基于音乐的治疗治疗术后焦虑和疼痛 - 一个随机的,前性的临床试验
Shiv K Goel1, Valdemir Kim1, Jeremy Kearns1
1Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Journal of clinical medicine
|October 26, 2024
概括
在手术患者中,以音乐为基础的干预显著减少了56.7%的术后阿片类药物消耗. 这种非药物治疗方法也减轻了焦虑,抑郁和痛苦的灾难性程度,支持其在术后护理中的使用.
科学领域:
- 麻醉学和外科手术期间的医学.
- 心理学和行为医学 心理学和行为医学
- 疼痛管理 疼痛管理
背景情况:
- 基于音乐的干预是一种非药物治疗方法,用于治疗外科手术期间的疼痛和焦虑.
- 它的有效性,特别是在手术前焦虑症患者中,需要进一步的临床验证.
- 这项研究调查了音乐对术后阿片类药物使用,疼痛和心理痛苦的影响.
研究的目的:
- 评估基于音乐的干预对术后阿片类药物消费和疼痛水平的影响.
- 评估干预对手术前和手术后焦虑,抑郁和疼痛灾难性的影响.
- 为了确定基于音乐的干预是否可以减少与标准护理相比的阿片类药物需求和情绪障碍.
主要方法:
- 进行了一项单中心,前性,单盲,随机对照试验.
- 参与者接受了标准护理 (SC) 或SC加基于音乐的干预 (手术前,手术内和手术后).
- 主要终点:5天内术后口服吗啡等价物 (OME);次要终点包括PROMIS焦虑/抑郁症,疼痛灾难化度表和患者满意度.
主要成果:
- 音乐干预组 (n=33) 与对照组 (n=42) 相比,阿片类药物消费减少了56.7% (AUC为2.8比6.4).
- 两组之间没有观察到疼痛评分的显著差异.
- 音乐干预在术后第二天降低了焦虑,在术后第二和第四天降低了抑郁,在术后第一天降低了灾难性疼痛.
结论:
- 基于音乐的干预有效地减少了手术后的阿片类药物需求.
- 这种干预措施在减轻焦虑,抑郁和疼痛灾难化方面显示出潜在的好处.
- 研究结果支持将基于音乐的干预措施纳入外科手术期间护理方案.
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