治療中の小児火傷患者の音楽介入の効果:体系的レビューとメタ解析
Bin Chen1,2, Riti Qiu3, Hua Huang4
1West China Second University Hospital, Sichuan University, Chengdu, China.
Frontiers in neurology
|September 4, 2025
まとめ
音楽による介入は pediatric burn患者の痛みと不安を 大幅に軽減します この4つのランダム化制御試験 (RCT) のメタ解析は,音楽の
科学分野:
- 子供 の 焼け 傷 の 治療
- 証拠 に 基づく 医学
- 音楽療法 研究
背景:
- 燃え傷は 子供の事故死や怪我の主な原因です
- 小児の灼熱治療は重大な臨床的課題を提示しています.
- 音楽による介入は 小児の灼熱患者の痛みと不安の管理に 有望な結果を示しています
研究 の 目的:
- 小児の灼熱患者の治療に対する音楽介入の影響を評価するメタ分析を行う.
- 小児の灼熱治療における音楽の有効性に関するランダム化対照試験 (RCT) の証拠を合成する.
- 痛み,不安,心拍数,呼吸器のペースに 音楽の影響を評価する
主な方法:
- 総合的なデータベース検索 (PubMed,Web of Science,Embase,コクラン図書館)
- 小児燃焼患者の音楽介入を評価する英語RCTの含有
- コクラン・リスク・オブ・バイアスツールとPRISMAガイドラインを用いた品質評価
主要な成果:
- 158人の小児燃焼患者 (1日~20歳) を対象とした4つのRCTを対象とした.
- 音楽による介入は,痛み (SMD = - 0. 43) と不安 (SMD = - 0. 66) の軽減に統計的に有意な効果を示した.
- 心拍数 (SMD=0. 20) や呼吸速度の有意な低下は認められなかった.
結論:
- 音楽の介入は,小児の灼熱患者の痛みを軽減するのに有効です.
- 焼け傷を負った子供や青年の不安レベルを 大きく軽減します
- 小児の灼熱治療における生理学的パラメータに対する音楽の影響をさらに調査するかもしれない.
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