音乐在围手术期护理中的应用

Apoorva Ballal
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引用次数: 0

摘要

请确认已申请或批准伦理委员会的批准:无关(见本页底部的信息)背景和目的围手术期疼痛主要是药理学管理。有证据表明,75%的患者在手术前感到焦虑,40-65%的患者术后出现中度至重度疼痛,导致痛苦、不满和住院时间延长。包括音乐在内的其他具有成本效益的方式可能会有所帮助,对压力反应和减少药物需求有有益的影响。最近的一项荟萃分析评估了音乐干预对手术前后焦虑和疼痛水平影响的随机对照试验。在确定的92项随机对照试验中,81项被纳入,并发现所有这些指标都显著降低。他们注意到了个人对某些音乐类型、节奏和和声的偏好。虽然证据令人信服,但发表偏倚和异质性。被指出。改进研究(荷兰)旨在成为首个在结直肠手术队列中积极实施音乐干预的研究。定性方法评估患者和专业人士对音乐干预的态度,以及优化音乐传递的多方面策略,随后评估干预的效果和经验,并计划可能需要做出的调整。在整个住院和手术过程中,干预包括术前、术中和术后有针对性的音乐,每天两次,每次30分钟。目的包括提供一个系统的框架,在实际的临床设置音乐干预的实施。已发表的和计划中的研究都表明,人们愿意寻求替代的、整体的、以患者为中心的护理方法,并承认镇静分心策略(如围手术期护理中的音乐)的影响,这些策略成本低,危害小。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
#36104 Music in peri operative care

Please confirm that an ethics committee approval has been applied for or granted: Not relevant (see information at the bottom of this page)

Background and Aims

Peri-operative pain is mostly managed pharmacologically. Evidence suggests 75% of patients feel anxious pre surgery, and 40-65% moderate to severe pain post-operatively, leading onto distress, dissatisfaction and prolonged hospital stay. Alternative cost effective modalities including music may help, with beneficial effects on stress responses and reduced medication requirements.

Methods

PubMed, MBase, GoogleScholar searches

Results

A recent meta-analysis evaluated RCT’s on effects of music intervention on anxiety and pain levels before and after surgery. Of the 92 RCT’s identified, 81 were included and found a significant reduction in all these measures. Individual preferences for certain music types and rhythm and harmony were noted. While evidence was compelling publication bias and heterogeneity.were noted. Future study The IMPROVE study (Netherlands) aims to be the first study actively implementing music intervention in a colorectal surgical cohort. Qualitative methods assessing patients and professionals attitudes towards musical interventions, and a multifaceted strategy to optimise delivery of music, followed by evaluation of effects and experiences of the intervention, and adjustments that may need to be made is planned. The intervention includes pre, intra and post- operative targeted music with at two 30 minute sessions daily during the whole hospital stay and surgical procedure. Aims include providing a systematic framework on the implementation of music intervention in real clinical settings.

Conclusions

A willingness to seek alternative, holistic, patient centred approaches to care and acknowledging the impact of calming distraction strategies, such as music in peri-operative care, that are also low in cost and harm is seen with both published and planned research.
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