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سلامت جامعه

مقایسه تأثیر موسیقی‌درمانی با اوریکلوتراپی بر درد بیماران بعد از عمل ارتوپدی: یک مطالعه کارآزمایی بالینی شاهددار تصادفی‌شده

نوع مقاله : مقاله پژوهشی

نویسندگان
الهام خالوباقری 1
مجید کاظمی 2
علی زیدابادی 3
فاطمه مشایخی 4
1 دانشجوی دکتری پرستاری، مرکز تحقیقات پرستاری تروما، دانشگاه علوم پزشکی کاشان، کاشان، ایران. گروه داخلی جراحی ، پرستاری، بیمارستان علی ابن ابیطالب (ع)، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
2 استاد ،گروه داخلی و جراحی دانشکده پرستاری و مامایی، ،مرکز تحقیقات بیماری‌های غیرواگیر، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
3 کارشناس ارشد پرستاری داخلی جراحی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی رفسنجان، رفسنجان، ایران.
4 مربی ، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جیرفت ، جیرفت، ایران.
10.22123/chj.2025.437623.2061
چکیده
مقدمه: مدیریت درد پس از جراحی، از دغدغه‌های کادر درمان است. مطالعه حاضر با هدف مقایسه تأثیر موسیقی­درمانی با اوریکلوتراپی بر درد بیماران بعد از عمل ارتوپدی انجام شد.
مواد و روش‌ها: این کارآزمایی بالینی، بر روی 90 بیمار که در سال 1399 جهت جراحی ارتوپدی به بخش جراحی بیمارستان علی­ابن ابیطالب(ع) رفسنجان مراجعه کردند، انجام شد. افراد به شیوه در دسترس انتخاب، و به صورت تصادفی به سه گروه موسیقی‌درمانی، اوریکلوتراپی و کنترل تقسیم شدند. بیماران گروه موسیقی­درمانی بلافاصله پس از ورود به بخش و 24 ساعت بعد، به مدت 20 دقیقه به آوای موسیقی گوش می­دادند. اوریکلوتراپی، بعد از عمل به صورت مداوم به مدت 24 ساعت انجام شد. در گروه کنترل مداخله­ای انجام نشد. قبل و بعد از هر مداخله رتبه درد اندازه­گیری شد. ابزار گردآوری داده­ها فرم مشخصات دموگرافیک و ابزارVAS  بود. از آزمون‌های مجذور کای، کروسکال-والیس و ویلکاکسون برای تجزیه­وتحلیل داده­ها استفاده شد.
یافته‌ها: در گروه­های موسیقی­درمانی و اوریکلوتراپی، میانگین رتبه درد پس از اولین مداخله کاهش معنی­داری داشت (001/0>p) اما در گروه کنترل، میانگین رتبه درد افزایش معنی­داری داشت (001/0>p). در دومین مرحله مداخله، در موسیقی­درمانی و اوریکلوتراپی، میانگین رتبه درد پس از مداخله کاهش معنی­داری داشت (001/0>p). اما در گروه  کنترل، میانگین رتبه درد در مرحله دوم اندازه­گیری افزایش معنی­داری داشت (001/0>p)
نتیجه‌گیری: به نظر می­رسد موسیقی ‌به میزان قابل‌توجه و فوری درد را کاهش داد. اوریکلوتراپی نیز در کاهش درد پس از جراحی ارتوپدی مؤثر بود. می­توان از این روش­ها در کنار روش­های دارویی برای تسکین درد استفاده کرد.
کلیدواژه‌ها
موسیقی‌درمانی
اوریکلوتراپی
درد
جراحی ارتوپدی

عنوان مقاله English

Comparison of the effect of music therapy with auriculotherapy on pain in patients after orthopedic surgery: a randomized controlled clinical trial study

نویسندگان English

E Khaloobagheri 1
M kazemi 2
A Zeidabadi 3
F Mashayekhi 4
1 PhD student in nursing, Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
2 PhD, Professor, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan.
3 MSc of medical surgical Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
4 Instructor, Dep of Midwifery, school of Nursing and Midwifery, Jiroft University of Medical Sciences, Jiroft,Iran.
چکیده English

Introduction: Pain management after surgery is one of the concerns of the healthcare personnel. The present study was conducted with the aim of comparing the effect of music therapy with auriculotherapy on the pain of patients after orthopedic surgery.
Materials and methods: This clinical trial was conducted on 90 patients who referred to the surgery department of Ali Ibn Abi Talib (AS) Hospital in Rafsanjan for orthopedic surgery in 2020. People were included in the study in an accessible way and then were randomly divided in to three music therapy, auriculotherapy and control groups. Immediately after entering the ward, listening to the soft sound of music for 20 minutes on two occasions and 24 hours apart, auriculotherapy was performed continuously for 24 hours. No intervention was performed in the control group. The data collection tool was the demographic profile form and the VAS tool. SPSS version 20 software and Chi-square, Kruskal-Wallis and Wilcoxon statistical tests were used for data analysis. P<0.05 was considered significant.
Results: In the first stage of the intervention, the results of the Wilcoxon test showed that in the music therapy group and the auricle therapy group, the average pain rating after the intervention decreased significantly (p<0.001). But in the control group, the average pain rating in the second measurement step increased significantly (p<0.001). In the second stage of the intervention, the results of the Wilcoxon test showed that in music therapy and ericulotherapy, the average pain rating decreased significantly after the intervention (p<0.001). But in the control group, the average pain rating in the second measurement stage increased significantly (p<0.001).
Conclusion:It seems that music significantly and immediately reduced pain. Auriculotherapy was also effective in reducing pain after orthopedic surgery. Both methods can be used along with pharmaceutical methods for pain relief.

کلیدواژه‌ها English

Music Therapy
Auricular Therapy
Pain
Orthopedic Surgery
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سلامت جامعه
دوره 19، شماره 1
بهار 1404
صفحه 66-77