Comparison of the Effectiveness of Music Video Therapy and Music Therapy on Pain after Cardiothoracic Surgery in Preschool Children

Authors

  • Ya-Li Huang, MM Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
  • Yu-Qing Lei, MM Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
  • Jian-Feng Liu, MM Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
  • Hua Cao, MD Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
  • Xian-Rong, Yu, MM Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China
  • Qiang Chen, MD Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China

DOI:

https://doi.org/10.1532/hsf.3509

Keywords:

cardiothoracic disease, preschool children, pain

Abstract

Objective: To explore the effects of music video therapy on pain among preschool children after cardiothoracic surgery.

Methods: Patients in the music video therapy (MVT) group received a 30-min music video intervention, while patients in the music therapy (MT) group received a 30-min musical intervention. Both groups were given their respective therapy three times a day for three days. Patients in the control group did not receive MVT or MV. Measures, including pain scores, vital signs (heart rate, mean arterial pressure, respiratory rate, and oxygen saturation), and other postoperative indicators were recorded and analyzed.

Results: The MVT group showed a statistically significant decrease in heart rate, mean arterial pressure, and respiratory rate at the first day after surgery and pain scores at the first and second day after surgery compared to the MT group, but no significant difference was identified in oxygen saturation. The postoperative indicators including cumulative capacity of sufentanil use, the length of intensive care unit (ICU) stay, and the length of hospital stay in the MVT group were significantly lower than those in the control group.

Conclusion: The findings provide further evidence to support the practice of music video therapy as a non-pharmaceutical intervention to reduce postoperative pain, reduce  the dosage of analgesics, shorten the length of ICU and hospital stay in preschool children after the cardiothoracic surgery.

References

Baidya DK, Khanna P, Maitra S. 2014. Analgesic efficacy and safety of thoracic paravertebral and epidural analgesia for thoracic surgery: a systematic review and meta-analysis. Interact Cardiovasc Thorac Surg 18:626-35.

Bayman EO, Parekh KR, Keech J, Selte A, Brennan TJ. 2017. A prospective study of chronic pain after thoracic surgery. Anesthesiology 126:938-951.

Bellieni CV, Cordelli DM, Raffaelli M, Ricci B, Morgese G, Buonocore G. 2006. Analgesic effect of watching TV during venipuncture. Arch Dis Child 91:1015-7.

Bigeleisen PE, Goehner N. 2015. Novel approaches in pain management in cardiac surgery. Curr Opin Anaesthesiol 28:89-94.

Boric K, Jelicic Kadic A, Boric M. 2019. Outcome domains and pain outcome measures in randomized controlled trials of interventions for postoperative pain in children and adolescents. Eur J Pain 23:389-96.

Chow CH, Van Lieshout RJ, Schmidt LA, Dobson KG, Buckley N. 2016. Systematic review: audiovisual interventions for reducing preoperative anxiety in children undergoing elective surgery. J Pediatr Psychol 41:182-203.

Custódio NB, Costa FDS, Cademartori MG, da Costa VPP, Goettems ML. 2020. Effectiveness of virtual reality glasses as a distraction for children during dental care. Pediatr Dent 42:93-102.

Faul F, Erdfelder E, Lang AG, Buchner A. 2007. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39:175-91.

Garra G, Singer AJ, Taira BR. 2010. Validation of the Wong-Baker FACES Pain Rating Scale in pediatric emergency department patients. Acad Emerg Med 17:50-4.

Hammond SI. 2014. Children's early helping in action: Piagetian developmental theory and early prosocial behavior. Front Psychol 5:759.

Hole J, Hirsch M, Ball E, Meads C. 2015. Music as an aid for postoperative recovery in adults: a systematic review and meta-analysis. Lancet 386:1659-71.

Houdé O, Pineau A, Leroux G, et al. 2011. Functional magnetic resonance imaging study of Piaget's conservation-of-number task in preschool and school-age children: a neo-Piagetian approach. J Exp Child Psychol 110:332-46.

Kortesluoma RL, Nikkonen M, Serlo W. 2008. You just have to make the pain go away"--children's experiences of pain management. Pain Manag Nurs 9:143-9, 149.e1-5.

Lin CL, Hwang SL, Jiang P, Hsiung NH. 2020. Effect of music therapy on pain after orthopedic surgery-a systematic review and meta-analysis. Pain Pract 20:422-36.

Malviya S, Voepel-Lewis T, Burke C, Merkel S, Tait AR. 2006. The revised FLACC observational pain tool: improved reliability and validity for pain assessment in children with cognitive impairment. Paediatr Anaesth 16:258-65.

Marshall K, McLaughlin K. 2020. Pain management in thoracic Surgery. Thorac Surg Clin 30:339-346

Oliveira NC, Santos JL, Linhares MB. 2017. Audiovisual distraction for pain relief in paediatric inpatients: A crossover study. Eur J Pain 21:178-87.

Ozdemir S, Parlakyıldız Gokce A, Unver T. 2020. Simulation of three intraoral radiographic techniques in pediatric dental patients: subjective comfort assessment using the VAS and Wong-Baker FACES Pain Raiting Scale. BMC Oral Health 20:33.

Salmon K, McGuigan F, Pereira JK. 2006. Brief report: Optimizing children's memory and management of an invasive medical procedure: the influence of procedural narration and distraction. J Pediatr Psychol 31:522-7.

Savva DA, Kishk OA, Morgan JA, Biggs JM, Seung H, Bauer C. 2019. Post-operative non-steroidal anti-inflammatory drug use for pain in infant and paediatric cardiac surgery patients. Cardiol Young 29:1440-4.

Scohy TV, Golab HD, Egal M, Takkenberg JJ, Bogers AJ. 2011. Intraoperative glycemic control without insulin infusion during pediatric cardiac surgery for congenital heart disease. Paediatr Anaesth 21:872-9.

Voepel-Lewis T, Merkel S, Tait AR, Trzcinka A, Malviya S. 2002. The reliability and validity of the Face, Legs, Activity, Cry, Consolability observational tool as a measure of pain in children with cognitive impairment. Anesth Analg 95:1224-9.

Von Baeyer CL, Spagrud LJ. 2007. Systematic review of observational (behavioral) measures of pain for children and adolescents aged 3 to 18 years. Pain. 127:140-50.

Weydert JA, Shapiro DE, Acra SA, Monheim CJ, Chambers AS, Ball TM. 2006. Evaluation of guided imagery as treatment for recurrent abdominal pain in children: a randomized controlled trial. BMC Pediatr 6:29.

Wojtyś ME, Wąsikowski J, Wójcik N. 2019. Assessment of postoperative pain management and comparison of effectiveness of pain relief treatment involving paravertebral block and thoracic epidural analgesia in patients undergoing posterolateral thoracotomy. J Cardiothorac Surg 14:78.

Yap R, Nassif G, Hwang G, et al. 2020. Achieving opioid-free major colorectal surgery: Is it possible? Dig Surg 30:1-7.

Ziehm S, Rosendahl J, Barth J, Strauss BM, Mehnert A, Koranyi S. 2017. Psychological interventions for acute pain after open heart surgery. Cochrane Database Syst Rev 12:CD009984.

Zieliński J, Morawska-Kochman M, Zatoński T. 2020. Pain assessment and management in children in the postoperative period: A review of the most commonly used postoperative pain assessment tools, new diagnostic methods and the latest guidelines for postoperative pain therapy in children. Adv Clin Exp Med 29:365-74.

Published

2021-03-26

How to Cite

huang, ya- li, lei, yu- qing, liu, jian- feng, cao, hua, yu, xian- rong, & chen, qiang. (2021). Comparison of the Effectiveness of Music Video Therapy and Music Therapy on Pain after Cardiothoracic Surgery in Preschool Children. The Heart Surgery Forum, 24(2), E299-E304. https://doi.org/10.1532/hsf.3509

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