van Dokkum Nienke H, Jaschke Artur C, Ravensbergen Anne-Greet, Reijneveld Sijmen A, Hakvoort Laurien, de Kroon Marlou L A, Bos Arend F
Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Front Pediatr. 2020 Oct 16;8:581372. doi: 10.3389/fped.2020.581372. eCollection 2020.
We aimed to investigate the feasibility of live-performed music therapy for extremely and very preterm infants admitted to the neonatal intensive care unit (NICU), and their parents, starting the 1st-2nd week after birth. They may benefit from live-performed music therapy as comforting non-pharmacological intervention. We included infants born before 30 weeks' gestation in a single center NICU study. Live-performed music therapy was provided three times per week, tailored to the infant's medical condition. Parents were actively involved. Feasibility was determined as a combination of participation, drop-out, overstimulation (based on COMFORT-Neo scores), and evaluations of the intervention by parents and nurses (using a questionnaire on perceived effects on the parent, their infant and the NICU sound environment). We included 18 infants (90% participation rate), with a gestational age of median 27 weeks (IQR 26-28 weeks), 61% males. One infant (5.6%) dropped-out. Differences of COMFORT-Neo scores during and after sessions compared with before sessions were non-significant; overstimulation by music therapy did not occur. Parents reported high satisfaction (highest score possible of 7) with the interventions and reported improvements in both infant and their own respiratory rates. Nurses also reported high satisfaction with the intervention and perceived a quieter NICU sound environment during and after sessions. Live-performed music therapy for extremely and very preterm infants is feasible and well-tolerated, and is experienced as an added value to developmental care. Future studies should assess both short-term and long-term effects, to determine whether this intervention should be part of routine care at the NICU and whether it is most beneficial to start shortly after birth.
我们旨在探讨为入住新生儿重症监护病房（NICU）的极早早产儿及其父母开展现场音乐治疗的可行性，治疗从出生后第1 - 2周开始。他们可能会从现场音乐治疗这种舒适的非药物干预中受益。我们在一项单中心NICU研究中纳入了妊娠30周前出生的婴儿。根据婴儿的病情，每周提供三次现场音乐治疗。父母积极参与其中。可行性通过参与度、退出率、过度刺激（基于COMFORT-Neo评分）以及父母和护士对干预的评估（使用关于对父母、婴儿和NICU声音环境感知影响的问卷）来综合确定。我们纳入了18名婴儿（参与率90%），中位胎龄为27周（四分位间距26 - 28周），61%为男性。一名婴儿（5.6%）退出。与治疗前相比，治疗期间及治疗后的COMFORT-Neo评分差异无统计学意义；未发生音乐治疗导致的过度刺激。父母对干预的满意度很高（满分7分），并报告婴儿和他们自己的呼吸频率均有所改善。护士对干预也表示高度满意，并感觉在治疗期间及治疗后NICU的声音环境更安静。为极早早产儿开展现场音乐治疗是可行且耐受性良好的，并且被视为对发育护理的一种附加值。未来的研究应评估短期和长期效果，以确定这种干预是否应成为NICU常规护理的一部分，以及在出生后不久开始是否最有益。
