음악요법 이용이 수술환자의 동통에 미치는 영향 = The Effects of Music Trerapy on Patients with Post Operative Pain

다국어 초록 (Multilingual Abstract)

One of the primary concerns and important and challenging issues in nursing to-day is the alleviation of pain.
This study was aimed at ascertaining the effect of music therapy as a nursing intervention on the relief of post operative pain.
Thirty-two patients admitted to C University Hospital in K city for abdominal surgery were the subjects ; sixteen were selected alternatively for the experimental group and the remaining sixteen served as a control group.
Data were collected through interviews and observations from August 25 to October 15, 1988. The data were analysed by x²-test, t-test,
The result of this study were as follows :
Hypothesis 1, that "the experimental group who used music therapy would express a lesser degree of post operative pain than the control group who did not use music therapy" was supported (p<.05).
Hypothesis 2, that "the experimental group would express less post operative feelings of unpleasantness than the control group" was supported (p<.05).
Hypothesis 3, that "the experimental group would use analgesic medication less frequently than the control group" was not supported.
Hypothesis 4, that experimental group would display fewer nonverval expressions of pain than the control group" was supported only for facial expression (p<.05).
Hypothesis 5, that "the experimental group would have less change in vital sings between the pre and post operative periods than the control group was not supported.
The results suggested that music therapy as a nursing intervention may help relieve patients' post operative pain and the unpleasantness related with pain, but may have no effect on the frequency of analgesic use or on vital signs.
In this study the period of during with music had the effect of alleviating pain did not begin until 48 hours after surgery. There seemed to be some limit to the patient' ability to concentrate on the overcoming of severe pain by use of music.
Although music therapy was not able to be of use during the first 48 hours post surgical period and hand no effect on the use of analgesics, the results suggest the helpfulness of music as a nursing intervention on the relief of pain and of feelings of unpleasantness accompanying post surgical pain. Use of music therapy for the relief of pain as an independent nursing intervention shows promise and deserves further study.