音乐治疗对机械通风患者短期心理和生理结果的影响:一项随机临床试点研究
Mark Ettenberger1, Rosangela Casanova-Libreros2, Josefina Chávez-Chávez2
1SONO - Centro de Musicoterapia, Bogotá, Colombia.
Journal of intensive medicine
|September 23, 2024
概括
在这项试点研究中,音乐治疗没有显著减少机械呼吸 (MV) 患者的焦虑. 然而,这些干预措施是安全的,并且得到了很好的接受,因此在重症监护机构中需要进一步的研究.
科学领域:
- 关键护理医学 关键护理医学
- 心理神经免疫学 心理神经免疫学
- 音乐治疗 音乐治疗
背景情况:
- 在接受机械呼吸 (MV) 的患者中,高焦虑是常见的,可能会阻碍恢复.
- 基于音乐的干预措施有望减少MV期间的焦虑.
- 关于MV患者心理和生理健康的特定音乐治疗技术的研究有限.
研究的目的:
- 评估音乐辅助放松和患者喜欢的音乐倾听对机械通风患者焦虑和其他结果的疗效.
- 评估音乐治疗对疼痛,弹性,动荡,生命体征和临床结果的影响,如MV和ICU停留时间.
主要方法:
- 一项三臂随机临床试点研究,涉及23名在重症监护室的机械呼吸患者.
- 干预组接受了音乐辅助放松或患者喜欢的音乐倾听;对照组接受了标准护理.
- 结果包括焦虑,疼痛,弹性,激动,生命体征,MV持续时间,输出成功,ICU停留和电脑电图 (EEG) 在一组患者中.
主要成果:
- 在焦虑,疼痛,弹性,激动,ICU停留或生命体征方面没有发现群体之间的统计学上显著差异.
- 在机械通风持续时间 (P=0.019) 中观察到统计学上显著的差异.
- 脑电图数据显示脑电波活动的不同趋势,表明潜在的神经效应.
结论:
- 在这项机械通风患者的试点研究中,音乐治疗干预并没有显著降低焦虑水平.
- 音乐治疗干预措施得到了患者,工作人员和护理人员的良好接受,并被认为是安全的.
- 建议进行更大规模的随机对照试验,以进一步调查音乐治疗对这一群体的潜在益处.
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