Huang Ya-Li, Lei Yu-Qing, Liu Jian-Feng, Cao Hua, Yu Xian-Rong, Chen Qiang
Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.
Fujian Key Laboratory of Women and Children’s Critical Diseases Research, Fujian Maternity and Child Health Hospital, Fuzhou, China.
Heart Surg Forum. 2021 Mar 26;24(2):E299-E304. doi: 10.1532/hsf.3509.
To explore the effects of music video therapy on pain among preschool children after cardiothoracic surgery.
Patients in the music video therapy (MVT) group received a 30-min music video intervention, while patients in the music therapy (MT) group received a 30-min musical intervention. Both groups were given their respective therapy three times a day for three days. Patients in the control group did not receive MVT or MV. Measures, including pain scores, vital signs (heart rate, mean arterial pressure, respiratory rate, and oxygen saturation), and other postoperative indicators were recorded and analyzed.
The MVT group showed a statistically significant decrease in heart rate, mean arterial pressure, and respiratory rate at the first day after surgery and pain scores at the first and second day after surgery compared to the MT group, but no significant difference was identified in oxygen saturation. The postoperative indicators including cumulative capacity of sufentanil use, the length of intensive care unit (ICU) stay, and the length of hospital stay in the MVT group were significantly lower than those in the control group.
The findings provide further evidence to support the practice of music video therapy as a non-pharmaceutical intervention to reduce postoperative pain, reduce the dosage of analgesics, shorten the length of ICU and hospital stay in preschool children after the cardiothoracic surgery.
探讨音乐视频疗法对心胸外科手术后学龄前儿童疼痛的影响。
音乐视频疗法(MVT)组患者接受30分钟的音乐视频干预,而音乐疗法(MT)组患者接受30分钟的音乐干预。两组均每天接受各自的治疗3次,共3天。对照组患者未接受MVT或MT。记录并分析包括疼痛评分、生命体征(心率、平均动脉压、呼吸频率和血氧饱和度)以及其他术后指标在内的各项测量结果。
与MT组相比,MVT组在术后第一天的心率、平均动脉压和呼吸频率以及术后第一天和第二天的疼痛评分均有统计学意义的显著降低,但血氧饱和度无显著差异。MVT组的术后指标,包括舒芬太尼的累计使用量、重症监护病房(ICU)住院时间和住院时间均显著低于对照组。
研究结果为支持音乐视频疗法作为一种非药物干预措施以减轻术后疼痛、减少镇痛药用量、缩短心胸外科手术后学龄前儿童的ICU住院时间和住院时间提供了进一步的证据。