유리체강 내 주입술을 받는 다문화 환자의 불안완화에 대한 음악감상의 효과
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https://doi.org/10.47513/mmd.v14i4.827초록
연구목적: 다문화 환자에게 유리체내 주입(IVI)을 하는 동안 불안감을 치료하는 방법으로서 음악감상에 대해 알아보고자 한다.
방법: 3개의 각기 다른 참여자 집단에 음악이 미치는 영향을 알아보기 위해 무작위 대조군 연구를 시행하였다. 참여자를 무작위로 3개의 집단 중 하나에 배정하였다. (1) IVI 절차를 음악 없이 시행받은 통제군 (n=35), (2) 의사가 음악을 선택한 실험군(n=36), (3) 환자가 음악을 선택하는 실험군(n=35). 그 절차 이후, 모든 환자들은 자신이 경험한 불안, 통증, 불편수준(0-10등급)에 대한 질문지에 답변하였다. 주요결과는 시술 중 불안 수준이었다.
결과: 집단간 불안 수치에 대한 유의미한 차이는 나타나지 않았으나, 환자들이 음악을 선택했던 실험군은 다른 집단에 비해 더 많은 수의 환자가 낮은 불안 점수를 나타냈다. 아랍어로 질문지를 작성한 참여자들은 히브리어와 영어를 사용한 사람들에 비해 후속 주입시 음악감상을 원하는 경향이 적게 나타났다. 두 실험군은 음악이 이완(relaxation)을 유도하는 데 효과적인 방법이라고 응답하였다. 후속 주입에 대한 음악감상의 선호도는 대조군(P<0.01)에 비해 두 실험군 모두에서 증가하였으나, 세 번째 집단(P<0.01)에서 보다 우세하게 나타났다.
결론: 음악감상은 IVI동안 불안 수치를 줄여주는 효과적인 방법이다. IVI 동안 음악감상에 대한 선호도는 문화 및 이전의 음악경험과 관련이 있음을 고려해야 할 것이다.
키워드: 음악, 직접 선택한 음악, 불안, 유리체내 주입, 문화
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