음악요법이 혈액투석 환자의 긍정적 사고와 안위에 미치는 효과

Abstract

This study was designed to test the effects of music therapy on positive thinking and comport in patients undergoing hemodialysis. The research was a quasi-experimental study using nonequivalent control group-synchronized design. The subjects of the study were patients undergoing hemodialysis in a general hospital located in S city. The 56 participants were assigned to either the experimental group(28) or the control group(28). Data were collected from Sep 1, 2016 to Nov 30, 2016. The Music therapy was applied for 30mins three times a week, for 3 weeks(total 8 times)to the experimental group. Surveys were done to compare on the musical preference and the pre-post test states of positive thinking and comport between experimental group and control group. Data were analyzed by frequency and percentage (%) using SPSS 18.0 statistical program. The homogeneity test of general characteristics and dependent variables was analyzed by -test and t-test. Fisher's exact test was used when the number of subjects was 5 or less, and Cronbach's α was obtained as the reliability of the instrument.

The results obtained from this study are summarized as follows:

1. First hypothesis: The first hypothesis that 'experimental group receiving music therapy will have higher positive thinking score than non-experimental group' showed a statistically significant difference between the two groups(t=-5.72, p<.001). 2. Second hypothesis: The second hypothesis is that the second hypothesis that 'experimental group receiving music therapy will have higher score of safety than untreated control group' showed a statistically significant difference between the two groups(t=3.16, p=.003).

These results confirm that the music therapy provided during hemodialysis was effective in increasing positive thinking and comfort. Therefore, music therapy in the nursing practice is likely to be applied to hemodialysis patients.