音乐疗法对慢性病儿童生命体征的影响。
Effects of Music Therapy on Vital Signs in Children with Chronic Disease.
机构信息
Center of Artistic Therapy, University Medicine Essen, 45147 Essen, Germany.
Clinic for Pediatrics II, University Children's Hospital Essen, 45147 Essen, Germany.
出版信息
Int J Environ Res Public Health. 2022 May 27;19(11):6544. doi: 10.3390/ijerph19116544.
BACKGROUND
Recent research found evidence supporting music therapy for hospitalized children with chronic diseases. The aim of this study was to investigate the effect of music therapy on hospitalized children's vital signs.
METHODS
In this prospective study, children with chronic gastroenterological and nephrological diseases received active or receptive music therapy two to four times a week until discharge from hospital at the pediatric special care unit (SCU) and pediatric intensive care unit (ICU). Baseline and post-therapy heart rate, oxygen saturation and blood pressure were recorded and analyzed as control values at three points on the same day when the children were alone in their patient room at rest.
RESULTS
A total of 83 children, median 3 age of years (range one month to eighteen years) received music therapy. In total, 377 music therapy sessions were treated: 200 receptive therapy (78 ICU, 122 SCU) and 177 with active therapy (0 ICU, 177 SCU). Music therapy interventions showed changes in vital signs during music therapy sessions. After music therapy, heart rates decreased by 18 beats per minute (95% confidence interval (CI), -19.4 to (-16.8)), oxygen saturation increased by 2.3% (95% CI, 2.2 to 2.5), systolic blood pressure decreased by 9.2 (95% CI, -10.6 to -7.7) and diastolic blood pressure decreased by 7.9 (95% CI, -9.6 to -6.3). When music therapy was applied at the SCU (ICU), heart rates significantly reduced by 17.9 (18.9) beats per min, oxygen saturation increased by 2.4% (2.1%) and blood pressure reduced by 9.2 (2.8) mmHg (systolic) and 7.9 (0.3) mmHg (diastolic). Almost all control values were better than directly before the intervention. However, after music therapy intervention, the children showed better values in vital signs compared to being alone in their patient room.
CONCLUSION
Music therapy is an added value for children with kidney and liver/gastrointestinal diseases during their hospital stay.
背景
最近的研究发现音乐疗法对患有慢性病的住院儿童有一定的效果。本研究旨在调查音乐疗法对住院儿童生命体征的影响。
方法
在这项前瞻性研究中，患有慢性胃肠和肾脏疾病的儿童在儿科特殊护理病房（SCU）和儿科重症监护病房（ICU）住院期间，每周接受 2-4 次主动或接受式音乐治疗。在儿童单独在病房休息时，同一天在三个时间点记录并分析基础和治疗后的心率、血氧饱和度和血压作为对照值。
结果
共有 83 名儿童（中位年龄 3 岁[范围 1 个月至 18 岁]）接受了音乐治疗。共有 377 次音乐治疗：200 次接受式治疗（78 例 ICU，122 例 SCU）和 177 次主动式治疗（0 例 ICU，177 例 SCU）。音乐治疗干预在音乐治疗期间改变了生命体征。音乐治疗后，心率下降 18 次/分钟（95%置信区间（CI），-19.4 至-16.8），血氧饱和度升高 2.3%（95%CI，2.2 至 2.5），收缩压下降 9.2mmHg（95%CI，-10.6 至-7.7），舒张压下降 7.9mmHg（95%CI，-9.6 至-6.3）。当音乐治疗应用于 SCU（ICU）时，心率显著下降 17.9（18.9）次/分钟，血氧饱和度升高 2.4%（2.1%），血压下降 9.2（2.8）mmHg（收缩压）和 7.9（0.3）mmHg（舒张压）。几乎所有的对照值都优于直接干预前。然而，在音乐治疗干预后，与单独在病房相比，儿童的生命体征值更好。
结论
音乐疗法为患有肾脏和肝脏/胃肠道疾病的住院儿童提供了附加价值。
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