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Published on: January 7, 2020
Effects of music therapy on pain relief during fundus screening in infants: Randomized controlled clinical trial
Renyi Chen1,2, Shijie Duan1, Yin Wang1
1Department of Nursing, West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.
Insights
Music therapy effectively reduces infant pain and crying during fundus screening. This intervention also improves blood oxygen saturation, enhancing infant comfort during the procedure.
Area of Science:
- Pediatric ophthalmology
- Pain management
- Music therapy
Background:
- Fundus screening in infants can be a painful procedure.
- Assessing and managing infant pain during medical examinations is crucial.
- Limited research exists on non-pharmacological pain relief methods for infant fundus screening.
Purpose of the Study:
- To evaluate the effectiveness of music therapy for pain relief in infants undergoing fundus screening.
- To compare the impact of fast and slow music on infant physiological and pain responses.
- To determine if music therapy improves infant comfort during fundus examinations.
Main Methods:
- Infants aged 0-3 months requiring fundus screening were randomized into fast music, slow music, and control groups.
- All infants received topical anesthesia; music therapy was administered before, during, and after the procedure for music groups.
- Pain was measured using the Face, Legs, Activity, Cry, Consolability (FLACC) scale; heart rate, oxygen saturation, and crying decibels were recorded.
Main Results:
- Music therapy significantly reduced pain scores and increased peripheral capillary oxygen saturation in both music groups (P < .05).
- Infant satisfaction levels improved with music therapy.
- The slow music group demonstrated a significant decrease in heart rate (P < .05).
Conclusions:
- Music therapy is an effective intervention for reducing pain and crying in infants during fundus examinations.
- Specific music rhythms (60-80 beats per minute) may help decrease heart rate.
- Implementing music therapy can enhance infant comfort and well-being during fundus screening procedures.
Background:
To determine the efficacy of music therapy on pain relief during fundus screening in infants.
Methods:
The sample consisted of infants aged 0 to 3 months who required fundus screening. Infants were randomized to fast music, slow music, and control groups. All groups underwent fundus screening under topical anesthesia. Music therapy was provided to the music groups prior to, during, and after the operation. The patient's heart rate (HR), transcutaneous oxygen saturation, and crying decibel were measured. The Face, Legs, Activity, Cry, Consolability scale was used for pain measurement.
Results:
A total of 300 subjects' data were collected. The quantitative analysis revealed that in both music groups, peripheral capillary oxygen saturation and satisfaction levels increased while pain scores decreased (P < .05). The slow music group's HR was shown to have significantly decreased (P < .05).
Conclusion:
Music therapy can effectively reduce pain and crying, and increase blood oxygen saturation during fundus examination of infants. Music with a rhythm of 60 to 80 beats per minute can decrease HR. Music therapy must be remembered to increase infants' comfort during fundus examination.
