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음악요법 및 소음차단 중재가 중환자실 환자의 활력징후에 미치는 영향
유정숙,권미수,고경숙,윤화남,박윤선,서경산,김은진,변년임 병원간호사회 2003 임상간호연구 Vol.8 No.2
The purpose of this study was to evaluate the effects of music therapy and noise blocking intervention for the patient in the noisy Intensive Care Unit. Data were collected from June to August, 2002, the subjects were 57 patients admitted in the Intensive Care Unit of 'B' hospital which were divided into 3 groups of control group and music therapy group and noise blocking group. Each groups had 19 subjects. Method was quasi-experimental design, subjects were selected control group and music therapy group and noise blocking group by accidental sampling. Contents of data were composed of monitoring heart rate, systolic blood pressure, mean blood pressure, axillary temperature and observed respiration rate. Data were analyzed using the SPSS/WIN program ; Pearson x^(2)-test was used to test the homogeneity of general characteristics ; oneway ANOVA was used to test the homogeneity of vital signs of pre intervention among three groups ; paired t-test was used to prove the hypotheses. The results of this study are summarized as follows : 1. During the period of each music therapy and noise blocking intervention, heart rate, systolic blood pressure, mean blood pressure, axillary temperature and respiration rate were reduced within the normal range. 2. During the 30 minutes after music therapy and noise blocking intervention, heart rate, systolic blood pressure, mean blood pressure, axillary temperature and respiration rate were elevated, but the level was lower than pre-intervention. Axillary temperature was continuously elevated within normal range after music therapy and noise blocking. 3. The difference of effect between music therapy and noise blocking intervention was not significant The results suggest that the noise of 'B' Intensive Care Unit was measured to 50~55dB in usual situation, and when intermittent noise was added, the level of noise was up to 60~73dB. This is needed to control of noise in Intensive Care Unit. In conclusion, the finding of this study showed that music therapy and noise blocking intervention were effective to stabilize vital signs for the patient in the noisy Intensive Care Unit. I recommend follows on the base of above results : 1. For the control of noise in the Intensive Care Unit, recommend to try not only implementing direct intervention to patient but also reducing environmental noise. 2. Give the chance to select music therapy or noise blocking intervention for patients-themselves. 3. I suggest that the repeated study for the alert patient to evaluate the effect of sleeping and affection.
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