Janner Catharina, Gaden Tora Söderström, Nakstad Britt, Solevåg Anne Lee
Akershus University Hospital, Lørenskog, Norway.
NORCE Norwegian Research Centre AS, Bergen, Norway.
Nurs Child Young People. 2021 Jul 1;33(4):19-25. doi: 10.7748/ncyp.2021.e1331. Epub 2021 Feb 15.
Neonatal intensive care unit (NICU) music therapy is an emerging discipline. There is a growing evidence base supporting its use, with an emphasis on the immediate and short-term positive effects on infants' physiological responses and parents' experiences.
To explore the implementation of music therapy aligned with standards of neonatal care and as an integral part of the care routinely provided in a Norwegian NICU.
Parents of infants hospitalised in the NICU were offered music therapy sessions based on the First Sounds: Rhythm, Breath and Lullaby model. Before discharge from the NICU, parents were asked to complete an electronic survey about their experiences of music therapy. Nurses' feedback and observations were also elicited and collected.
A total of 16 parents completed the survey. Overall, their experiences of music therapy were positive, and they noted several benefits for themselves and their infant. In addition, nurses observed that parents' interactions with their infant increased after participation in music therapy. However, nurses reported it was challenging to invite parents to participate in music therapy at a time of uncertainty, anxiety and grief. Nurses also found it challenging to disseminate information about music therapy to parents from other cultures. Furthermore, it was identified that most parents learned about the music therapy sessions from the music therapist, rather than from NICU medical or nursing staff, which indicates that music therapy was not fully integrated among the unit's multidisciplinary team.
Music therapy can reinforce family-centred care and promote parent-infant bonding, but additional efforts are required to integrate it into the care routinely provided by the NICU multidisciplinary team.
新生儿重症监护病房（NICU）音乐治疗是一门新兴学科。越来越多的证据支持其应用，重点在于对婴儿生理反应和父母体验的即时和短期积极影响。
探讨符合新生儿护理标准且作为挪威一家NICU常规提供护理不可或缺一部分的音乐治疗的实施情况。
为入住NICU的婴儿的父母提供基于“第一声音：节奏、呼吸与摇篮曲”模式的音乐治疗课程。在从NICU出院前，要求父母完成一项关于他们音乐治疗体验的电子调查。还征求并收集了护士的反馈和观察结果。
共有16位父母完成了调查。总体而言，他们对音乐治疗的体验是积极的，并且他们指出这对自己和婴儿都有诸多益处。此外，护士观察到父母在参与音乐治疗后与婴儿的互动增加了。然而，护士报告称，在充满不确定性、焦虑和悲痛的时期邀请父母参与音乐治疗具有挑战性。护士还发现向来自其他文化背景的父母传播音乐治疗信息很有挑战性。此外，经确认，大多数父母是从音乐治疗师那里而非NICU的医护人员那里了解到音乐治疗课程的，这表明音乐治疗在该科室的多学科团队中并未得到充分整合。
音乐治疗可以加强以家庭为中心的护理并促进亲子关系，但需要做出更多努力将其融入NICU多学科团队常规提供的护理中。
