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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Healing Beats program on patients' anxiety, stress, systolic blood pressure, heart rate and Bis Index after epidural blocking : A randomized controlled trial

Healing Beats 프로그램이 경막외강차단 시술 후 환자의 불안, 스트레스, 수축기 혈압, 심박동수 및 Bis Index에 미치는 효과 : 무작위대조군

  • Bae, Ik Lyul (Department of Nursing, International University of Hankook) ;
  • Song, Ji Ah (Department of Nursing, Konyang University)
  • 배익렬 (한국국제대학교 간호학과) ;
  • 송지아 (건양대학교 간호학과)
  • Received : 2020.03.25
  • Accepted : 2020.07.03
  • Published : 2020.07.31
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Abstract

This randomized pre-post-controlled experimental study determined the effect on patients' anxiety, stress, systolic blood pressure, heart rate and Bis index when the Healing Beats program is applied after epidural blockage. The subjects were selected from the patients who visited the Department of Anesthesiology and Pain for the treatment of epidural blockage and volunteered through the recruitment announcement. A total of 74 sets of data were collected and analyzed with 25 subjects in the experimental group, 24 in the placebo group, and 25 in the control group. The data was analyzed using descriptive statistics, x2-tests, F-tests and repeated measures of ANOVA. As a result of the study, the general characteristics and variables of the experimental group, placebo group, and control group were all the same, and anxiety was measured twice before and after the study. There were significant differences between groups (F=27.175, p<.001), and stress (F=4.78, p<.001), heart rate (F=4.22, p<.001) and the Bis index (F=7.96, p<.001) were analyzed by variance according to population and time. There was a significant difference. However, there was no significant difference in systolic blood pressure (F=1.23, p=.298). In conclusion, the Healing Beats program can be used as an effective and effective intervention for sedation in clinical situations or stressful situations.

본 연구는 경막외강차단 시술 후 Healing Beats 프로그램 적용하였을 때 환자의 불안, 스트레스, 수축기 혈압, 심박동수 및 Bis index에 미치는 효과를 확인하기 위한 무작위 대조군 전후 실험연구이다. 대상자 선정은 경막외강차단 시술을 위해 2018년 12월부터 2019년 5월까지 마취통증의학과를 방문하여 모집공고를 통해 자원한 환자를 대상으로 하였으며, 실험군 25명, 위약군 24명, 대조군 25명으로 총 74명의 자료를 수집하여 분석하였다. 수집된 자료는 x2-test, F-test와 시간에 따른 효과를 검증하기 위하여 repeated measures of ANOVA로 반복측정 분산분석하였다. 연구결과 실험군, 위약군 및 대조군의 일반적 특성 및 변수는 모두 동질하였으며, 불안은 사전 사후 2회 측정한 결과 집단간 유의한 차이가 있었고(F=27.175, p<.001), 스트레스(F=4.78, p<.001), 심박동수(F=4.22, p<.001) 및 Bis index(F=7.96, p<.001)는 반복측정 분산분석한 결과 집단과 시간에 따라 교호작용에서 유의한 차이를 나타냈다. 하지만 수축기 혈압에서는 유의한 차이가 없었다(F=1.23, p=.298). 따라서 Healing Beats는 통증 시술 후 회복실에서 진정을 유도하기 위한 간호 중재로 효과적이며, 시간 흐름에 따른 추적 조사를 통해 중재 시간을 파악할 수 있었다. 결론적으로 Healing Beats 프로그램은 임상현장이나 일상생활의 스트레스 상황에서 진정을 위한 효율적, 효과적인 중재로 사용할 수 있다고 본다.

Keywords

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