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Ensayo controlado aleatorizado2013

Music therapy reduces pain in palliative care patients: a randomized controlled trial

Gutgsell KJ, Schluchter M, Margevicius S, DeGolia PA, McLaughlin B, Harris M, Mecklenburg J, Wiencek C

Journal of pain and symptom management · 134 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Organización sin fines de lucro
Kulas Foundation in Cleveland, Ohio

Según 1 financiador declarado.

Publicación

Publicado
2012-09-24 · J Pain Symptom Manage · vol. 45 · número 5 · págs. 822–831
Editorial
Elsevier BV
Citado
281 citas · más que el 99% de estudios similares · 16.4× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
33 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Music Therapy and Health · Palliative Care and End-of-Life Issues · Pain Management and Opioid Use
Palabras clave
music therapy, palliative care, pain management, autogenic relaxation, live music performance, numerical rating scale, FLACC scale, hospice patients
MeSH
humans, pain, pain measurement, treatment outcome, combined modality therapy, music therapy, palliative care, terminal care, prevalence, risk factors, middle aged, ohio, female, male, relaxation therapy

8 autores

  • Kathy Jo Gutgsell🇺🇸 · autor de correspondenciaUniversity Hospitals of Cleveland; University Hospitals Cleveland Medical Center
  • MARK D. SCHLUCHTER🇺🇸Case Western Reserve University
  • Seunghee Park Margevicius🇺🇸University Hospitals Cleveland Medical Center; Case Western Reserve University
  • Peter A. DeGolia🇺🇸University Hospitals Cleveland Medical Center
  • Beth McLaughlin🇺🇸University Hospitals Cleveland Medical Center
  • Mariel Harris🇺🇸University Hospitals Cleveland Medical Center
  • Janice Mecklenburg🇺🇸University Hospitals Cleveland Medical Center
  • Clareen A. Wiencek🇺🇸Virginia Commonwealth University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Context

Treatment of pain in palliative care patients is challenging. Adjunctive methods of pain management are desirable. Music therapy offers a nonpharmacologic and safe alternative.

Objectives

To determine the efficacy of a single music therapy session to reduce pain in palliative care patients.

Methods

Two hundred inpatients at University Hospitals Case Medical Center were enrolled in the study from 2009 to 2011. Patients were randomly assigned to one of two groups: standard care alone (medical and nursing care that included scheduled analgesics) or standard care with music therapy. A clinical nurse specialist administered pre- and post-tests to assess the level of pain using a numeric rating scale as the primary outcome, and the Face, Legs, Activity, Cry, Consolability Scale and the Functional Pain Scale as secondary outcomes. The intervention incorporated music therapist-guided autogenic relaxation and live music.

Results

A significantly greater decrease in numeric rating scale pain scores was seen in the music therapy group (difference in means [95% CI] -1.4 [-2.0, -0.8]; P0.05). Mean change in Functional Pain Scale scores was significantly greater in the music therapy group (difference in means -0.5 [95% CI] -0.8, 0.3; P<0.0001) [corrected]: A single music therapy intervention incorporating therapist-guided autogenic relaxation and live music was effective in lowering pain in palliative care patients.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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