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Music therapy as an adjunct in cardiac device lead extraction procedures: A randomized controlled trial

Blichfeldt-Ærø SC, Knutsen TM, Hagen HM, Diep LM, Trondalen G, Halvorsen S

Applied nursing research : ANR · 3 citas

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Financiación no declarada

Datos 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
2020-10-24 · Appl Nurs Res · vol. 56 · pág. 151376
Editorial
Elsevier BV
Citado
8 citas · más que el 85% de estudios similares · 1.6× el promedio de su campo
Referencias
40 trabajos
Acceso
Acceso abierto (copia en repositorio) · OTHER-OA
Áreas de investigación
Music Therapy and Health · Cardiac pacing and defibrillation studies · Cardiac Health and Mental Health
Palabras clave
music therapy, cardiac implantable electronic devices, procedural pain, anxiety, pain management, patient satisfaction, local anesthesia, preoperative anxiety, procedural sedation
MeSH
humans, music therapy, defibrillators, implantable, anxiety, blood pressure, heart rate

6 autores

  • Stine Camilla Blichfeldt-Ærø🇳🇴 · autor de correspondenciaNorwegian Academy of Music
  • Thomas Morgan Knutsen🇳🇴Oslo University Hospital
  • Hege Merethe Hagen🇳🇴Oslo University Hospital
  • Lien My Diep🇳🇴Oslo University Hospital
  • Gro Trondalen🇳🇴Norwegian Academy of Music
  • Sigrun Halvorsen🇳🇴Oslo University Hospital; University of Oslo

Resumen

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

Background

Evidence of music therapy as an effective supportive therapy in invasive cardiac procedures is increasing, but more research is needed.

Aims

To evaluate the impact of music therapy on stress responses during cardiac device lead extraction procedures performed in local anaesthesia.

Methods

Sixty-four patients undergoing cardiac implantable electronic device lead extraction at Oslo University Hospital Ulleval from March 2018 to September 2019 were randomized to music therapy (n = 32) or control (n = 32). Primary endpoints were patient satisfaction with pain management and average pain intensity during the procedure. Secondary endpoints were average anxiety intensity, need for analgesic/anxiolytic drugs, blood pressure, heart and respiration rate.

Results

All patients in the music therapy group completed the intervention. Patient satisfaction with pain management was 10.00 (8.00, 10.00) in the music therapy vs. 10.00 (9.00, 10.00) in the control group (p = 0.85), and average level of pain 0.89 (0.22, 1.13) vs. 0.96 (0.36, 1.58), respectively (p = 0.38). Average anxiety score was 1.00 (0.33, 2.17) in the music therapy vs 1.67 (0.71, 3.35) in the control group (p = 0.056). The use of analgesic/anxiolytic drugs and physiological parameters were similar across groups.

Conclusions

In this study of music therapy during cardiac device lead extractions, no effect was found on patient satisfaction with pain management or average pain level. A decrease in patient anxiety of borderline significance was observed in the music therapy group. More studies with more sensitive measures of pain and anxiety are needed to determine the value of music therapy in invasive cardiac procedures.

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

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