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音乐治疗在社区医院中的有效性:一个EMMPIRE回顾性研究

Samuel N Rodgers-Melnick^1,2, Rachael L Rivard^1,3, Seneca Block^1,2

¹Connor Whole Health, University Hospitals of Cleveland, Cleveland, OH, USA.

|September 21, 2023

概括

音乐治疗 (MT) 有效地减少了社区医院患者的疼痛,焦虑和压力. 专注于疼痛管理的会议显著增加了疼痛减轻的可能性,支持MT作为一种有价值的非药物治疗.

科学领域:

综合医学是一个整体的医学.
疼痛管理疼痛管理
心理上的痛苦心理上的痛苦

背景情况:

卫生系统在提供有效的非药物治疗疼痛和心理痛苦方面面临挑战.
基于证据的策略,如音乐治疗 (MT),需要临床有效性研究.

研究的目的:

检查MT干预后患者报告结果 (PROs) 的变化.
探索与显著疼痛减轻相关的变量 (在0-10 NRS 上≥2 个单位).

主要方法:

对社区医院中成年人的初始MT课程的回顾性审查 (2017年1月至2020年7月).
包括患者报告会议前疼痛,焦虑或压力评分≥4.4的会议.
分析了单次会话的PRO变化,使用引导分析和逻辑回归来预测减少疼痛的预测因素.

主要成果:

1056名患者 (平均年龄63.83岁,76.1%女性) 报告说,疼痛 (2.04单位),焦虑 (2.80单位) 和压力 (3.48单位) 的平均显著减少.
接受MT治疗的患者以疼痛管理为目标,获得≥2个单位的疼痛减轻的可能性是4.32倍.
对人口统计,临床和运营因素进行调整的后勤回归模型 (c-统计 = 0.668).

结论:

这项研究支持MT在社区医院的症状管理中的临床有效性.
需要进一步的研究来确定特定的MT干预特征和影响疼痛减轻的患者因素.

关键词:

社区医院社区医院电子健康记录电子健康记录综合医学是一个整体的医学.音乐治疗是一种音乐疗法.疼痛管理疼痛管理

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