聆聽音樂對護理人員壓力及腦波之成效

Effects of Music Listening on Stress and Brain Waves in Nurses

10.6386/CGN.202003_31(1).0001

林淑瓊(Shu-Chiung Lin)

腦波 ； 音樂 ； 壓力 ； 護理人員 ； brain wave ； music ； stress ； nurse

長庚護理

31卷1期（2020 / 03 / 01）

1 - 11

繁體中文

背景：多數護理人員承受源於醫院組織的工作要求、工作本質、角色期待與人際關係之中至高度壓力，聆聽音樂是護理人員最常使用的放鬆技巧。目的：探討聆聽音樂對護理人員壓力及α腦波振幅之成效。方法：此研究為一重複測量之準實驗設計，以方便取樣法於台灣北部某地區醫院招募護理人員，聆聽音樂組接受自選音樂介入措施四週、每天30分鐘，控制組未接受任何介入措施，結果變項包括壓力知覺量表及α腦波振幅。結果：相較於前測，聆聽音樂組在介入音樂措施後顯著降低壓力程度（p=.001），且相較於控制組，聆聽音樂組亦有顯著的前後測壓力得分變化（p=.017）。在α腦波振幅方面，廣義估計方程式統計結果呈現於第一、三及五週均有顯著的組別及時間交互作用（分別為p=.002;p=.004;p=.003）。結論／實務應用：聆聽自選音樂對於護理人員在緩解壓力及促進放鬆是一種經濟有效的策略，音樂介入措施具有生理及心理的效益，減輕護理人員的壓力程度，進而，助於提升護理人員工作滿意度，以及減少耗竭。

Background: Most nurses have moderate to high levels of stress due to organizational demands, nature of the tasks, role expectations, and stresses resulting from interpersonal relationships. Listening to music is the most common relaxation technique used by nurses. Aims: The study investigated the effects of music listening on stress and alpha brainwave amplitude in nurses. Methods: This study used a quasi-experimental design with repeated measures. The nurses were recruited using convenience sampling from one district hospital in northern Taiwan. Nurses in the music listening group received self-selected music intervention for four weeks, 30 minutes per day; the control group received no intervention. Outcome variables included perceived stress and alpha brainwave amplitude. Results: Compared with their own pre-test scores, nurses in the music listening group reported significantly reduced stress levels after the music intervention (p = .001). Change of stress score between pre and post test in the experimental group was significantly greater than that in the control group (p = .017). In terms of alpha brainwave amplitude, the results of generalized estimating equation analysis showed significant group by time interaction at 1, 3, and 5 weeks (p = .002; p = .004; p = .003, respectively). Conclusions/Implications for Practice: Listening to self-selected music is a cost-effective strategy for reducing stress and promoting relaxation in nurses. Music intervention can decrease nurses' stress levels in both physiological and psychological dimensions. Moreover, it can increase nurse's job satisfaction and reduce burnout.

1. 曾靜如, C. J.(2017)。以穿戴式腦波儀探測視覺圖像與音樂刺激影響之案例研究。文化創意產業研究學報，7(3)，71-78。
   連結：
2. Bradt, J.,Dileo, C.,Potvin, N.(2013).Music for stress and anxiety reduction in coronary heart disease patients.Cochrane Database of Systematic Reviews,12
3. Brennan, E. J.(2017).Towards resilience and wellbeing in nurses.British Journal of Nursing,26(1),43-47.
4. Cohen, J.(1992).A power primer.Psychological Bulletin,112(1),155-159.
5. Cohen, S.,Kamarc, T.,Mermelstein, R.(1983).A global measure of perceived stress.Journal of Health and Social Behavior,24,385-396.
6. Ebrahimi, M,Nasrabadi, T.,Tayyebi, Z.(2016).The effect of music on nurses stress level.Iranian Journal of Nursing Research,11(5),20-25.
7. Fernandes, W. N.,Nirmala, R.(2017).Workplace stress and coping strategies among Indian nurses: Literature review.Asian Journal of Nursing Education and Research,7(3),449-454.
8. Finn, S.,Fancourt, D.(2018).The biological impact of listening to music in clinical and nonclinical settings: A systematic review.Progress in Brain Research,237,173-200.
9. Habibzadeh, H.(2015).The effect of music on mental and physical performance.Acta Kinesiologica,9(Suppl 1),31-34.
10. Hurless, N.,Mekic, A.,Peña, S.,Humphries, E.,Gentry, H.,Nichols, D.(2013).Music genre preference and tempo alter alpha and beta waves in human non-musicians.Impulse,1-11.
11. Idress, S.,Abdul-Sattar(2015).Nurses’ burnout: An impact of prolonged stress.i-manager’s Journal on Nursing,5(2),28-32.
12. Jäncke, L.,Alahmadi, N.(2016).Detection of independent functional networks during music listening using electroencephalogram and sLORETA-ICA.Neuroreport,27(6),455-461.
13. Kwon, M.,Gang, M.,Oh, K.(2013).Effect of the group music therapy on brain wave, behavior, and cognitive function among patients with chronic schizophrenia.Asian Nursing Research,7(4),168-174.
14. Lai, H. L.,Li, Y. M.(2011).The effect of music on biochemical markers and self-perceived stress among first-line nurses: A randomized controlled crossover trial.Journal of Advance Nursing,67(11),2414-2424.
15. Martin, L.,Oepen, R.,Bauer, K.,Nottensteiner, A.,Mergheim, K.,Gruber, H.,Koch, S. C.(2018).Creative arts interventions for stress management and prevention: A systematic review.Behavioral Sciences,8(2),E28.
16. Onishi, K.,Tsujikawa, M.,Inoue, K.,Yoshida, K.,Goto, S.(2016).The effect of complementary therapy for hospital nurses with high stress.Asia-Pacific Journal of Oncology Nursing,3(3),272-280.
17. Papathanasiou1, I. V.,Tsaras, K.,Neroliatsiou, A.,Roupa, A.(2015).Stress: Concepts, theoretical models and nursing interventions.American Journal of Nursing Science,4(2-1),45-50.
18. Ploukou, S.,Panagopoulou, E.(2018).Playing music improves well-being of oncology nurses.Applied Nursing Research,39,77-80.
19. Rajeswari, H.,Sreelekha, B.(2016).Stress among nurses in a tertiary care hospital.The International Journal of Indian Psychology,3(2),155-164.
20. Sudhaker, C. H.,Gomes, L. A.(2010).Job stress, coping strategies and the job quality index of nurses working in selected multispecialityhospitals: Towards human resource development.Journal of the Academy of Hospital Administration,22,10-14.
21. Verrusio,W.,Ettorre, E.,Vicenzini, E.,Vanacore, N.,Cacciafesta, M.,Mecarelli, O.(2015).The Mozart effect: A quantitative EEG study.Consciousness and Cognition,35,150-155.
22. Wright, K.(2014).Alleviating stress in the workplace: Advice for nurses.Nursing Standard,28(20),37-42.
23. Yang, C. Y.,Chen, C. H.,Chu, H.,Chen, W. C.,Lee, T. Y.,Chen, S. G.,Chou, K. R.(2012).The effect of music therapy on hospitalized psychiatri cpatients' anxiety, finger temperature, and electroencephalography: A randomized clinical trial.Biological Research for Nursing,14(2),197-206.
24. 林威志, W. C.,邱安煒, A. W.,徐建業, C. Y.,邱泓文, H. W.(2005)。聆聽音樂時腦波及心率變異性之變化‧醫療資訊雜誌。醫療資訊雜誌，14(2)，27-36。
25. 翁玲子, L. T.,陳雅琳, Y. L.,盧明秀, M. H.,黃品惟, P.W.,潘雪幸, H. H.(2017)。護理人員對八仙塵爆燒傷病人照顧負荷之相關探討。中華職業醫學雜誌，24(3)，191-202。
26. 董志明, C. M.,黃戊田, W. T.(2017)。佛手柑精油與音樂對人體之紓壓成效。休閒保健期刊，18，57-75。
27. 謝良博, L. P.,邱華慧, H. H.,王素美, S. M.,陳妮婉, N.W.(2011)。護理人員工作壓力、慢性頭痛狀況及憂鬱狀態之研究。澄清醫護管理雜誌，7(1)，20-26。
28. 關尚勇, S. Y.,林吉和, J. H.(2013).破解腦電波：EEG教材.新北市=New Taipei City:藝軒=Yi Hsien.

1. (2024)。論血液透析護理人員的身心照護。彰化護理，31(2)，16-21。