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儿科医疗保健中的音乐疗法及其他基于音乐的干预措施:概述

Music Therapy and Other Music-Based Interventions in Pediatric Health Care: An Overview.

作者信息

Stegemann Thomas, Geretsegger Monika, Phan Quoc Eva, Riedl Hannah, Smetana Monika

机构信息

Department of Music Therapy, University of Music and Performing Arts Vienna, 1030 Vienna, Austria.

WZMF-Music Therapy Research Centre Vienna, University of Music and Performing Arts Vienna, 1010 Vienna, Austria.

出版信息

Medicines (Basel). 2019 Feb 14;6(1):25. doi: 10.3390/medicines6010025.

Abstract

In pediatric health care, non-pharmacological interventions such as music therapy have promising potential to complement traditional medical treatment options in order to facilitate recovery and well-being. Music therapy and other music-based interventions are increasingly applied in the clinical treatment of children and adolescents in many countries world-wide. The purpose of this overview is to examine the evidence regarding the effectiveness of music therapy and other music-based interventions as applied in pediatric health care. Surveying recent literature and summarizing findings from systematic reviews, this overview covers selected fields of application in pediatric health care (autism spectrum disorder; disability; epilepsy; mental health; neonatal care; neurorehabilitation; pain, anxiety and stress in medical procedures; pediatric oncology and palliative care) and discusses the effectiveness of music interventions in these areas. Findings show that there is a growing body of evidence regarding the beneficial effects of music therapy, music medicine, and other music-based interventions for children and adolescents, although more rigorous research is still needed. The highest quality of evidence for the positive effects of music therapy is available in the fields of autism spectrum disorder and neonatal care. Music therapy can be considered a safe and generally well-accepted intervention in pediatric health care to alleviate symptoms and improve quality of life. As an individualized intervention that is typically provided in a person-centered way, music therapy is usually easy to implement into clinical practices. However, it is important to note that to exploit the potential of music therapy in an optimal way, specialized academic and clinical training and careful selection of intervention techniques to fit the needs of the client are essential.

摘要

在儿科医疗保健中,音乐疗法等非药物干预措施在辅助传统医疗治疗方案以促进康复和健康方面具有广阔的潜力。音乐疗法和其他基于音乐的干预措施在世界许多国家越来越多地应用于儿童和青少年的临床治疗。本综述的目的是研究音乐疗法和其他基于音乐的干预措施在儿科医疗保健中的有效性证据。通过查阅近期文献并总结系统评价的结果,本综述涵盖了儿科医疗保健中的选定应用领域(自闭症谱系障碍、残疾、癫痫、心理健康、新生儿护理、神经康复、医疗程序中的疼痛、焦虑和压力、儿科肿瘤学和姑息治疗),并讨论了音乐干预在这些领域的有效性。研究结果表明,关于音乐疗法、音乐医学和其他基于音乐的干预措施对儿童和青少年的有益影响的证据越来越多,尽管仍需要更严格的研究。音乐疗法积极效果的最高质量证据见于自闭症谱系障碍和新生儿护理领域。音乐疗法可被视为儿科医疗保健中一种安全且普遍被接受的干预措施,以缓解症状并改善生活质量。作为一种通常以以人为本的方式提供的个性化干预措施,音乐疗法通常易于在临床实践中实施。然而,需要注意的是,为了以最佳方式发挥音乐疗法的潜力,专业的学术和临床培训以及根据客户需求精心选择干预技术至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61c9/6473587/528c669a5b37/medicines-06-00025-g001.jpg

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