수술을 받는 환자는 수술이 익숙하지 않고 불편한 사건이 며, 좋지 않은 결과를 가져올지도 모른다는 예상 때문에 불안 을 경험한다(Mok & Wong, 2003). 척수마취로 수술을 받는 환자는 전신마취와는 달리 각성 상태로 마취와 수술을 받게 되므로, 이러한 과정이 환자에게 더욱 불편함과 스트레스를 줄 수 있고, 불안이 증가된다(Martin & Lennox, 2003). 그 러므로 환자의 긴장 완화와 편안함을 위해 진정제 혹은 마약 제제를 투여하여 적절한 진정상태를 유도함으로써, 불안을 감소시키고, 수술 중 일어날 수 있는 수술실의 소음, 의료진 사이의 대화 및 기계음 등에 대한 기억 상실로 환자의 불유쾌 한 기억을 지울 수 있도록 돕는다(Sohn, Lee, & Kim, 2004).
The aim of this study was to examine the effect of listening to music on the level of anxiety, sedation, and vital signs of patients undergoing surgery with spinal anesthesia. Methods: A convenience sample of 70 adult patients, ASA physical status I-II, scheduled for elective urologic or orthopedic surgery with spinal anesthesia, was included in this study. They were assigned to either an experimental group (n=35), listening to music during surgery, or a control group (n=35), not listening to music. Their anxiety was measured with the Spielberg’s Trait and State Anxiety Inventory (STAI-KYZ). Sedation level was monitored with the Bispectral Index, and the vital signs at beginning, 10, 20, 30, and 45 min after operation. Results: The music group reported significantly lower state anxiety level during surgery as compared with the control group (t=3.91, p<.001). Repeated measures of ANOVA indicated a significant by group interaction on BIS index scores of sedation (F=4.23, p=.006). Among the vital signs, only heart rate was a significant by group interaction (F=5.529, p=.004). Conclusion: These findings indicate that listening to music during surgery with spinal anesthesia is a useful and effective nursing intervention to reduce anxiety and to maintain proper sedation.
서 론 연구 방법 연구 결과 논 의 결론 및 제언
