Financiado en parte por Terumo Foundation for Life Sciences and Arts, Terumo Life Science and Arts Foundation
Effectiveness of music therapy for alleviating pain during haemodialysis access cannulation for patients undergoing haemodialysis: a multi-facility, single-blind, randomised controlled trial
Kishida M, Yamada Y, Inayama E, Kitamura M, Nishino T, Ota K, Shintani A, Ikenoue T
Trials · 7 citas
Etiquetas de revisión
Financiado por la industriaDatos 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
- Financiado por la industria
- Empresa
- Terumo Foundation for Life Sciences and Arts
- Sin clasificar
- AIBA works for supporting young doctors' project
- Sin clasificar
- AIBA works for supporting young doctors' project
- Empresa
- Terumo Life Science and Arts Foundation
- Organización sin fines de lucro
- Shinshu Medical Promotion Association
Según 5 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2019-11-19 · Trials · vol. 20 · número 1 · pág. 631
- Editorial
- Springer Science+Business Media
- Citado
- 19 citas · más que el 93% de estudios similares · 3.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 98 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Central Venous Catheters and Hemodialysis · Dialysis and Renal Disease Management
- Palabras clave
- music therapy, hemodialysis, vascular access cannulation, procedural pain, pain management, Mozart, white noise, anxiety, salivary amylase, non-pharmacological treatment, end-stage renal disease, hemodialysis patients, heart rate, blood pressure
- MeSH
- humans, catheterization, music therapy, renal dialysis, prospective studies, cross-over studies, single-blind method, research design, pain management, outcome assessment, health care
8 autores
- Masatsugu Kishida🇯🇵National Cerebral and Cardiovascular Center
- Yosuke Yamada🇯🇵Shinshu University
- Emi Inayama
- Mineaki Kitamura🇯🇵 · autor de correspondenciaNagasaki University Hospital
- Tomoya Nishino🇯🇵Nagasaki University Hospital
- Keiko Ota🇯🇵Osaka City University
- Ayumi Shintani🇯🇵Osaka City University
- Tatsuyoshi Ikenoue🇯🇵Kyoto University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Repeated pain during haemodialysis access cannulations is a serious problem for haemodialysis patients even when prescribed oral or topical analgesics. Although some studies have observed the efficacy of music therapy for improving pain and anxiety, its effectiveness during haemodialysis access cannulations during dialysis is uncertain. The purpose of this study is to investigate the effects of music therapy for pain when cannulating haemodialysis access for haemodialysis patients.
Methods
A prospective, multi-facility, single-blind, crossover, randomised controlled trial will be implemented. The intervention includes listening to Mozart, along with a white noise control condition. One hundred twenty haemodialysis patients will be enrolled across five facilities. Patients will be randomly allocated to either an Early-sequence group or a Later-sequence group. The Early-sequence group will receive cannulation while listening to Mozart's Sonata for two pianos in D major (K.448) during the second week (Music period) and white noise during the fourth week (White noise period). The Later-sequence group will receive cannulation along with white noise first, followed by Mozart. All patients will also undergo cannulation during a no-sound period (wearing only headphones) during the first and third week (No-sound period). The music or no-music protocol will begin 8 min prior to the cannulating procedure, and participants will finish listening after starting haemodialysis during each period. The primary outcomes that will be assessed include the Visual Analogue Scale (VAS) score for pain during cannulation, and secondary outcomes are blood pressure, heart rate, VAS anxiety score, State-Trait Anxiety Inventory score, and salivary amylase activity. The operators who are in charge of haemodialysis access cannulation will be blind to the listening condition and VAS report.
Discussion
The proposed study has several methodological benefits. First, using white noise is a suitable control condition for addressing the role of sound in pain management. Additionally, using a crossover design with repeated measurements can help control individual differences between participants, which should better distinguish between- and within-participant variability. Overall, music therapy is a safe and inexpensive intervention that does not have the problematic side effects typically associated with pharmacological treatment. If effective, music therapy can be easily implemented for reducing pain and anxiety during cannulation.
Trial registration
This trial was prospectively registered to UMIN Clinical Trials Registry on 1 July 2018 (UMIN 000032850).
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.