在与儿童的关系互动中的LIRIC研究-现场音乐:使用现场音乐来改变伤口合期间的互动在儿科中的伤口合变化:一个接地理论研究
Bénédicte Lombart1,2, Juliette Andreu-Gallien3, Stève Thoraud4
1Hôpital Trousseau, APHP, Paris, France. benedicte.lombart@aphph.fr.
European journal of pediatrics
|December 23, 2025
概括
交互式音乐可以通过重新建立以儿童为中心的动态来帮助经历痛苦伤口护理的儿童. 这种现场音乐方法支持专业人士领导的领导力,并减轻程序期间的结反应.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 音乐治疗是一种音乐疗法.
- 儿童心理学 儿童心理学
背景情况:
- 疼痛的伤口带变化会导致儿童的痛苦.
- 现有的研究往往忽视了儿童-家长-专业三位一体,专注于感受性音乐和双向相互作用.
- 在医疗程序期间儿童的"结"反应在临床实践中没有充分记录.
研究的目的:
- 探索互动音乐如何影响儿科伤口治疗过程中儿童-家长-专业三位一体中的行为,反应和关系.
- 调查现场即兴音乐在具有挑战性的临床环境中恢复以儿童为中心的护理的潜力.
主要方法:
- 在一家儿童医院采用了构造主义的基础理论方法.
- 数据收集包括观察30次伤口合,疼痛/克制分数和103次与儿童,家长,专业人士和音乐家进行的半结构面试.
- 常量比较编码和跨源集成被用于数据分析,直到理论和.
主要成果:
- 出现了四个主题:"交互节奏" (成年人平衡技术关注和儿童参与),"关系惯性" (儿童的结式退缩),"音乐功能" (音乐重定向成年人的注意力,转变情绪气候,引起主动性),和"上下文关系领导" (临床步骤与音乐线索的同步改善沟通).
- 现场音乐通过适应儿童的线索并支持同步的三元沟通,促进了以儿童为中心的动态.
- 领导或同步的中断导致三位一体内部的不和.
结论:
- 交互式音乐可以在痛苦的儿科手术期间重新建立以儿童为中心的动态.
- 现场音乐,通过调整干预措施与孩子的状态并支持专业领导的关系领导,补充了镇痛,可以减轻结反应.
- 建议进一步进行多地点试验,以将行为编码与临床结果相结合,以获得最佳应用.
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