KORONER ARTER BYPASS GREFT CERRAHİSİ UYGULANAN HASTALARDA MÜZİĞİN ANKSİYETE VE AĞRI DÜZEYİNE ETKİSİ

Year 2023, , 78 - 91, 17.04.2023

Pınar Doğrusöz , Şenay Öztürk

https://doi.org/10.56061/fbujohs.1163208

Cited By: 1

Abstract

Çalışma, Koroner Arter Bypass Greft (KABG) ameliyatı olan hastalara uygulanan müzik terapisinin anksiyete ve ağrı düzeyine etkisini belirlemek amacıyla girişimsel olarak yapıldı. Araştırmanın evrenini Dokuz Eylül Üniversitesi Uygulama ve Araştırma Hastanesi Kalp Damar Cerrahisi Servisinde Koroner Arter Bypass Ameliyatı olan hastalar oluşturdu. Evrenin örneklem sayısı müdahale ve kontrol gruplarının her birinde 30 hasta olmak üzere 60 hasta olarak belirlendi. Veriler, “Kişisel Bilgi Formu”, “Durumluk Anksiyete Ölçeği” ve “Visual Analog Skala” ile hastalarla birebir görüşme sağlanarak toplandı. Verilerin değerlendirilmesinde Yüzdelik, Ortalama (X), Standart Sapma (SD),Kolmogorov-Smirnov, Mann–Whitney U,WilcoxonSigned-Ranksve Ki Kare (χ2) testleri kullanıldı. Müzik terapi uygulanan grup ile uygulanmayan grubun ameliyat sonrası 1. ve 2. gün anksiyete düzeylerinde fark yok iken, 3. gün müdahale grubunun anksiyete seviyesinin kontrol grubuna göre daha düşük olduğu bulundu (p˂0.05). Müdahale ve kontrol grubundaki hastaların ameliyat sonrası yaşadıkları ağrı şiddeti benzerdi. Kontrol grubunun da 2. ve 3. gün ağrıları azalmakla beraber müzik dinletilen grubun 2. ve 3. gün ağrı düzeyinin kontrol grubuna göre anlamlı olarak daha düşük olduğu bulundu (p˂0.05). Araştırmadan elde edilen sonuçlara göre KABG cerrahisinde müzik terapisinin, anksiyete düzeyini ve algılanan ağrı şiddetini azaltmada etkili olduğunu belirlenmiştir. Bu bağlamda, KABG uygulanan hastalarda bu terapinin uygulanması önerilmektedir.

Keywords

Ağrı, Anksiyete, Hemşirelik, Müzik

THE EFFECT OF MUSIC ON ANXIETY AND PAIN LEVEL IN PATIENTS APPLIED CORONARY ARTERY BYPASS GRAFT SURGERY

Abstract

The study was conducted to determine the effect of music therapy applied to patients who had Coronary Artery Bypass Graft (CABG) surgery on anxiety and pain levels. The population of the study consisted of patients who had Coronary Artery Bypass Surgery in the Cardiovascular Surgery Service of XXX University Practice and Research Hospital. The sample size of the population was determined as 60 patients, 30 patients in each of the intervention and control groups. Data were collected through one-to-one interviews with the patients using the “Personal Information Form”, “State Anxiety Scale” and “Visual Analogue Scale”. Percentage, Mean (X), Standard Deviation (SD), Kolmogorov-Smirnov, Mann-Whitney U, Wilcoxon Signed-Ranks and Chi-Square (χ2) tests were used to evaluate the data.While there was no difference in the postoperative 1st and 2nd day anxiety levels of the group that received music therapy and the group that did not, it was found that the anxiety level of the intervention group on the 3rd day was lower than that of the control group (p˂0.05). The postoperative pain intensity of the patients in the intervention and control groups was similar. Although the pain of the control group decreased on the 2nd and 3rd days, the pain level of the group listened to music was found to be significantly lower on the 2nd and 3rd days compared to the control group (p˂0.05). According to the results obtained from the study, it was determined that music therapy in CABG surgery was effective in reducing the level of anxiety and perceived pain intensity. In this context, it is recommended to apply this therapy in patients undergoing CABG.

Keywords

Pain, Anxiety, Music, Nursing

References

• 1. Gallagher, R., & McKinley, S. (2007) Stressors and anxiety in patients undergoing coronary artery bypass surgery. American Journal of Critical Care, 16, 248-57. PMID: 17460316
• 2. Nelson, F.V., Zimmerman, L., Barnason, S., Nieveen, J., Schmaderer, M. (1998) The relationship and influence of anxiety on postoperative pain in the coronary artery bypass graft patient. Journal of Pain and Symptom Management, 15, 102-9.
• 3. Nilsson, U. (2008)The anxiety- and pain-reducing effects of music interventions: a systematic review. AORN Journal, 87,780-807.
• 4. Bernardi, L., Porta, C., Sleight, P. (2006) Cardiovascular, cerebrovascular, and respiratory changes induced by different types of music in musicians and non-musicians: the importance of silence. Heart, 92, 445-52.
• 5. Good, M., Stanton-Hicks, M., Grass, J.A., et al. (2001) Relaxation and music to reduce postsurgical pain. Journal of Advanced Nursing, 33, 208-15.
• 6. Nilsson, U. (2003) The effect of music and music in combination with therapeutic suggestions on postoperative recovery. Linköping: UNITRYCK.
• 7. Ajorpaz, N.M., Mohammadi, A., Najaran, H., Khazaei, S. (2014) Effect of music on postoperative pain in patients under open heart surgery. Nursing and Midwifery Studies, 3(3), e20213.
• 8. Xiao-Mei, L., Yan, H., Zhou, K., Dang, S., Wang, D., Zhang, Y. (2011) Effects of music therapy on pain among female breast cancer patients after radical mastectomy: resultsfrom a randomized controlled trial. Breast Cancer Research and Treatment, 128, 411–419.
• 9. Sin, W.M., Chow, K.M. (2015) Effect of Music Therapy on Postoperative Pain Management in Gynecological Patients: A Literature Review. Pain Management Nursing, 16(6), 978-87. doi: 10.1016/j.pmn.2015.06.008.
• 10. Tse, M.M., Chan, M.F., Benzie, I.F. (2005) The effect of music therapy on postoperative pain, heart rate, systolic blood pressures and analgesic use following nasal surgery. Journal of Pain & Palliative Care Pharmacotherapy, 19(3),21-9. PMID: 16219608.
• 11. Çürük, G.N., Görüş, S., Korkut-Bayındır, S., Doğan, Z. (2018) Perkütan koroner girişim uygulanan hastalarda müzik terapinin anksiyete düzeyi ve yaşam bulgularına etkisi; Randomize kontrollü çalışma. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 9(2),130-136.
• 12. Karamızrak, N. (2014) Ses ve müziğin organları iyileştirici etkisi. Koşuyolu Heart Journal, 17, 54–7. https://doi.org/10.4274/khj.4775
• 13. Schou, K. (2014) Music therapy for stress and anxiety reduction in patients with coronary heart disease. Journal Medical Music Therapy, 7,11–23.
• 14. Nilsson, U., Lindell, L., Eriksson, A., Kellerth, T. (2009) The effect of music intervention in relation to gender during coronary angiographic procedures: a randomized clinical trial. European Journal of Cardiovascular Nursing, 8,200–6. https://doi.org/10.1016/j.ejcnurse.2009.01.001
• 15. Weeks, B.P., Nilsson, U. (2011) Music interventions in patients during coronary angiographic procedures: a randomized controlled study of the effect on patients’ anxiety and well-being. European Journal of Cardiovascular Nursing, 10,88–93. https://doi.org/10.1016/j.ejcnurse.2010.07.002
• 16. Uzun, S., Vural, H., Uzun, M., Yokuşoğlu, M. (2008) State and trait anxiety levels before coronary angiography. Journal of Clinical Nursing, 17, 602–7. https://doi. org/10.1111/j.1365-2702.2007.02018.x
• 17. Vural, F., Eti Aslan F. (2014) Koroner Arter Baypas Greft Uygulanan Hastalarda Düşleme ve Müziğin İyileşme Sürecine Etkisi. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 6(1), 26-37.
• 18. Ciğerci, Y., Özbayır, T. (2016) The effects of music therapy on anxiety, pain and the amount of analgesics following coronary artery surgery. Turkish Journal of Thoracic and Cardiovascular Surgery, 24(1), 44-50. doi: 10.5606/tgkdc.dergisi.2016.12136
• 19. Öner, N., LeCompte, A. (1983) Durumluk-Sürekli Kaygı Envanteri EI Kitabı, Boğaziçi Üniversitesi Yayınları, İstanbul.
• 20. Allred, K.D., Byers, J. F., & Sole, M. Lou. (2010). The Effect of Music on Postoperative Pain and Anxiety. Pain Management Nursing, 11(1), 15–25. https://doi.org/10.1016/j.pmn.2008.12.002
• 21. Hadj, A., Esmore, D., Rowland, M., Pepe, S., Schneider, L., Lewin, J., Rosenfeldt, F. (2006) Pre-operative preparation for cardiac surgery utilising a combination of metabolic physical and mental therapy. Heart Lung and Circulation 15,172–81. doi.org/10.1016/j. hlc.2006.01.008.
• 22. Abrahamov, D., Bhatnagar, G., Goldman, B. (2006) Cerrahi Ne Zaman Endikedir? Eds: Doltoski, P.R., Karamaokian, H.L., Salerno, T.A. Çev: Erentug V. Polat A. Kalp Cerrahisi Sırları. Nobel Tıp Kitapevi, İstanbul, 82-87.
• 23. McCrone, S., Lenz, E., Tarzian, A., Perkins, S. (2001) Anxiety and Depression: Incidenceand patterns in patients after coronary artery bypass graft surgery. Applied Nursing Research, 14(3),155-164.
• 24. Tully, P.J., Winefield, H.R., Baker, R.A., Denollet, J., Pedersen, S.S., Wittert, G.A., Turnbull, D.A. (2015) Depression, anxiety and major adverse cardiovascular and cerebrovascular events in patients following coronary artery bypass graft surgery: a five year longitudinal cohort study. BioPsychoSocial Medicine, 9(1), 1-10.
• 25. Parent, N., Fortin, F. (2000) A randomized, controlled trial of vicarious experiencethrough peer support for male first-time cardiac surgery patients: Impact onanxiety, self-efficacy expectation, and self-reported activity. Heart & Lung, 29(6), 389-399. 26. Wong, H.L., Lopez-Nahas, V., Molassiotis, A. (2001) Effects of music therapy on anxiety in ventilator-dependent patients. Heart & Lung, 30(5),376-87. doi: 10.1067/mhl.2001.118302.
• 27. Rymaszewska, J., Kiejna, A., Hadrys, T. (2003) Depression and anxiety in coronary artery bypass grafting patients. European Psychiatry, 18,155-160.
• 28. Akkaş Gürsoy, A. (2001) Ameliyat öncesi hastaların kaygı düzeyleri ve kaygıya neden olabilecek etmenlerin belirlenmesi. Hemşirelikte Araştırma Dergisi, 1(1), 23-29.
• 29. Yardakçı, R., Akyolcu, N. (2004) Ameliyat öncesi dönemde yapılan hasta ziyaretlerinin hastanın anksiyete düzeyine etkisi. Hemșirelikte Araștırma Geliștirme Dergisi, 1(2), 7-14.
• 30. Özer, N., Karaman Özlü Z., Arslan, S., Günes, N. (2013) Effect of music on postoperative pain and physiologic parameters of patients after open heart surgery. Pain Managament Nursing, 14(1), 20-8. doi: 10.1016/j.pmn.2010.05.002.
• 31. Liu, Y., Petrini, M.A. (2015) Effects of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery. Complementary Therapies in Medicine, 23(5),714-8. doi: 10.1016/j.ctim.2015.08.002.
• 32. Rothenhausler, H.B., Grieser, B., Nollert, G., Reichart, B., Schelling, G., Kapfhammer, H.P. (2005) Psychiatric and psychosocial outcome of cardiac surgery with cardiopulmonary bypass: a prospective 12-month follow- up study. General Hospital Psychiatry, 27,18-28.
• 33. Shuldman, C.M., Fleming, S., Goodman, H. (2002) The impact of pe-operative education on recovery following coronary artery bypass surgery. The European Society of Cardiology, 23(8), 666- 74.
• 34. Zubrzycki, M., Liebold, A., Skrabal, C., Reinelt, H., Ziegler, M., Perdas, E., Zubrzycka, M. (2018) Assessment and pathophysiology of pain in cardiac surgery. Journal of Pain Research, 11, 1599–1611. doi.org/10.2147/JPR.S162067
• 35. Seyhan Ak, H., Ayoğlu, T., Kandemir, D. (2017) Kalp Cerrahisi Sonrası Ağrı Kontrolünde Yeni Yaklaşımlar, İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 2(1), 29-32.
• 36. Ferrer, A.J. (2015) Music therapy: bettering lives one note at a time. In Creativity and Innovation Among Science and Art (Ed C Chrayton). London, Springer, 53-69.
• 37. Twiss, E., Seaver, J., McCaffrey, R. (2006) The Effect of Music Listening on Older Adults Undergoing Cardiovascular Surgery. Nursing in Critical Care, 11, 224- 231.