Effect of Personalized Music Intervention in Mechanically Ventilated Children in the PICU: A Pilot Study
Liu MH, Zhu LH, Peng JX, Zhang XP, Xiao ZH, Liu QJ, Qiu J, Latour JM
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 23 citas
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Cómo se estudió
- Diseño
- Ensayo clínico controlado (clasificado por nuestro filtro de IA)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2019-10-25 · Pediatr Crit Care Med · vol. 21 · número 1 · págs. e8–e14
- Editorial
- Lippincott Williams & Wilkins
- Citado
- 33 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
- 37 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Infant Development and Preterm Care · Intensive Care Unit Cognitive Disorders
- Palabras clave
- Medicine, Intervention (counseling), Emergency medicine, Intensive care medicine, Nursing
- MeSH
- humans, critical illness, midazolam, hypnotics and sedatives, music therapy, respiration, artificial, length of stay, pilot projects, blood pressure, heart rate, time factors, music, child, child, preschool, infant, intensive care units, pediatric, china, female, male, respiratory rate, behavior rating scale, patient comfort
8 autores
- Meihua Liu🇨🇳Hunan Children's Hospital
- Li-hui Zhu🇨🇳Hunan Children's Hospital
- Jianxiong Peng🇨🇳Hunan Children's Hospital
- Xinping Zhang🇨🇳Hunan Children's Hospital
- Zhenghui Xiao🇨🇳Hunan Children's Hospital
- Qiong‐Jie Liu🇨🇳Hunan Children's Hospital
- Jun Qiu🇨🇳Hunan Children's Hospital
- Jos M. Latour🇨🇳🇬🇧Hunan Children's Hospital; University of Plymouth
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objectives
To determine the feasibility of a personalized music intervention with mechanically ventilated patients in the PICU.
Design
Pilot study with a quasi-experimental design.
Setting
Tertiary children's hospital in China with a 40-bed PICU.
Patients
Children, 1 month to 7 years, with mechanical ventilation were recruited and assigned to music group (n = 25) and control group (n = 25).
Interventions
Children in the music group received their own favorite music and listened for 60 minutes three times a day. The control group receive routine care without music.
Measurements and main results
Primary outcome measure was comfort measured with the COMFORT Behavior scale 5 minutes before and after the music. Secondary outcome measures were physiologic variables; heart rate, respiration, blood pressure, oxygen saturation. Mechanical ventilation time, length of stay, and sedation medication were also collected. Qualitative analysis revealed that nurses had a positive attitude in delivering the interventions and identified improvements for the main trial. Children in the music group had lower COMFORT Behavior scores (15.7 vs 17.6; p = 0.011). Children in the music group had better physiologic outcomes; heart rate (140 vs 144; p = 0.039), respiration rate (40 vs 43; p = 0.036), systolic blood pressure (93 vs 95 mm Hg; p = 0.031), oxygen saturation (96% vs 95%; p < 0.001), diastolic blood pressure was not significantly (52 vs 53 mm Hg; p = 0.11). Children in the music group had a shorter ventilation time (148.7 vs 187.6; p = 0.044) and a shorter length of stay, but not significant (11.2 vs 13.8; p = 0.071). Children in the control group had higher total amount of on-demand midazolam (29 vs 33 mg; p = 0.040).
Conclusions
Our pilot study indicates that personalized music intervention is feasible and might improve the comfort of children with mechanical ventilation. Further studies are needed to provide conclusive evidence in confirming the effectiveness of music interventions comforting critically ill children in PICUs.
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