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Use of Musical Intervention in the Pediatric Intensive Care Unit of a Developing Country: A Pilot Pre-Post Study.


ABSTRACT: Music is frequently used in different clinical settings, and it is implemented as a complementary, low-cost and useful intervention to reduce pain, anxiety and to improve relaxation. This pilot pre-post study aimed to examine the feasibility and preliminary effectiveness of a specific musical intervention in patients ≤16 years admitted to the Pediatric Intensive Care Unit (PICU) of an Iraqi hospital. The COMFORT Behavior Scale (CBS) was used by nurses to assess the level of sedation. Fifty-nine children were enrolled during the study period (March 2020-August 2021). CBS was lowered by 2.2 (95% CI: 1.9 to 2.6) points after 30 min, and by 3.3 (95% CI: 2.9 to 3.6) points after 60 min from music initiation. Thirty minutes after music initiation, heart rate decreased by 6.3 (95% CI: 4.5 to 8.1) beats per minute, whereas at 60 min, heart rate decreased by 9.1 (95% CI: 7.2 to 10.9) beats per minute. No clinically significant variations were detected in the other vital signs (blood pressure, respiratory rate and oxygen saturation). These findings support the feasibility of musical intervention in a developing country. CBS and heart rate variation may be worth following up in larger and conclusive studies.

SUBMITTER: Buzzi F 

PROVIDER: S-EPMC9032317 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature

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Use of Musical Intervention in the Pediatric Intensive Care Unit of a Developing Country: A Pilot Pre-Post Study.

Buzzi Federica F   Yahya Nizar Bakir NB   Gambazza Simone S   Binda Filippo F   Galazzi Alessandro A   Ferrari Antonella A   Crespan Stefano S   Al-Atroushy Hevan Adel HA   Cantoni Barbara Maria BM   Laquintana Dario D   Collaborative Group  

Children (Basel, Switzerland) 20220324 4


Music is frequently used in different clinical settings, and it is implemented as a complementary, low-cost and useful intervention to reduce pain, anxiety and to improve relaxation. This pilot pre-post study aimed to examine the feasibility and preliminary effectiveness of a specific musical intervention in patients ≤16 years admitted to the Pediatric Intensive Care Unit (PICU) of an Iraqi hospital. The COMFORT Behavior Scale (CBS) was used by nurses to assess the level of sedation. Fifty-nine  ...[more]

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