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为接受机械通气的重症患者实施音乐聆听干预:两个病例示例

Instituting a music listening intervention for critically ill patients receiving mechanical ventilation: Exemplars from two patient cases.

作者信息

Heiderscheit Annie, Chlan Linda, Donley Kim

机构信息

Center for Spirituality and Healing, University of Minnesota, Minneapolis, MN.

出版信息

Music Med. 2011 Oct 1;3(4):239-246. doi: 10.1177/1943862111410981.

Abstract

Music is an ideal intervention to reduce anxiety and promote relaxation in critically ill patients receiving mechanical ventilatory support. This article reviews the basis for a music listening intervention and describes two case examples with patients utilizing a music listening intervention to illustrate the implementation and use of the music listening protocol in this dynamic environment. The case examples illustrate the importance and necessity of engaging a music therapist in not only assessing the music preferences of patients, but also for implementing a music listening protocol to manage the varied and challenging needs of patients in the critical care setting. Additionally, the case examples presented in this paper demonstrate the wide array of music patients prefer and how the ease of a music listening protocol allows mechanically ventilated patients to engage in managing their own anxiety during this distressful experience.

摘要

音乐是一种理想的干预措施,可减轻接受机械通气支持的重症患者的焦虑并促进其放松。本文回顾了音乐聆听干预的依据,并描述了两个案例,其中患者采用音乐聆听干预来阐述在这种动态环境中音乐聆听方案的实施与应用。这些案例说明了让音乐治疗师参与其中的重要性和必要性,这不仅体现在评估患者的音乐偏好方面,还体现在实施音乐聆听方案以满足重症监护环境中患者多样且具有挑战性的需求方面。此外,本文呈现的案例表明了患者偏好的音乐种类繁多,以及音乐聆听方案的便捷性如何使接受机械通气的患者在这种痛苦经历中能够自主应对焦虑情绪。

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