Effect of Personalized Music Intervention in Mechanically Ventilated Children in the PICU: A Pilot Study*

Objectives: To determine the feasibility of a personalized music intervention with mechanically ventilated patients in the PICU. Design: Pilot study with a quasi-experimental design. Setting: Tertiary children’s hospital in China with a 40-bed PICU. Patients: Children, 1 month to 7 years, with mechanical ventilation were recruited and assigned to music group (n = 25) and control group (n = 25). Interventions: Children in the music group received their own favorite music and listened for 60 minutes three times a day. The control group receive routine care without music. Measurements and Main Results: Primary outcome measure was comfort measured with the COMFORT Behavior scale 5 minutes before and after the music. Secondary outcome measures were physiologic variables; heart rate, respiration, blood pressure, oxygen saturation. Mechanical ventilation time, length of stay, and sedation medication were also collected. Qualitative analysis revealed that nurses had a positive attitude in delivering the interventions and identified improvements for the main trial. Children in the music group had lower COMFORT Behavior scores (15.7 vs 17.6; p = 0.011). Children in the music group had better physiologic outcomes; heart rate (140 vs 144; p = 0.039), respiration rate (40 vs 43; p = 0.036), systolic blood pressure (93 vs 95 mm Hg; p = 0.031), oxygen saturation (96% vs 95%; p
Source: Pediatric Critical Care Medicine - Category: Pediatrics Tags: Online Clinical Investigations Source Type: research