在接受机械呼吸的老年人中,慢节奏的音乐和妄/昏迷无天:一项随机临床试验
Babar A Khan1,2,3, Sikandar H Khan1,2,3, Anthony J Perkins4
1Indiana University School of Medicine, Indianapolis.
JAMA internal medicine
|October 13, 2025
概括
慢节奏的音乐并没有减少机械通风的老年人妄的持续时间或严重程度. 这种干预也未能显著减少重症监护室 (ICU) 设置中的疼痛或焦虑症状.
科学领域:
- 关键护理医学 关键护理医学
- 老年医学 老年医学
- 精神病学是一个精神病学.
背景情况:
- 痴呆症影响了在重症监护室 (ICU) 的绝大多数老年人.
- 接受机械呼吸的老年人特别容易患上妄想,疼痛和焦虑.
研究的目的:
- 研究缓慢节奏音乐听干预措施在减少妄想持续时间和严重性的有效性.
- 评估音乐对机械通风老年人疼痛和焦虑水平的影响.
主要方法:
- 一个多中心随机临床试验,涉及158名接受机械呼吸的老年人.
- 患者每天两次接受慢节奏音乐干预 (60-80节拍/分钟) 或主动控制 (沉默),长达7天.
- 结局包括妄想/无昏迷日 (初级),妄想严重程度,疼痛和焦虑 (二级).
主要成果:
- 在音乐干预组和对照组 (P=.66) 之间,没有发现妄/昏迷无天的统计学上显著差异.
- 音乐干预并没有导致妄严重程度,疼痛评分或焦虑水平显著降低.
- 这两组在7天的干预期结束时,在所有测量参数中表现相似.
结论:
- 缓慢节奏的音乐干预没有在减少机械通风的老年人妄的持续时间,严重程度,疼痛或焦虑方面显著的益处.
- 可能需要进一步的研究来探索替代音乐干预或患者群体.
- 研究结果表明,在这些条件下,听音乐可能不是一个有效的独立策略来管理这些症状在ICU.
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