Music intervention during daily weaning trials-A 6 day prospective randomized crossover trial
Liang Z, Ren D, Choi J, Happ MB, Hravnak M, Hoffman LA
Complementary therapies in medicine · 9 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
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 no declarada
Publicación
- Publicado
- 2016-09-16 · Complement Ther Med · vol. 29 · págs. 72–77
- Editorial
- Elsevier BV
- Citado
- 21 citas · más que el 91% de estudios similares · 3.0× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 41 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Respiratory Support and Mechanisms · Intensive Care Unit Cognitive Disorders
- Palabras clave
- music intervention, weaning trial, prolonged mechanical ventilation, weaning period, dyspnea, anxiety, heart rate, respiratory rate, oxygen saturation, blood pressure, weaning from mechanical ventilation
- MeSH
- humans, music therapy, respiration, artificial, prospective studies, cross-over studies, anxiety, blood pressure, heart rate, music, middle aged, female, male
6 autores
- Zhan Liang🇺🇸 · autor de correspondenciaUniversity of South Florida
- Dianxu Ren🇺🇸University of Pittsburgh
- JiYeon Choi🇺🇸University of Pittsburgh
- Mary Beth Happ🇺🇸The Ohio State University
- M. Hravnak🇺🇸University of Pittsburgh
- Leslie A. Hoffman🇺🇸University of Pittsburgh
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
To examine the effect of patient-selected music intervention during daily weaning trials for patients on prolonged mechanical ventilation.
Methods
Using a crossover repeated measures design, patients were randomized to music vs no music on the first intervention day. Provision of music was alternated for 6 days, resulting in 3 music and 3 no music days. During weaning trials on music days, data were obtained for 30min prior to music listening and continued for 60min while patients listened to selected music (total 90min). On no music days, data were collected for 90min. Outcome measures were heart rate (HR), respiratory rate (RR), oxygen saturation (SpO2), blood pressure (BP), dyspnea and anxiety assessed with a visual analog scale (VAS-D, VAS-A) and weaning duration (meanh per day on music and non-music days).
Results
Of 31 patients randomized, 23 completed the 6-day intervention. When comparisons were made between the 3 music and 3 no music days, there were significant decreases in RR and VAS-D and a significant increase in daily weaning duration on music days (p<0.05). A multivariate mixed-effects model analysis that included patients who completed ≥2 days of the intervention (n=28) demonstrated significant decreases in HR, RR, VAS-A, and VAS-D and a significant increase in daily weaning duration on music days (p<0.05).
Conclusions
Providing patient selected music during daily weaning trials is a simple, low-cost, potentially beneficial intervention for patients on prolonged mechanical ventilation. Further study is indicated to test ability of this intervention to promote weaning success and benefits earlier in the weaning process.
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