Publication: Perkütan koroner girişim uygulanan hastalarda müzik ve doğa seslerinin yaşam bulguları ve anksiyete üzerine etkisi
Abstract
Perkütan Koroner Girişim Uygulanan Hastalarda Müzik ve Doğa Seslerinin Yaşam Bulguları ve Anksiyete Üzerine Etkisi Öğrenci Adı: Gülay YILDIRIM Danışman Adı: Prof. Dr. Sıdıka OĞUZ Hemşirelik Amaç: Bu araştırmada Perkütan Koroner Girişim yapılan hastalarda işlem öncesi dinletilen makam ve klasik müzik ile doğa seslerinin anksiyete üzerine etkisini değerlendirmek amacıyla gerçekleştirildi. Gereç ve Yöntem: Araştırma Kasım 2019– Eylül 2020 tarihleri arasında yapıldı. Araştırma ön test son test, kontrol gruplu deneysel çalışma olarak yapıldı. Araştırmanın evrenini araştırmanın yapıldığı tarihlerde hastanelerin kardiyoloji servislerinde yatan Perkütan Koroner Girişim yapılacak koroner kalp hastaları, örneklemi ise araştırma kriterlerine uygun ve araştırmaya katılmayı kabul eden hastalar oluşturdu. Araştırma 52 deney (17 makam müziği, 17 klasik müzik, 18 Doğa sesleri), 52 kontrol grubu olmak üzere toplam 104 hastayla yapıldı. Veriler “Anket Formu” ve “Durumluk ve Sürekli Kaygı Ölçeği” kullanılarak toplandı. Bulgular: Deney grubu hastaların işlem sonrası solunum sayılarının azaldığı tespit edildi (p<0,01). Deney grubunun işlem öncesi Durumluk Kaygı Ölçeği puan ortalaması 62,2±4,0, işlem sonrası 59,2±3,8 olduğu ve deney grubunun işlem sonrası kaygılarının azaldığı saptandı (p<,001). Kontrol grubunun işlem öncesi Durumluk Kaygı Ölçeği puan ortalaması 62,7±3,1, işlem sonrası 61,1±4,3 olduğu ve aralarında fark olmadığı bulundu (p=,051). Makam müziği (p=,007) ve doğa sesleri (p<,001) dinleyen hastaların durumluk kaygılarının azaldığı belirlendi. Klasik müziğin kaygı düzeylerini etkilemediği saptandı (p=,360). Sonuç: İşlem öncesi müzik ve doğa seslerinin dinletilmesi hastaların kaygısını azalttı. Müzik ve doğa seslerinin solunumu azalttığı sonucuna varıldı. Müzik ve doğa sesleri kalp hastaları için uygulanabilir, maliyeti düşük, invaziv girişim gerektirmeyen etkili bir yöntemdir. Kalp hastalarına makam müziği ve doğa seslerinin dinletilmesi önerilir.
Aim: In this study, it was aimed to evaluate the effect of maqam and classical music and nature sounds on anxiety in patients who underwent Percutaneous Coronary Intervention. Method: The research was conducted between November 2019 and September 2020. The research was conducted as a pretest-posttest, experimental study with control group. The population of the study consisted of coronary heart patients who were hospitalized in the cardiology services of the hospitals at the time of the study, and the sample consisted of patients who met the research criteria and accepted to participate in the study. The research was conducted with a total of 104 patients, including 52 experiments (maqam 17, classic 17, nature sounds 18) and 52 control groups. Data were collected using the Questionnaire and State and Trait Anxiety Scale. Findings: It was determined that the respiratory rate of the patients in the experimental group decreased after the procedure (p<0.01). The average score of State Anxiety Inventory of the experimental group before the procedure was 62.2 ± 4.0 and after the procedure 59.2 ± 3.8 and the anxiety of the experimental group after the procedure decreased (p<,001). Before the procedure, the mean State Anxiety Inventory score of the control group was 62.7 ± 3.1 and after the procedure 61,1±4,3 and there was no significant difference between them (p=,051). It was determined that the mean State Anxiety Inventory scores of the patients who listen to maqam music (p=,007) and nature sounds (p<,001) decreased after the procedure. Also their anxiety decreased after the procedure. It was found that classical music did not affect anxiety levels (p=,360). Conclusion: Before Percutaneous Coronary Intervention, music and nature sounds decreased the anxiety of the patient. It was concluded that music and nature sounds reduced respiration. Music and nature sounds are a suitable, cost free and non-invasive method that can be used for heart patients. It is recommended to listen to maqam music and nature sounds for heart patients.
Aim: In this study, it was aimed to evaluate the effect of maqam and classical music and nature sounds on anxiety in patients who underwent Percutaneous Coronary Intervention. Method: The research was conducted between November 2019 and September 2020. The research was conducted as a pretest-posttest, experimental study with control group. The population of the study consisted of coronary heart patients who were hospitalized in the cardiology services of the hospitals at the time of the study, and the sample consisted of patients who met the research criteria and accepted to participate in the study. The research was conducted with a total of 104 patients, including 52 experiments (maqam 17, classic 17, nature sounds 18) and 52 control groups. Data were collected using the Questionnaire and State and Trait Anxiety Scale. Findings: It was determined that the respiratory rate of the patients in the experimental group decreased after the procedure (p<0.01). The average score of State Anxiety Inventory of the experimental group before the procedure was 62.2 ± 4.0 and after the procedure 59.2 ± 3.8 and the anxiety of the experimental group after the procedure decreased (p<,001). Before the procedure, the mean State Anxiety Inventory score of the control group was 62.7 ± 3.1 and after the procedure 61,1±4,3 and there was no significant difference between them (p=,051). It was determined that the mean State Anxiety Inventory scores of the patients who listen to maqam music (p=,007) and nature sounds (p<,001) decreased after the procedure. Also their anxiety decreased after the procedure. It was found that classical music did not affect anxiety levels (p=,360). Conclusion: Before Percutaneous Coronary Intervention, music and nature sounds decreased the anxiety of the patient. It was concluded that music and nature sounds reduced respiration. Music and nature sounds are a suitable, cost free and non-invasive method that can be used for heart patients. It is recommended to listen to maqam music and nature sounds for heart patients.