디지털융복합연구 (Journal of Digital Convergence)

  • 제13권8호
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  • Pages.549-558
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  • 2015
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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음악요법이 노인백내장 수술환자의 활력징후, 불안, 코티졸 및 통증에 미치는 효과

Effect of Music Therapy on Vital Signs, Anxiety, Cortisol and Pain of Cataract Surgery Patients in Elderly

  • 투고 : 2015.06.10
  • 심사 : 2015.08.20
  • 발행 : 2015.08.28
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초록

본 연구는 음악요법이 노인백내장 수술환자의 활력징후, 불안, 코티졸 및 통증에 미치는 효과를 검증하고자 설계된 비동등성 대조군 사전 사후 유사설계 연구이다. 연구대상은 I시의 G대학병원에서 백내장 수술을 받은 만 65세 이상 노인 41명으로 음악요법을 적용한 실험군 21명과 적용하지 않은 대조군 20명으로 구성되었다. $x^2$ test, Fisher's exact test, 독립표본 t-test, Mann-Whitney U test 등을 분석에 활용하였다. 연구결과를 보면 활력징후 변화에서는 차이가 없었으나 불안, 코티졸 농도, 통증은 실험군에서 유의한 감소를 보여, 다빈도 수술 1위인 백내장수술에 음악요법 적용하는 것이 불안 및 통증을 경감시킨 것을 재확인 할 수 있었다. 노인백내장 수술환자에게 음악요법이 불안, 통증 감소에 효과가 있다는 것을 확인한 결과를 토대로 다양한 중재 분야에서 노인환자에게 음악요법의 적용이 활성화되기를 제언하는 바이다.

Purpose of this study was to investigate the effect of music therapy on vital signs, anxiety, cortisol, and pain of Cataract Surgery Patients in elderly. Non equivalent control group pre-post test design was adopted. The number of subjects consists of 41 elderly having cataract surgery, 21 in the experimental group and 20 in the control group. Data were analyzed by $x^2$ test, Fisher's exact test, independent sample t-test, and Mann-Whitney U test. Results were: 1) there was no difference between two groups in their vital signs changes 2) anxiety, cortisol in the saliva, and pain of the experimental group decreased more significantly than those of the control group. This study confirmed the ability of music therapy to relieve pain and anxiety in cataract surgery, and suggested that music therapy could be used effectively in various interventions for the elderly.

키워드

참고문헌

  1. Y. R. Roh, S. M. Lee, Y. L. Han, M. K. Kim, W. R. Wee, J. R. Lee. Changes in clinical manifestation of dry eye syndrome after cataract surgery and the affecting factors, Journal of The Korean Ophthalmological Society, Vol. 52, No. 9, pp. 1030-1038, 2011. https://doi.org/10.3341/jkos.2011.52.9.1030
  2. National Health Insurance Service. Major surgery statistics. http://stat.kosis.kr/nsieu/view/tree. (August 03, 2014).
  3. H. J. Paik, H. J. Song, K. H. Shyn. 2007 Survey for KSCRS members - current trends in cataract surgery in Korea, Journal of The Korean Ophthalmological Society, Vol. 50, No. 11, pp. 1624-1631, 2009. https://doi.org/10.3341/jkos.2009.50.11.1624
  4. M., J. Choi, J. S. Park. The effects of structured preoperative instruction on anxiety and self-care compliance in patients with cataract surgery, The Korean Academic Society of Adult Nursing, Vol. 25, No. 4, pp. 473-482, 2013. https://doi.org/10.7475/kjan.2013.25.4.473
  5. S. J. Kim, E. H. Jun. The effects of music therapy on recovery of consciousness and vital signs in post operative patient in the recovery room, The Korean Journal of Fundamentals of Nursing, Vol. 7, No. 2, pp. 222-238, 2000.
  6. J. Hardy, "Supporting Patients Undergoing Cataract Extraction Surgery", Nursing Standard, Vol. 24, No. 14, pp. 51-56, 2009. https://doi.org/10.7748/ns.24.11.51.s47
  7. Y. H. Moon, I. S. Gang, S. K. Whang. The effect of music on anxiety, sedation, and vital signs of patients undergoing spinal anesthesia, Journal of Korean Biological Nursing Science, Vol. 11, No. 2, pp. 105-113, 2009.
  8. B. K. Jeon, J. D. Yeo. Effects of music therapy on the anxiety of patients who take the MRI test, The Korea Contents Society, Vol. 11, No. 6, pp. 289-301, 2011.
  9. J. M. Lee, H. S. Hong. The effect of music therapy on anxiety and vital signs of spinal anesthesia operative surgery, Journal of Korean Biological Nursing Science, Vol. 10, No. 2, pp. 113-120, 2008.
  10. E. J. Park. The Effects of music therapy on the anxiety and the vital sign of patients with LASIK surgery under local anesthesia. Unpublished masters thesis, Gyeongsang National University of Korea, 2012.
  11. S. H. Park, K. S. Park. The effects of music therapy on the preopertive anxiety of surgical patients, The Journal of Korean Academic Society of Adult Nursing, Vol. 12, No. 4, pp. 654-665, 2000.
  12. J. I. Kun. Analysis of the tendency of research of Korean master's thesis about music therapy for the elderly (1998-2009), Unpublished masters thesis, Seongshin Womens University of Korea, 2009.
  13. S. Y. Yu, H. S. Jung, J. W. Gu. The Effects of music therapy on the anxiety and satisfaction with cataract surgery patients, The Journal of Korean Community Nursing, Vol. 14, No. 3, pp. 407-414, 2003.
  14. K. H., Park, D. K. Kim. Analyzing elderly's leisure to improve the quality of life in the era of 100 aging society in Korea: Series 1. analyzing elderly's leisure repertoire, Journal of Tourism & Leisure Research, Vol. 25, No. 6, pp. 85-104, 2013.
  15. L. M. Sreebny. "Neural-immune Interactions in Health and Disease", Journal of Clinical Investigation, Vol. 100, pp. 2641-2647, 2000.
  16. J. S. Yu, M. S. Kwon, K. S. Go, H. M. Yoon, Y. S. Park, K. S. Seo, E. J. Kim, N. Y. Byeon. The effects of music therapy and noise blocking intervention on the vital signs of patient in intensive care unit, Journal of Korean Clinical Nursing Research, Vol. 8, No. 2, pp. 49-60, 2002.
  17. V. M. Steelman, "Intraoperative Music Therapy: Effects on Anxiety, Blood Pressure", American Operation Room Nurse Journal, Vol. 52, No. 5, pp. 1026-1034, 1990. https://doi.org/10.1016/S0001-2092(07)69164-9
  18. H. Y. Shin, M. S. Yi,. Effects of intraoperative music therapy in patients undergoing local anesthesia, The Korean Journal of Fundamentals of Nursing, Vol. 12, No. 1, pp. 131-138, 2005.
  19. H. S. Park, E. S. Choi,. Effects of musical listening on anxiety in patients before undergoing hysterectomy, Korean Journal of Women Health Nursing, Vol. 3, No. 1, pp. 58-66, 1997.
  20. K. S. Jo. The effects of a hand massage program and function in clients with cataract surgery under local anesthesia, Journal of Korean Academy of Nursing, Vol. 29, No. 1, pp. 97-106, 1999. https://doi.org/10.4040/jkan.1999.29.1.97
  21. H. Y. Park. Effects of massage and stretching for infants and children on responsive interaction between children with developmental disorders and their mothers, their salivary cotisol and immunoglobulin A, Unpublished doctoral dissertation, Hanyang University of Korea, 2009.
  22. J. H. Cha, M. J. Kim, H. S. Kim, Y. I. Kim. Effects of aromatherapy in blending oil of basil, lavender, rosemary, and rose on headache, anxiety and serum cortisol level in the middle-aged women, Journal of Korean Biological Nursing Science, Vol. 12, No. 3, pp. 133-139, 2010.
  23. Y. J. Ko, M. S. Jung. Effects of aroma inhalation method on test anxiety, stress response and serum cortisol in nursing Students, The Korean Journal of Fundamentals of Nursing, Vol. 20, No. 4, pp. 410-418, 2013. https://doi.org/10.7739/jkafn.2013.20.4.410
  24. Y. H. Kim. Effect of aroma hand massage using lavender oil on improvement of sleep quality of the elderly inpatients, Unpublished masters thesis, Keimyung University of Korea, 2010
  25. Y. A. Kim, M. H. Sung. Effect of aroma hand massage on anxiety and immune function in patients with gynecology surgery under local anesthesia, Korean Journal of Women Health Nursing, Vol. 20, No. 2, pp. 126-136, 2014. https://doi.org/10.4069/kjwhn.2014.20.2.126
  26. J. T. Seon, S. H. Kim,. The effects of self-selected music on anxiety and pain during burn dressing changes, Jouranl of Korean Academy of Nursing, Vol. 36, No. 1, pp. 159-168, 2006. https://doi.org/10.4040/jkan.2006.36.1.159
  27. Y. J. Seon, Y. S.Park, H, U. Kim, J. Y. Choi, K. M, Lee, Y. H. Lee. Effects of music therapy on pain, anxiety and length of stay of patients with laparoscopic hysterectomy in the postanesthesia care unit, Journal of Korean Biological Nursing Science, Vol. 17, No. 1, pp. 28-36, 2015. https://doi.org/10.7586/jkbns.2015.17.1.28
  28. J. M. Lee, H. S. Hong. The effect of a preference music therapy on anxiety and pain of cystoscopy, Journal of Korean Biological Nursing Science, Vol. 13, No. 1, pp. 44-52, 2011.