神经外科床旁手术过程中的共享音乐体验：由 ACGME 赞助的通过音乐促进患者与医师联盟的试点研究。

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2024-10-05 DOI:10.1016/j.jsurg.2024.07.006

Collin M. Labak MD , Michael J. Mann , Michael D. Shost , Mandy Wong , Eric Z. Herring MD , Martha Sajatovic MD , Alan Hoffer MD

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引用次数: 0

摘要

背景：在神经外科住院医师的职责中，床旁手术占了很大一部分。虽然医疗保健领域的音乐干预措施通常是为了病人的利益，但也有证据支持其对医疗保健工作者的积极影响：我们旨在创建一个新颖的框架--共享音乐体验 (SME)，让患者和医护人员在床旁手术干预过程中讨论并共同选择音乐播放列表：方法：在为期 6 个月的时间里，我们开展了一项采用嵌套设计的单中心前瞻性试点研究。一个样本是本院神经外科住院医师，另一个样本是接受非急诊床旁手术的患者。主要研究终点包括神经外科住院医师和患者对医患联盟看法的变化。次要终点包括住院医师和患者对 SME 框架反馈的定量和定性分析：13名符合条件的神经外科住院医师中有12名（92.3%）参加了此次活动。共进行了 28 次 SME。28 位患者中有 26 位（92.9%）回答说他们确实喜欢 SME。根据 mARM-5 测量，参加 SME 的患者与医生之间的合作关系明显改善。至少参加过一次SME的7名住院医师都表示喜欢在SME框架内进行手术，并确认他们会在今后的实践中 "经常"（2/7，28.6%）或 "总是"（5/7，71.4%）实施SME：SME 是一种新颖的干预措施，可用于帮助患者和医疗服务提供者通过音乐找到共同点，并在床边治疗过程中促进患者与医师之间的关系。

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Shared Music Experiences During Bedside Neurosurgical Procedures: An ACGME-Sponsored Pilot Study on Fostering Patient-Clinician Alliance Through Music

Background

Bedside procedures represent a substantial proportion of the neurosurgical resident's responsibilities. Although music interventions in healthcare have classically been employed for the benefit of the patient, there is evidence in support of its positive effects on healthcare workers as well.

Objectives

We aimed to create a novel framework-the shared music experience (SME)-which allows for patient and provider to discuss and mutually select a musical playlist during bedside procedural interventions.

Methods

A single-center prospective pilot study with nested design was carried out during a 6-month period. One sample was neurosurgery residents at our institution, while the other was patients undergoing nonemergent bedside procedures. Primary endpoints included change in neurosurgery residents' and patients' perception of patient-provider alliance. Secondary endpoints include quantitative and qualitative analysis of feedback from residents and patients about the SME framework.

Results

Twelve out of 13 (92.3%) eligible neurosurgery residents were enrolled. Twenty-eight SMEs were carried out. Twenty-six of 28 patients (92.9%) replied that they did enjoy the SME. Patients who partook in SMEs had a significant increase in metrics of patient-clinician alliance as measured by the mARM-5. All 7 residents who participated in at least 1 SME reported having enjoyed performing procedures within the framework and affirmed they would either ''often'' (2/7, 28.6%) or ''always'' (5/7, 71.4%) implement SME in future practice.

Conclusions

The SME is a novel intervention that can be employed to help patients and providers find common ground through music and foster the patient-clinician relationship during bedside procedures.

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.