Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effects of the Communication Accompanied with Music Therapy on the Anxiety of the Patients during the MRI Examination

MRI 검사 시 음악요법을 동반한 의사소통이 환자의 불안에 미치는 영향

  • Yoon, Yong-Hak (Graduate School of Public Health, Kyungpook National University) ;
  • Yoon, Hee-Jung (Department of Preventive Medicine, Kyungpook National University) ;
  • Lee, Sung-Kook (Department of Preventive Medicine, Kyungpook National University) ;
  • Kim, Kyung-Hee (Division of Health & Science, Yeungnam College of Science & Technology) ;
  • Kwon, Gi-hong (Division of Health & Science, Yeungnam College of Science & Technology)
  • 윤용학 (경북대학교 보건대학원) ;
  • 윤희정 (경북대학교 의학전문대학원 예방의학교실) ;
  • 이성국 (경북대학교 의학전문대학원 예방의학교실) ;
  • 김경희 (영남이공대 보건과학부) ;
  • 권기홍 (영남이공대 보건과학부)
  • Received : 2015.12.11
  • Accepted : 2016.03.03
  • Published : 2016.03.31
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Abstract

This study examined effects of the communication accompanied with music therapy on the anxiety of patients during a MRI examination. In the experiment group consisting of thirty patients and the control group consisting of thirty patients, the experiment was performed from February 1st 2014 to March 31st 2014 in hospital C located in Daegu Korea. The research design was a non-equivalent control group quasi-experimental study. The results showed that the anxiety score (VAS score) on communication with music therapy of the experimental group was significantly lower (p=.001), than that of the control group. Among the vital signs, the blood pressure was similar in both groups. On the other hand, the pulse rate of the experiment group was significantly lower (p=.001). Four categories of the physical discomfort (perspiration, facial change, change in physical posture, and change in vocal sound) did not show any statistically significant difference between the control and experiment group. Among the mental discomforts, dizziness did not have a significant difference between the experiment group and the control group, but the experimental group had significantly low fear (p=.001) and anxiety (p=.001). From the above results, communication accompanying music therapy proves is an effective alternative examination method that reduces the anxiety of patients.

본 연구는 MRI 검사 시 음악요법을 동반한 의사소통이 환자의 불안에 미치는 효과를 파악하기 위한 비동등성 대조군 전후 실험연구이다. 연구기간은 2014년 2월 1일부터 2014년 3월 31일이며, 대구광역시에 소재한 C병원에서 MRI 검사를 시행 받은 환자 중 연구에 동의한 60명을 대상으로 분석하였으며, 실험군이 30명, 대조군이 30명이었다. 실험군에게는 MRI 검사 도중 음악요법을 동반은 의사소통을 제공하였고, 대조군에게는 제공하지 않았다. 수집된 자료는 기술통계를 산술하고, 비교검증을 위해 t-test와 ANCOVA를 실시하였다. 연구결과, 음악요법을 동반한 의사소통을 제공받은 실험군과 제공받지 않은 대조군 간의 불안점수는 실험군에서 유의하게 낮았고(p=.001), 활력징후 중에서는 수축기혈압과 이완기혈압 모두 실험군과 대조군 간에 유의한 차이를 보이지 않았으나, 심박수가 실험군에서 유의하게 낮았다(p=.001). 신체적 불편감은 발한, 안면변화, 자세변화, 성음변화 등 4가지 항목 모두 실험군과 대조군 간에 유의한 차이가 없었으며, 정서적 불편감은 어지러움을 제외한 공포감(p=.001)과 긴장감(p=.001)에서 실험군이 유의하게 낮았다, 이상의 연구결과로 볼 때 음악요법을 동반한 의사소통은 MIR검사 시 환자의 불안 감소 및 활력징후 유지, 불편감 감소에 유용한 대체요법이 될 것으로 생각된다.

Keywords

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