音乐治疗对重症患者的结果的影响
Sabiha Mukhtar1, Mohd Mustahsin2, Madhulika Dubey3
1Department of Anaesthesiology and Critical Care, Era University, Lucknow 226003, Uttar Pradesh, India.
World journal of critical care medicine
|December 11, 2025
概括
音乐治疗显著减少了机械通风患者的重症监护室 (ICU) 停留时间和死亡率. 这种非药物干预改善了焦虑,减少了需要镇静的需要.
科学领域:
- 临界护理医学 临界护理医学
- 心理神经免疫学 心理神经免疫学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 重症监护室 (ICU) 对患者来说是一个压力很大的环境,尤其是那些需要机械通风的人.
- 音乐治疗是一种非药物治疗方法,可以积极影响机械通风患者的生理和心理健康.
研究的目的:
- 评估音乐治疗对重症患者的影响,特别是其对ICU停留时间的影响.
- 评估音乐治疗在减少机械通风患者焦虑和镇静需求方面的疗效.
主要方法:
- 136名急性呼吸衰竭需要机械通风的成年患者被随机分为音乐治疗或常规护理组.
- 对符合条件的患者来说,音乐治疗包括30分钟的脱口术前的会议.
- 评估结果包括呼吸机支持时间,ICU停留时间,死亡率,焦虑和动荡水平.
主要成果:
- 音乐治疗没有显著改变呼吸器支持续时间,但导致了显著缩短ICU停留时间 (4.97 vs 5.70天).
- 在音乐治疗组中,ICU死亡率明显较低 (7.4%与19.1%相比).
- 音乐治疗显著降低了焦虑评分 (VAS-A),并与较低的兴奋和镇静评分相关.
结论:
- 音乐治疗是一种经济有效的,非药物干预,对ICU患者有益.
- 建议进行进一步的多中心研究,以支持ICU中音乐治疗的常规实施.
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