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音乐对心脏导管插入术患儿疼痛、恐惧、焦虑及生命体征的影响:一项随机、盲法对照试验。

Effectiveness of music during cardiac catheterization on children's pain, fear, anxiety and vital signs: A randomized, blind controlled trial.

机构信息

Tarsus University, Faculty of Health Sciences, Department of Nursing, Mersin, Turkey.

İzmir Kâtip Çelebi University, Faculty of Health Sciences, Department of Pediatric Nursing, İzmir, Turkey.

出版信息

J Pediatr Nurs. 2022 Jul-Aug;65:e56-e62. doi: 10.1016/j.pedn.2022.02.009. Epub 2022 Mar 10.

Abstract

PURPOSE

This study aims to examine the effectiveness of music during pediatric cardiac catheterization procedure on children's pain, fear, anxiety and vital signs.

DESIGN AND METHODS

This randomized, blind controlled study was conducted with the guidelines of Consolidated Standards of Reporting Trials (CONSORT). The sample of children was allocated to the Control Group, the Classic Music Group, and the Self-Selected Group. Pain, fear, and anxiety levels were measured before and after the pediatric cardiac catheterization procedure. Vital signs were measured before, during, and after the pediatric cardiac catheterization procedure.

RESULTS

There was no significant difference between the groups in terms of demographic status, pain, fear, or anxiety levels and vital signs before the procedure. In post pediatric cardiac catheterization measurement in the recovery phase, pain, fear levels, anxiety levels, heart rate, systolic and diastolic blood pressure of children in the musical intervention groups were lower than the control group. No statistical difference was found in terms of pain, fear and anxiety levels of the children in groups Classic and Self-Selected.

CONCLUSION AND PRACTICE IMPLICATIONS

The result of this research reveals that musical intervention applied during the pediatric cardiac catheterization procedure in children affects the reduction of pain, fear and anxiety levels and stabilization of vital signs. This intervention could be an effective nonpharmacological method to improve outcomes.Nurses can improve children's comfort by using musical interventions.

CLINICAL REGISTRATION

This study was registered at the U.S. National Library of Medicine Clinical Trials (code: NCT04316754).

摘要

目的

本研究旨在考察在小儿心导管检查过程中使用音乐对儿童疼痛、恐惧、焦虑和生命体征的影响。

设计和方法

本研究采用随机、盲法对照设计,遵循 CONSORT 报告标准进行。将儿童样本分配到对照组、经典音乐组和自选音乐组。在小儿心导管检查前后测量疼痛、恐惧和焦虑水平。在小儿心导管检查前后测量生命体征。

结果

在人口统计学状况、疼痛、恐惧或焦虑水平以及生命体征方面,术前各组间无显著差异。在恢复阶段的术后小儿心导管测量中,音乐干预组儿童的疼痛、恐惧水平、焦虑水平、心率、收缩压和舒张压均低于对照组。经典音乐组和自选音乐组儿童的疼痛、恐惧和焦虑水平无统计学差异。

结论和实践意义

本研究结果表明,在小儿心导管检查过程中应用音乐干预可降低疼痛、恐惧和焦虑水平,稳定生命体征。这一干预措施可能是改善结果的有效非药物方法。护士可以通过使用音乐干预来提高儿童的舒适度。

临床注册

本研究在美国国立医学图书馆临床试验(编号:NCT04316754)注册。

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