背景音乐干预在烧伤儿童功能锻炼中疼痛管理的作用  

Effect of background music therapy on the pain management of burn children during function exercises

作　　者：叶道琳 马蕾[1] 徐邦红 丁琴芹 徐源媛 郑欣 Ye Daolin;Ma Lei;Xu Banghong;Ding Qinqin;Xu Yuanyuan;Zheng Xin(Department of Burn and Plastic Surgery,Children’s Hospital of Nanjing Medical University,Nanjing 210008,China)

机构地区：[1]南京医科大学附属儿童医院烧整外科,210008

出　　处：《中国实用护理杂志》2020年第22期1727-1731,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨背景音乐干预对烧伤儿童功能锻炼中疼痛管理的效果。方法将78例烧伤儿童按照随机数字表法分为干预组39例和对照组39例,对照组给予常规功能锻炼,干预组在功能锻炼过程中播放背景音乐。采用儿童疼痛行为量表(FLACC)评价患儿疼痛程度,儿童医疗恐惧调查问卷(CMFQ)评价患儿医疗恐惧程度,Barthel指数评价患儿日常生活活动能力(ADL)。结果干预组第1、2、3、5、6、8、10次FLACC评分分别为(3.82±0.46)、(3.25±0.49)、(3.29±0.57)、(3.04±0.59)、(2.82±0.58)、(2.90±0.48)、(2.31±0.32)分,明显低于对照组的(4.26±0.54)、(3.88±0.84)、(4.09±0.86)、(3.82±0.65)、(3.75±0.68)、(3.39±0.72)、(2.97±0.64)分,差异有统计学意义(t值为3.457~6.363,均P<0.05)。干预后干预组医疗环境恐惧、医疗操作恐惧、自我恐惧得分分别为(6.84±1.44)、(5.28±1.41)、(4.18±1.58)分,明显低于对照组的(7.96±1.34)、(7.56±2.43)、(5.78±1.31)分,差异有统计学意义(t值为3.511、4.995、4.779,均P<0.05)。但2组日常生活活动能力得分比较差异无统计学意义(P>0.05)。结论背景音乐干预可以缓解烧伤患儿功能锻炼过程中的疼痛,降低患儿医疗恐惧程度,可以作为一种有效的非药物干预措施应用于疼痛管理。Objective To investigate the effect of background music therapy on the pain management of school age burn children during function exercises.Methods A total of 78 burned children of school age were divided into intervention group(39 cases)and control group(39 cases)according to random number table method.The control group received routine function exercises,the intervention group was listening background music during function exercises.The pain degree was evaluated by Face,Legs,Activity,Crying,Consolability(FLACC)scores,children's medical fears was determined by Broome's Child Medical Fear Questionnaire(CMFQ),activities of daily living was assessed by Barthel index.Results At 1th,2th,3th,5th,6th,8th,10th,the FLACC scores were(3.82±0.46),(3.25±0.49),(3.29±0.57),(3.04±0.59),(2.82±0.58),(2.90±0.48),(2.31±0.32)points in the intervention group,(4.26±0.54),(3.88±0.84),(4.09±0.86),(3.82±0.65),(3.75±0.68),(3.39±0.72),(2.97±0.64)points in the control group,the differences were statistically significant(t values were 3.457-6.363,all P<0.05).After intervention,the fear medical environment,medical operation fear fear,self scores were(6.84±1.44),(5.28±1.41),(4.18±1.58)points in the intervention group,and(7.96±1.34),(7.56±2.43),(5.78±1.31)points in the control group,the differences were statistically significant(t=3.511,4.995,4.779,all P<0.05).However,the scores of activity of daily life between two groups was no statistical difference(P>0.05).Conclusions Background music therapy can alleviate pain degree and medical fear of burn children during function exercises and serve as a useful non-drug strategy for pain management.

关 键 词：背景音乐治疗 疼痛管理 烧伤 儿童 

分 类 号：R473.72[医药卫生—护理学]