Can live music therapy reduce distress and pain in children with burns after wound care procedures? A randomized controlled trial
van der Heijden MJE, Jeekel J, Rode H, Cox S, van Rosmalen J, Hunink MGM, van Dijk M
Burns : journal of the International Society for Burn Injuries · 20 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
- Fonds Erasme
- Universidad u hospital
- Erasmus Medisch Centrum
- Gobierno
- Erasmus+
Según 3 financiadores declarados.
Publicación
- Publicado
- 2018-02-01 · Burns · vol. 44 · número 4 · págs. 823–833
- Editorial
- Elsevier BV
- Citado
- 40 citas · más que el 95% de estudios similares · 5.2× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 64 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Pediatric Pain Management Techniques · Burn Injury Management and Outcomes
- Palabras clave
- pediatric burns, burn wound care, procedural pain, behavioral distress, children, pain management, self-reported pain, age differences in treatment response
- MeSH
- humans, burns, pain measurement, music therapy, single-blind method, stress, psychological, adolescent, child, child, preschool, infant, infant, newborn, south africa, female, male, procedural pain
7 autores
- Marianne J. E. van der Heijden🇳🇱 · autor de correspondenciaErasmus MC; Erasmus MC - Sophia Children’s Hospital
- J Jeekel🇳🇱Erasmus MC
- Heinz Rode🇿🇦University of Cape Town; Red Cross War Memorial Children's Hospital
- Sharon Gail Cox🇿🇦University of Cape Town; Red Cross War Memorial Children's Hospital
- Joost van Rosmalen🇳🇱Erasmus MC
- M. G. Myriam Hunink🇺🇸🇳🇱Harvard University; Erasmus MC
- Monique van Dijk🇿🇦🇳🇱University of Cape Town; Erasmus MC; Red Cross War Memorial Children's Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
Burn wound care procedures are very painful and lead to distress. Live music therapy has shown beneficial effects on distress and pain in specific pediatric patient populations. In this study we measured whether live music therapy has beneficial effects in terms of less distress and pain in children with burns after wound care procedures.
Methods
This randomized assessor-blinded controlled trial (RCT) took place at the burns unit of the Red Cross War Memorial Children's Hospital, Cape Town, South Africa. It included newly admitted inpatients between the ages of 0 and 13 years undergoing their first or second wound care procedures. Excluded were children with a hearing impairment or low level of consciousness. The intervention group received one live music therapy session directly after wound care in addition to standard care. The control group received standard care only. The primary outcome was distress measured with the Observational Scale of Behavioral Distress-revised (OSBD-r). The secondary outcome was pain measured with the COMFORT-behavioral scale (COMFORT-B). In addition, in children older than 5 years self-reported distress with the validated Wong-Baker scale (FACES) and pain with the Faces Pain Scale-Revised (FPS-R) were measured. Patients in both groups were videotaped for three minutes before wound care; during the music therapy or the control condition; and for two minutes thereafter. Two researchers, blinded to the study condition, independently scored the OSBD-r and the COMFORT-B from the video footage before and after music therapy.
Results
We included 135 patients, median age 22.6 months (IQR 15.4-40.7 months). Change scores did not significantly differ between the intervention and the control groups for either distress (p=0.53; d=0.11; 95% CI -0.23 to 0.45) or pain (p=0.99; d=0.04; 95% CI -0.30 to 0.38). Self-reported distress in a small group of children (n=18) older than 5 years indicated a significant reduction in distress after live music therapy (p=0.05).
Conclusions
Live music therapy was not found effective in reducing distress and pain in young children after burn wound care. Older children might be more responsive to this intervention.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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