Effect of music in combination with maternal voice on the pain of malformation alimentary tract infants undergoing placement procedures of peripherally inserted central venous catheter
10.3760/cma.j.issn.1672-7088.2019.33.007
- VernacularTitle: 音乐联合母亲声音对先天性消化道畸形患儿PICC穿刺疼痛的缓解作用
- Author:
Xiaoli XU
1
;
Zhenxiang YIN
;
Sha HU
;
Zhenzhen ZHAO
;
Liping HUANG
Author Information
1. Department of Fetal and Neonatal Surgery, Hunan Children′s Hospital, Changsha 410007, China
- Publication Type:Journal Article
- Keywords:
Music intervention;
Maternal voice;
Malformation alimentary tract;
Peripherally inserted central venous catheter
- From:
Chinese Journal of Practical Nursing
2019;35(33):2588-2593
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application of music intervention in combination with maternal voice during PICC placement procedures in malformation alimentary tract infants.
Methods:A total of 60 malformation alimentary tract infants were enrolled in the present study in Hunan Children Hospital from January to December 2018, infants were randomly assigned to the intervention group (n=30) and the control group (n=30). Patients in the control group received conventional nursing, the intervention group received music and maternal voice intervention method. The level changes of heart rate, respiratory rate, blood pressure, blood oxygen saturation and cortisol concentration were compared between two groups, meanwhile, the pain rating were assessed by Neonatal Infant Pain Scale (NIPS).
Results:Before procedure, no significant difference was found between the control and intervention group in heart rate, respiratory rate, systolic pressure, SpO2 and NIPS score (P>0.05). During and after the procedure, the mean heart rate [(144.43±15.93), (142.43±20.42) times/min], respiratory rate [(44.70±4.51) and (43.50± 4.12) times/min], systolic pressure [(87.40±8.53) and (86.10±4.60) mmHg] and NIPS score (5.34±0.71 and 5.19±0.87) of the intervention group was statistically lower compared to the control group [(160.97±39.35) and (159.17±31.87) times/min, (53.13±7.85) and (50.47±7.70) times/min, (97.60±9.82) and (94.27±7.23) mmHg, 6.17±0.54 and 6.15±0.66; during procedure, the mean SpO2 was statistically significantly higher, compared to the control group [(96.15±9.82)% versus (88.34±9.53)%]. The difference was statistically significantly (t=2.134-6.682, P<0.05). Before placement, the concentration of cortisol between the two groups showed no significant difference (P>0.05), and (208.91±21.07)ng/ml 5min after placement and (197.70±16.34) ng/ml immediately after placement, the cortisol concentration was statistically significantly lower, compared to the control group [(246.71±35.15), (230.95±21.81) ng/ml] (t=5.050-6.682, P<0.05). Compared with the control group, the time needed for PICC placement decreased remarkably in the intervention group [(15.62±3.30) min versus (24.63±4.26) min)](t=9.160, P<0.01).
Conclusions:Music in combination with maternal voice can significantly reduce stress levels, pain responses and time need for PICC placement, music and maternal voice is a potential intervention strategy in malformation alimentary tract infants undergoing PICC.
