个性化音乐用于认知和心理症状管理在机械通风在重症监护期间:一种定性分析分析
Rebecca Menza1,2, Jill Howie-Esquivel3, Tasce Bongiovanni4
1Department of Trauma and Critical Care Surgery, Zuckerberg San Francisco General Hospital, San Francisco, California, United States of America.
PloS one
|October 24, 2024
概括
危急病患者使用个性化的音乐来提高意识,认知和情感福祉,发现它是打击重症监护室中孤独和恐惧的重要工具.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 在重症监护中的患者面临着严重的症状负担,药物的有效性有限, Delirium 和长期损伤的风险.
- 基于音乐的干预措施对疼痛和焦虑有希望,但需要进一步研究音乐选择和症状范围.
- 这项研究探讨了重症成年人个性化的音乐倾听,以了解其对症状体验的影响.
研究的目的:
- 描述重病成年人如何利用个性化的音乐听力.
- 了解患者对音乐对他们的症状体验影响的看法.
- 确定个性化音乐在神经创伤重症监护中的特定用途和益处.
主要方法:
- 与14名成年患者,家属和朋友在神经创伤重症监护室进行了半结构面试.
- 基于理论的方法用于数据分析,包括对成绩单,现场笔记和备忘录的开放编码.
- 实现了主题和,以确保全面的数据收集.
主要成果:
- 确定了个性化音乐的六个关键用途:恢复意识,维持认知,使体验人性化,提供连接,改善心理健康,缓解沉默.
- 患者使用音乐来处理孤独,恐惧,困惑和失去控制,有助于保持身份和处理创伤.
- 额外的好处包括快乐,希望,弹性,正常感,以及抵消镇静和缺乏刺激的手段.
结论:
- 在住院期间,严重受伤的成年人利用个性化的音乐来实现心理和认知平衡.
- 研究结果支持基于音乐的干预措施,用于预防和治疗重症监护中的认知和情绪性疾病.
- 需要进一步的研究,以优化密集护理机构的基于音乐的治疗策略.
相关概念视频
Mechanical Ventilation III: Noninvasive Ventilation
81
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
81
Mechanical Ventilation I: Indication and Settings
192
Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
192
Mechanical Ventilation II: Invasive Ventilation
114
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
114
Ventilatory Modes
79
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
79
Cardiopulmonary Resuscitation II: ACLS Airway Management
1
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
1
Administering Oxygen by Mask
252
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
252


