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

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.

Anahtar Kelimeler:

Ağrı, Anksiyete, Hemşirelik, Müzik

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

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,

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