随机分为对照组、芳香治疗组、音乐干预组及联合干预组，每组25例。对照组给予常规护理；在常规护理基础上，芳香治疗组及音乐干预组在手术前60 min及术后麻醉苏醒拔出气管插管后立即给予芳香干预或音乐干预；联合干预组在常规护理基础上同时给予芳香及音乐干预。对各组患者在术前30 min(T1)、术后麻醉苏醒拔除气管导管后30 min(T2)及拔管4 h(T3)3个时间点的焦虑、疼痛进行评分并比较。

结果：

患者术后(T2，T3)疼痛程度明显高于术前(T1)，与对照组比较，各干预组在T3时间点疼痛程度明显减轻(

0.05)；患者术前焦虑状态最明显(T1)，随着麻醉苏醒，患者焦虑状态逐渐减轻，与对照组比较，各干预组在术后(T2，T3)焦虑程度明显降低(

0.05)。

结论：

芳香疗法和音乐干预能减轻乳腺癌患者围手术期的焦虑与疼痛，使患者在情绪体验及躯体反应两方面获得良好的改善。

Abstract

Objective:

To investigate the effect of the aroma therapy and music intervention on anxious and pain for the breast cancer patients in the perioperative period and the potential mechanisms.

Methods:

A total of 100 breast cancer patients who received surgical treatment in the comprehensive hospitals of Hunan province were recruited for this study. Patients were assigned randomly into a control group

an aroma therapy group

a music intervention group

and a joint-therapy group (

=25 per group). The patients in the control group received regular post-surgical nursery

while the patients from other groups received aroma therapy

music intervention

or both in addition to the regular nursery. The scale of anxiety and pain were measured. The measurements were carried at three time points

namely 30 min before the surgery (T1)

30 min after the recovery period of anesthesia (T2)

and 4 hours after the removal of anesthesia tubing (T3). Repeated ANOVA was used to perform statistic analysis.

Results:

The scale of pain was significantly increased at the post-operation (T2

T3) compared to pre-surgery (T1). The therapeutic group showed significant decrease in pain at post-operation (T3) comparing with the control group (

0.05). The scale of anxiety was the highest at pre-surgery (T1). During anaesthesia recovery

the anxiety of patients at post-operation T2 and T3 in the therapeutic groups significantly decreased compared with the control group (

0.05).

Conclusion:

Both the aroma therapy and the music therapy can decrease the stress-responsive anxiety and pain for the breast cancer patients in the perioperative period.

关键词

芳香疗法音乐干预乳腺癌焦虑疼痛

Keywords

aroma therapymusic therapybreast canceranxiouspain

references

Torre LA, Bray F, Siegel RL, et al. Global cancer statistics[J].CA Cancer J Clin, 2015, 65(2): 87-108.

张晓岚, 赵体玉. 手术等待期不同护理干预方法对剖宫产产妇术前焦虑的影响[J].中华现代护理杂志, 2014, 49(8): 913-915.

ZHANG Xiaolan, ZHAO Tiyu. Effect of three different nursing intervention methods during waiting period for operations on preoperative anxiety of cesarean section women[J].Chinese Journal of Modern Nursing, 2014, 49(8): 913-915.

孙振球, 徐勇勇. 医学统计学[M].3版. 北京: 人民卫生出版社, 2010: 542.

SUN Zhenqiu, XU Yongyong. Medical statistics[M].3th ed. Beijing: People’s Medical Publishing House, 2010: 542.

刘延青, 崔健君. 实用疼痛学[M].北京: 人民卫生出版社, 2013.

LIU Yanqing, CUI Jianjun. Practical pain[M].Beijing: People’s Medical Publishing House, 2013.

Egbert L, Battit GE, Welch CE, et al. Reduction of postoperative pain by encouragement and instruction of patients[J].N Engl J Med, 1964, 270(16): 825-827.

Panda N, Bajaj A, Pershad D, et al. Preoperative anxiety[J].Anaesthesia, 1996, 51: 344-346.

孔莹, 陈丽. 音乐干预对围麻醉期高血压患者血流动力学的影响[D].太原: 山西医科大学, 2011.

KONG Ying, CHEN Li. Effects of music intervention on hemodynamic of hypertensive patients in perianesthesia[D].Taiyuan: Shanxi Medical University, 2011.

陈孝平, 汪建平. 外科学[M].8版. 北京: 人民卫生出版社, 2013: 360-362.

CHEN Xiaoping, WANG Jianping. Surgery[M].8th ed. Beijing: People’s Medical Publishing House, 2013: 360-362.

Taylor SE. Health Psychology[M].朱熊兆, 唐秋萍, 姚树桥, 译. 天津: 南开大学出版社, 2006: 131.

Shelley E. Taylor. Health Psychology[M].ZHU Xiongzhao, TANG Qiuping, YAO Shuqiao, translated. Tianjin: Nankai University Press, 2006: 131.

梁敉宁, 李乐之. 心理干预对开腹手术患者疼痛及应激水平影响的研究[D].长沙: 中南大学, 2011.

LIANG Meining, LI Lezhi. A study on the effect of psychological intervention on postoperative pain and stress reation in laparotomy patients[D].Changsha: Central South University, 2011.

Apfelbaum JL, Chen C, Mehta SS, et al. Postoperative pain experience: Result from a national survey suggest postoperative pain continues to be undermanaged[J].Anesth Analg, 2003, 97(2): 534-540.

Hirschfeld G, Zernikow B. Cut points for mild, moderate, and severe pain on the VAS for children and adolescents: what can be learned from 10 million ANOVAs?[J].Pain, 2013, 154(12): 2626-2632.

Chapman CR, Donaldson GW, Davis JJ, et al. Improving individual measurement of postoperative pain: the pain trajectory[J].J Pain, 2011, 12(2): 257-262.

Nemati MH. The evaluation of the benefits of pain control by patients using PCA pump compared to medicine injection to ease the pain by nurses[J].J Med Life, 2015, 8:144-149.

Martins DF, Emer AA, Batisti AP, et al. Inhalation of cedrusatlantica essential oil alleviates pain behavior through activation of descending pain modulation pathways in a mouse model of postoperative pain[J].J Ethnopharmacol, 2015, 175: 30-38.

Archie P, Bruera E, Cohen L. Music-based interventions in palliative cancer care: a review of quantitative studies and neurobiological literature[J].Support Care Cancer, 2013, 21(9): 2609-2624.

Kissane DW. Psychological morbidity and quality of life in Australian women with early-stage breast cancer: A cross-sectional survey[J].Med J Aust, 1998, 169: 192-196.

陆箴琦, 胡雁. 音乐放松训练对缓解乳腺癌患者化疗不良反应的效果研究[J].中华护理杂志, 2010, 45(5): 405-408.

LU Zhenqi, HU Yan. The effect of music relaxation therapy on the adverse reactions induced by chemotherapy in patients with breast cancer[J].Chinese Journal of Nursing, 2010, 45(5): 405-408.

Tovote P, Esposito MS, Botta P, et al. Midbrain circuits for defensive behaviour[J].Nature, 2016, 534(7606): 206-212.

Fredrikson M, Faria V. Neuroimaging in anxiety disorders[J].Mod Trends Pharmacopsychiatry, 2013, 29: 47-66.

Hong W, Luo L. Genetic control of wiring specificity in the fly olfactory system[J].Genetics, 2014, 196(1): 17-29.

Boso M, Politi P, Barale F, et al. Neurophysiology and neurobiology of the musical experience[J].Funct Neurol, 2006, 21(4): 187-191.

Takaaki O, Edgar AY, Ashwani K, et al. A feedback neural circuit for calibrating aversive memory strength[J].Nat Neurosci, 2017, 20(1): 90-97.

Teissier A, Soiza-Reilly M, Gaspar P. Refining the role of 5-HT in postnatal development of brain circuits[J].Front Cell Neurosci, 2017, 11: 139.

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