Nilsson Stefan, Kokinsky Eva, Nilsson Ulrica, Sidenvall Birgitta, Enskär Karin
Department of Paediatric Anaesthesia and Intensive Care Unit, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Göteborg, Sweden.
Paediatr Anaesth. 2009 Dec;19(12):1184-90. doi: 10.1111/j.1460-9592.2009.03180.x. Epub 2009 Oct 23.
To test whether postoperative music listening reduces morphine consumption and influence pain, distress, and anxiety after day surgery and to describe the experience of postoperative music listening in school-aged children who had undergone day surgery.
Music medicine has been proposed to reduce distress, anxiety, and pain. There has been no other study that evaluates effects of music medicine (MusiCure) in children after minor surgery.
Numbers of participants who required analgesics, individual doses, objective pain scores (Face, Legs, Activity, Cry, Consolability [FLACC]), vital signs, and administration of anti-emetics were documented during postoperative recovery stay. Self-reported pain (Coloured Analogue Scale [CAS]), distress (Facial Affective Scale [FAS]), and anxiety (short State-Trait Anxiety Inventory [STAI]) were recorded before and after surgery. In conjunction with the completed intervention semi-structured qualitative interviews were conducted.
Data were recorded from 80 children aged 7-16. Forty participants were randomized to music medicine and another 40 participants to a control group. We found evidence that children in the music group received less morphine in the postoperative care unit, 1/40 compared to 9/40 in the control group. Children's individual FAS scores were reduced but no other significant differences between the two groups concerning FAS, CAS, FLACC, short STAI, and vital signs were shown. Children experienced the music as 'calming and relaxing.'
Music medicine reduced the requirement of morphine and decreased the distress after minor surgery but did not else influence the postoperative care.
测试术后听音乐是否能减少日间手术患儿的吗啡用量，并影响其疼痛、痛苦和焦虑程度，同时描述接受日间手术的学龄儿童术后听音乐的体验。
音乐疗法被认为可以减轻痛苦、焦虑和疼痛。此前尚无其他研究评估音乐疗法（音乐治疗）对小儿小手术后的影响。
记录术后恢复期间需要镇痛药的参与者人数、个体剂量、客观疼痛评分（面部、腿部、活动、哭闹、安慰度[FLACC]）、生命体征以及止吐药的使用情况。术前和术后记录自我报告的疼痛（彩色模拟量表[CAS]）、痛苦（面部表情量表[FAS]）和焦虑（简短状态-特质焦虑量表[STAI]）。在完成干预的同时进行半结构化定性访谈。
记录了80名7至16岁儿童的数据。40名参与者被随机分配到音乐治疗组，另外40名参与者被分配到对照组。我们发现有证据表明，音乐组的儿童在术后护理单元接受的吗啡较少，音乐组为1/40，而对照组为9/40。儿童的个体FAS评分有所降低，但两组在FAS、CAS、FLACC、简短STAI和生命体征方面没有其他显著差异。孩子们认为音乐“平静且放松”。
音乐疗法减少了小儿小手术后对吗啡的需求，减轻了痛苦，但对术后护理没有其他影响。
