Thamine P Hatem1, Pedro I C Lira, Sandra S Mattos. 1. Universidade Federal de Pernambuco (UFPE), Recife, PE. Unidade de Cardiologia e Medicina Fetal (UCMF), PE, Brasil. thamine@gmail.com
Abstract
OBJECTIVE: To investigate, both objectively and subjectively, the effect of music on children in a pediatric cardiac intensive care unit following heart surgery, in conjunction with standard care. METHODS: Randomized clinical trial with placebo, assessing 84 children, aged 1 day to 16 years, during the first 24 hours of the postoperative period, given a 30 minute music therapy session with classical music and observed at the start and end of the session, recordingheart rate, blood pressure, mean blood pressure, respiratory rate, temperature and oxygen saturation, plus a facial pain score. Statistical significance was set at 5%. RESULTS: Five of the initial 84 patients (5.9%) refused to participate. The most common type of heart disease was acyanotic congenital with left-right shunt (41% of cases: 44.4% of controls). Statistically significant differences were observed between the two groups after the intervention in the subjective facial pain scale and the objective parameters heart rate and respiratory rate (p < 0.001, p = 0.04 and p = 0.02, respectively). CONCLUSIONS: A beneficial effect from music was observed with children during the postoperative period of heart surgery, by means of certain vital signs (heart rate and respiratory rate) and in reduced pain (facial pain scale). Nevertheless, there are gaps to be filled in this area, and studies in greater depth are needed.
RCT Entities:
OBJECTIVE: To investigate, both objectively and subjectively, the effect of music on children in a pediatric cardiac intensive care unit following heart surgery, in conjunction with standard care. METHODS: Randomized clinical trial with placebo, assessing 84 children, aged 1 day to 16 years, during the first 24 hours of the postoperative period, given a 30 minute music therapy session with classical music and observed at the start and end of the session, recording heart rate, blood pressure, mean blood pressure, respiratory rate, temperature and oxygen saturation, plus a facial pain score. Statistical significance was set at 5%. RESULTS: Five of the initial 84 patients (5.9%) refused to participate. The most common type of heart disease was acyanotic congenital with left-right shunt (41% of cases: 44.4% of controls). Statistically significant differences were observed between the two groups after the intervention in the subjective facial pain scale and the objective parameters heart rate and respiratory rate (p < 0.001, p = 0.04 and p = 0.02, respectively). CONCLUSIONS: A beneficial effect from music was observed with children during the postoperative period of heart surgery, by means of certain vital signs (heart rate and respiratory rate) and in reduced pain (facial pain scale). Nevertheless, there are gaps to be filled in this area, and studies in greater depth are needed.
Authors: Rebecca R Pillai Riddell; Nicole M Racine; Hannah G Gennis; Kara Turcotte; Lindsay S Uman; Rachel E Horton; Sara Ahola Kohut; Jessica Hillgrove Stuart; Bonnie Stevens; Diana M Lisi Journal: Cochrane Database Syst Rev Date: 2015-12-02
Authors: Marianne J E van der Heijden; Sadaf Oliai Araghi; Monique van Dijk; Johannes Jeekel; M G Myriam Hunink Journal: PLoS One Date: 2015-08-06 Impact factor: 3.240
Authors: Bianca Cr de Castro; Heraldo L Guida; Adriano L Roque; Luiz Carlos de Abreu; Lucas L Ferreira; Rodrigo D Raimundo; Carlos Bm Monteiro; Flávia C Goulart; Celso Ferreira; Renata S Marcomini; Vivian F Ribeiro; Alessandro Hn Ré; Luiz Carlos M Vanderlei; Vitor E Valenti Journal: Int Arch Med Date: 2013-08-14