一项关于音乐降低儿童术前焦虑疗效的前瞻性随机研究。
A prospective randomised study on efficacy of music for decreasing preoperative anxiety in children.
机构信息
Division of Pediatric Orthopaedic Surgery, Shriners for Children Medical Center - Pasadena, Pasadena, USA.
Department of Anesthesiology and Critical Care Medicine, The 1501Johns Hopkins Hospital, Baltimore, USA.
出版信息
J Perioper Pract. 2021 Jul-Aug;31(7-8):268-273. doi: 10.1177/1750458920939780. Epub 2020 Jul 10.
BACKGROUND
The operating room can be a frightening environment for paediatric patients. This study investigated whether music medicine can mitigate preoperative anxiety in children.
MATERIALS AND METHODS
One hundred and fifty children undergoing general anaesthesia were randomised to listen to music of the child's choice, lullaby music or no music before induction. Heart rates were measured in the waiting room, upon first entry into the operating room and just prior to induction.
RESULTS
There was no significant difference in average heart rate change from the waiting room to induction in the patient choice, lullaby and control groups. Older age was associated with higher heart rate changes between baseline and entering the operating room. Pharmacologic sedation showed a significant beneficial effect on heart rate change at induction.
CONCLUSION
Use of music medicine in the operating room does not show efficacy to reduce anxiety in children based on heart rate changes.
背景
手术室对于儿科患者来说可能是一个可怕的环境。本研究旨在探讨音乐疗法是否可以减轻儿童的术前焦虑。
材料与方法
150 名接受全身麻醉的儿童在诱导前随机分为听儿童自选音乐、摇篮曲或不听音乐三组。在等候室、进入手术室时和诱导前测量心率。
结果
在患儿自选音乐组、摇篮曲组和对照组中，从等候室到诱导时的平均心率变化无显著差异。年龄较大与基础值与进入手术室之间的心率变化较大相关。药物镇静在诱导时的心率变化方面显示出显著的有益效果。
结论
根据心率变化，手术室中使用音乐疗法并不能有效减轻儿童的焦虑。
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