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Effect of sedative music and schedul...

Voss, Jo A.

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Effect of sedative music and scheduled rest on anxiety, pain, and myocardial oxygen demand during chair rest in adult postoperative open-heart patients.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Effect of sedative music and scheduled rest on anxiety, pain, and myocardial oxygen demand during chair rest in adult postoperative open-heart patients./
Author:	Voss, Jo A.
Description:	142 p.
Notes:	Source: Dissertation Abstracts International, Volume: 65-02, Section: B, page: 0659.
Contained By:	Dissertation Abstracts International65-02B.
Subject:	Health Sciences, Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3122953
ISBN:	9780496702671

Effect of sedative music and scheduled rest on anxiety, pain, and myocardial oxygen demand during chair rest in adult postoperative open-heart patients.
Voss, Jo A.

Effect of sedative music and scheduled rest on anxiety, pain, and myocardial oxygen demand during chair rest in adult postoperative open-heart patients. - 142 p.

Source: Dissertation Abstracts International, Volume: 65-02, Section: B, page: 0659.

Thesis (Ph.D.)--University of Nebraska Medical Center, 2003.

Open-heart surgery patients in ICU report anxiety and pain with chair rest despite administration of opioid analgesics. In addition, chair rest increases myocardial oxygen demand (MVO2). Non-pharmacological, complementary methods (such as sedative music and scheduled rest) used to reduce anxiety, pain, and MVO2 during chair rest warranted further investigation. The conceptual framework was based on the transactional model of stress and coping.

ISBN: 9780496702671Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Effect of sedative music and scheduled rest on anxiety, pain, and myocardial oxygen demand during chair rest in adult postoperative open-heart patients.
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100 1 $a Voss, Jo A. $3 1918394
245 1 0 $a Effect of sedative music and scheduled rest on anxiety, pain, and myocardial oxygen demand during chair rest in adult postoperative open-heart patients.
300 $a 142 p.
500 $a Source: Dissertation Abstracts International, Volume: 65-02, Section: B, page: 0659.
500 $a Adviser: Bernice C. Yates.
502 $a Thesis (Ph.D.)--University of Nebraska Medical Center, 2003.
520 $a Open-heart surgery patients in ICU report anxiety and pain with chair rest despite administration of opioid analgesics. In addition, chair rest increases myocardial oxygen demand (MVO2). Non-pharmacological, complementary methods (such as sedative music and scheduled rest) used to reduce anxiety, pain, and MVO2 during chair rest warranted further investigation. The conceptual framework was based on the transactional model of stress and coping.
520 $a A 3-group pretest-posttest repeated measures experimental design examined the effect of music and rest on anxiety, pain sensation, and pain distress and MVO2 during chair rest in adult postoperative open-heart surgery patients. Sixty-one patients were randomly assigned to receive 30 minutes of sedative music (music group), scheduled rest (rest group), or treatment as usual (control group) during chair rest. Anxiety and pain (sensation and distress) were measured with visual analogue scales at chair rest initiation (pretest) and after 30 minutes (posttest). MVO2 was measured by the rate-pressure product (RPP) at chair rest initiation and at 5, 10, 15, and 30-minutes.
520 $a RM MANOVA indicated significant group differences in anxiety and pain (sensation and distress) from pretest to posttest, p < .001, Follow-up RM ANOVA tests were significant (p ≤ .001), Post hoc dependent t tests with Bonferroni's adjustment indicated that in the music and rest groups, anxiety and pain (sensation and distress) decreased significantly from pretest to posttest, p < .017; but, in the control group, there was no significant difference. In addition, post hoc independent t tests with Bonferroni's adjustment comparing the groups at posttest indicated significantly less anxiety and pain (sensation and distress) in the music group than in either the rest group or the control group (p < .017). The rest and control groups did not differ significantly at posttest. In the RM ANOVA, no significant difference was found for the RPP between groups.
520 $a Music was more effective than rest and treatment as usual to decrease anxiety and pain in patients after open-heart surgery during chair rest. Patients should be encouraged to use music as an adjuvant to medication.
590 $a School code: 0367.
650 4 $a Health Sciences, Nursing. $3 1017798
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Health Sciences, Rehabilitation and Therapy. $3 1017926
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690 $a 0564
690 $a 0382
710 2 0 $a University of Nebraska Medical Center. $3 1021714
773 0 $t Dissertation Abstracts International $g 65-02B.
790 1 0 $a Yates, Bernice C., $e advisor
790 $a 0367
791 $a Ph.D.
792 $a 2003
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3122953