音乐疗法在减轻机械通气患者气管内吸痰疼痛反应中的作用  

The role of music therapy in reducing the pain response of endotracheal suction in mechanically ventilated patients

作　　者：尹超[1] 吴晓霞 李斌[1] 窦志敏[1] YIN Chao;WU Xiao-xia;LI Bin;DOU Zhi-min(The Department of Critical Care Medicine,The First Hospital of Lanzhou University,Lanzhou 730000,China)

机构地区：[1]兰州大学第一医院重症医学科,甘肃兰州730000

出　　处：《实用医院临床杂志》2023年第6期112-115,共4页Practical Journal of Clinical Medicine

基　　金：甘肃省青年科技基金计划(编号:20JR10RA710)。

摘　　要：目的探讨音乐疗法在减轻气管插管机械通气患者吸痰疼痛反应中的效果。方法纳入2022年3~9月我院重症医学科收治的经口气管插管机械通气患者104例,利用随机数字表分为对照组和试验组各52例。对照组按照常规措施给予吸痰,试验组在吸痰前后30 min内给予音乐疗法。记录两组患者的基础特征,并评估吸痰过程中患者重症监护室疼痛观察工具(CPOT)评分、疼痛行为量表(BPS)评分、机械通气时间、ICU住院时间、谵妄发生率和28天病死率等指标的差异。结果吸痰时两组患者的CPOT评分、BPS评分均增高,试验组明显低于对照组(P<0.05)。吸痰后30 min两组患者的CPOT评分和BPS评分均降低,且试验组明显低于对照组(P<0.05)。试验组的谵妄发生率较对照组明显下降(P<0.05),两组机械通气时间、ICU住院时间和28天病死率比较,差异无统计学意义(P>0.05)。结论音乐疗法可以减轻气管插管机械通气患者吸痰时的疼痛反应,是一种无创、有效的缓解吸痰疼痛的非药物治疗方法。Objective To explore the effect of music therapy in the alleviation of the pain response of endotracheal suction in patients with mechanical ventilation.Methods One hundred and four patients with mechanical ventilation through orotracheal intubation at the department of critical care medicine in our hospital from March to September 2022 were selected.The patients were divided into a control group and an experimental group using a random number table method,52 in each group.The control group received sputum suction according to routine measures while the experimental group received music therapy within 30 minutes before and after sputum suction.The basic characteristics of the patients in the two groups were recorded.The differences in critical pain observation tool(CPOT)scores,pain behavior scale(BPS)scores,length of mechanical ventilation,length of stay in ICU,incidence of delirium and 28-day mortality during sputum aspiration were compared.Results The CPOT score and BPS score of both groups were decreased during sputum aspiration,and the experimental group was significantly lower than the control group(P<0.05).The CPOT score and BPS score of both groups were decreased after 30 minutes of sputum aspiration,and the experimental group was significantly lower than the control group(P<0.05).The incidence of delirium in the experimental group was significantly decreased when compared to the control group(P<0.05).There was no significant difference in mechanical ventilation time,the length of ICU stay and 28-day mortality rate between the two groups(P>0.05).Conclusions Music therapy can alleviate the pain of sputum suction in patients with mechanical ventilation.It is a non-invasive and effective non-pharmacological treatment method to alleviate the pain of sputum suction.

关 键 词：音乐疗法 吸痰 疼痛 机械通气 

分 类 号：R56[医药卫生—呼吸系统]