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Music intervention during daily weaning trials-A 6 day prospective randomized crossover trial.

Abstract：

PURPOSE:To examine the effect of patient-selected music intervention during daily weaning trials for patients on prolonged mechanical ventilation. METHODS:Using a crossover repeated measures design, patients were randomized to music vs no music on the first intervention day. Provision of music was alternated for 6 days, resulting in 3 music and 3 no music days. During weaning trials on music days, data were obtained for 30min prior to music listening and continued for 60min while patients listened to selected music (total 90min). On no music days, data were collected for 90min. Outcome measures were heart rate (HR), respiratory rate (RR), oxygen saturation (SpO2), blood pressure (BP), dyspnea and anxiety assessed with a visual analog scale (VAS-D, VAS-A) and weaning duration (meanh per day on music and non-music days). RESULTS:Of 31 patients randomized, 23 completed the 6-day intervention. When comparisons were made between the 3 music and 3 no music days, there were significant decreases in RR and VAS-D and a significant increase in daily weaning duration on music days (p<0.05). A multivariate mixed-effects model analysis that included patients who completed ≥2 days of the intervention (n=28) demonstrated significant decreases in HR, RR, VAS-A, and VAS-D and a significant increase in daily weaning duration on music days (p<0.05). CONCLUSIONS:Providing patient selected music during daily weaning trials is a simple, low-cost, potentially beneficial intervention for patients on prolonged mechanical ventilation. Further study is indicated to test ability of this intervention to promote weaning success and benefits earlier in the weaning process.

journal_name

Complement Ther Med

journal_title

Complementary therapies in medicine

authors

Liang Z,Ren D,Choi J,Happ MB,Hravnak M,Hoffman LA

doi

10.1016/j.ctim.2016.09.003

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

72-77

eissn

0965-2299

issn

1873-6963

pii

S0965-2299(16)30139-X

journal_volume

29

pub_type

杂志文章,随机对照试验

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