Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

THE EFFECT OF MUSIC THERAPY AT SURGICAL EXTRACTION OF MANDIBULAR IMPACTED 3RD MOLARS

하악매복지치 발치 시 음악요법의 효과

  • Jeaun, Hea-Sil (Dept. of Oral and Maxillofacial surgery, St. Vincent's Hospital, The Catholic University of Korea) ;
  • Chun, Ki-Hong (Dept. of Preventive Medicine, Medical College of Ajou University) ;
  • Lee, Soon-Young (Dept. of Preventive Medicine, Medical College of Ajou University) ;
  • Lee, Jeong-Keun (Dept. of Dentistry, Ajou University School of Medicine) ;
  • Song, Hyun-Chul (Dept. of Oral and Maxillofacial surgery, St. Vincent's Hospital, The Catholic University of Korea)
  • 전혜실 (가톨릭대학교 성빈센트병원 구강악안면외과) ;
  • 전기홍 (아주대학교 의과대학 예방의학교실) ;
  • 이순영 (아주대학교 의과대학 예방의학교실) ;
  • 이정근 (아주대학교 치과학교실 구강악안면외과) ;
  • 송현철 (가톨릭대학교 성빈센트병원 구강악안면외과)
  • Published : 2008.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This research was intended to evaluate the sedative effect of the music by measuring the anxiety-level, the pain-level, the blood pressure, and the pulse rate in patients who were going through extraction of the mandibular impacted 3rd molar. Materials and methods: Patients were selected among those who visited St. Vincent's Hospital in Suwon for the surgical extraction of 3rd molar from April to May, 2007 and were divided into two groups : the first, experimental group consisting of 32 people was going through extraction with the music and the second, control group also consisting of 32 people was going through extraction without the music. The anxiety-level was measured by filling out Spielberger's State-Trait Anxiety questionnaire. The pain-level was measured by VAS (Visual analog Scale). The blood-pressure and the pulse rate were recorded at waiting period, preparation and anesthesia period, 5 minutes after anesthesia, beginning of extraction and every five minutes after extraction to the end of surgery. Results: The anxiety-level was significantly lower in the experimental group than in the control group during the extraction procedure (p<0.01). The pain-level was significantly lower in the experimental group than in the control group (p<0.05). The mean systolic blood pressure was significantly lower in the experimental group than in the control group at the beginnig of extraction and 10 minutes after extraction (p<0.01, p<0.05 each). The mean diastolic blood pressure was significantly lower in the experimental group than the control group at 10 minutes after extraction (p<0.01). The mean of pulse rate was significantly lower at the beginning of extraction (p<0.05). Conclusion: The music therapy could offer not only the psychological stability but also the physiological stability during the surgical extraction of impacted 3rd molar.

Keywords

References

  1. Hanato K, Oyama T, Kogure Y, Ohkura L, Spintage R: Anxiolytic effect of music on dental treatment Part 1 Subjective and objective evaluation. 日本齒科 1983;11:331-337
  2. 김영균, 김현태: 하악 매복지치의 와과적 발치술후 환자의 술후 불편감에 대한평가. 대한치과의사협회지 1998;36:880-885
  3. Spielber CD: Anxiety on emotional state in Spielber C.D, Anxiety. Current trends theory and research II. New York: Academic press.1972;481-493
  4. 김정택, 신동균: STAI의 한국표준화에 관한연구. 최신의학 1978;21:69-75
  5. Stevens K: Patients perceptions of music during surgery. Journal of Advanced Nursing 1990;15:1045-1051 https://doi.org/10.1111/j.1365-2648.1990.tb01985.x
  6. Christenberry E: The use of music therapy with burn patients. Journal of Music Therapy 1979;16:138-148 https://doi.org/10.1093/jmt/16.3.138
  7. Thaut: Change in EMG pattern under the Influence of Auditory Rhythm. Music Medicine-Symposium 1989;4:80-101
  8. Huskission EC: Visual Analogue Scales -A Useful Tool for Measuring the Unmeasurable. Skin Research 1996;38:86
  9. 황애란: 스트레스 시에 나타나는 생리적 반응. 대한간호 1984;23:38-48
  10. 강두희. 생리학. 서울: 신광출판사 1981
  11. Mercienk MB: Stress in the surgical patients. A.J.M 1977;10:1809-1811
  12. 고미혜: 수술전 환자의 영적간호와 불안과의 관계연구. 조선대학교대학원 석사학위논문: 1988
  13. 김숙정, 전은희: 음악요법이 수술직후 환자의 의식회복과 활력징후에 미치는 영향. 기본간호학회지 2000;7:222-238
  14. Dumas RG: Psychological preparation for surgery. A.J.N 1963;63:52-55
  15. Podolsky E: Music Therapy. New York: Philosophical Press.1954
  16. Brody R: Music medicine. Omni 1984;6:110-114
  17. Clynes M, Walker J: Neurobiologic function of rhythm, time, and pulse in music In: Clynes M. Music, Mindand Brain. NYL Plenum Press: 1982;171-216
  18. Iwagana M: Subjective and physiological responses to music stimuli controlled over activity and preference. Journal of Music Therapy 1999;36:26-38 https://doi.org/10.1093/jmt/36.1.26
  19. Michael F: Music as Therapy. Nursing Times 1990;86:39-41
  20. 이병국: 음악감상을 통한 치과진료의 불안감소에 미치는 영향. 이화여자대학교 교육대학원 석사학위논문, 2001
  21. 정현철: 부분마취 환자의 수술중 음악요법의 효과. 한양대학교 대학원석사학위논문, 1997
  22. G feller K, Logan H, Walker J: The effect of auditory distraction and suggestion on tolerance dental restorations in adolescents and young adults. Journal of Music Therapy 1990;27:13-23
  23. 박은주: 음악요법이 국소마취 라식 수술환자의 불안과 활력 징후에 미치는 영향. 경상대학교 대학원 석사학위논문, 2002
  24. Tong KC, Lo SK, Cheing GL: Alternating Frequencies of Transcutaneous Electric Nerve Stimualtion: Does it Produce Greater Analgesic Effects on Mechanical and Thermal Pain Thresholds? Arch Phys Med Rehabil 2001;88(10):1344-1349 https://doi.org/10.1016/j.apmr.2007.07.017
  25. Nilsson U, Unosson M, Rawal N: Stress reduction and analgesia in patients exposed to calming music postoperatively: a randomized controlled trial. Eur J Anesthesiol 2005;22(2):96-102
  26. Lee DW, Chan DW, Poon CM, Ko CW, Chan KH, Sin KS, Sze TS, Chan AC: Relaxation music decreases the dose of patientcontrolled sedation during colonoscopy: a prospective randomized controlled trial. Gastrointest Endosc 2002;55(1):33-36 https://doi.org/10.1067/mge.2002.120387
  27. Roy M, Peretz I, Rainville P: Emotional valence contributes to music-induced analgesia. Pain 2008;134(1-2):140-147 https://doi.org/10.1016/j.pain.2007.04.003
  28. 홍미순: 음악요법 이용이 수술환자의 동통에 미치는 영향. 성인간호학회지 1989;1:57-71
  29. 김정애: 음악요법이 근골격계 외상환자의 통증 및 우울에 미치는 영향. 류마티스건강학회지 1994;1:48-70
  30. 김선화: 음악요법이 화상환자 드레싱 시 통증과 불안 및 불편 행위에 미치는 효과. 임상간호연구 2007;13:143-155
  31. 유선영: 음악요법이 백내장 수술환자의 불안과 수술 만족도에 미치는 효과. 카톨릭대학교 산업보건대학원 석사학위논문, 2003
  32. 한성희, 김규식: 매복지치 발거술시 혈압 및 맥박의 변화에 관한 연구. 대한치과의사협회지 1988;26:751-764
  33. 김영옥: 음악요법이 혈액투석환자의 스트레스와 삶의 질에 미치는 영향. 대한간호학회지 1992;3:431-452
  34. 박 연: 음악요법이 위내시경 검사 대상자의 불안과 불편감 감소에 미치는 영향. 전남대학교 대학원 석사학위논문, 2000