以音乐治疗为例,非药物干预对姑息治疗患者生命体征影响的放射测量。

IF 2.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Katharina Roth, Anke Malessa, Stefan Grießhammer, Maria Heckel, Robert Richer, Kilin Shi, Alexander Kölpin, Nicolas Rohleder, Susanne Metzner, Christoph Ostgathe, Tobias Steigleder
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引用次数: 0

摘要

背景:非药物,社会心理干预,如音乐治疗(MT)是常见的姑息治疗。然而,衡量这些干预措施的效果是具有挑战性的。非接触式、因此无负担的生命体征监测可能提供一个可行的解决方案。目的:目的是研究使用雷达系统测量非药物干预对姑息治疗患者心脏和呼吸频率的影响,以MT为例。设计:在姑息病房患者床垫下安装雷达装置,记录心率和呼吸频率数据。分别以10分钟为间隔比较干预前、干预前后的心率。评估了所有干预措施和两个亚组(接受MT和MT结合物理治疗)的心率变化。作为GUARDIAN项目的一部分,来自77名患者的数据被记录下来,该项目在埃尔兰根- n伦贝格大学医院的姑息治疗部门进行。结果:在复杂干预之前和之后,对姑息治疗患者的心率进行连续监测。根据不同的干预措施,记录了心率的显著变化:在MT干预后的前10分钟,心率降低了-3.342 bpm(-3.913%,±6.011 bpm, p = 0.0229)。只能间歇性地监测呼吸频率。结论:我们的研究表明放射心率监测在MT期间是可行的,突出了雷达系统在评估姑息治疗中复杂干预措施的潜力。然而,呼吸频率测量的可靠性问题还有待进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiometric Measurement of the Effect of Nonpharmacological Interventions on Vital Signs of Patients with Palliative Care Using the Example of Music Therapy.

Background: Nonpharmacological, psychosocial interventions such as music therapy (MT) are common in palliative care. However, measuring the effects of these interventions is challenging. Contactless and therefore burden-free vital sign monitoring may provide a feasible solution. Aim: The aim is to investigate the use of a radar system for measuring the effect of nonpharmacological interventions on heart and respiratory rate in patients with palliative care utilizing MT as an example. Design: Radar devices were installed under patients' mattresses of the palliative care ward to record heart and respiratory rate data. The pre-, peri-, and post-intervention heart rates were compared for 10-minute intervals, respectively. Heart rate changes were assessed for all interventions and two subgroups (receiving MT and MT with physiotherapy). Data from 77 patients were recorded as part of the GUARDIAN project performed at the palliative care unit of the University Hospital Erlangen-Nürnberg. Results: The heart rate of patients with palliative care was monitored continuously, prior to and following a complex intervention. Significant changes in heart rate were recorded depending on the intervention: A reduction of heart rate by -3.342 bpm (-3.913%, ±6.011 bpm, p = 0.0229) was found in the first 10 minutes after the MT intervention. The monitoring of the respiratory rate was only possible on an intermittent basis. Conclusions: Our study shows that radiometric heart rate monitoring is feasible during MT, highlighting the radar system's potential for assessing complex interventions in palliative care. However, reliability issues in respiratory rate measurement call for further research.

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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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