Music Therapy, Pain Management
Conditions
Keywords
Pediatric Critical ill care or intensive care, anxiety, pain
Brief summary
The aim of this study is to measure the efficacy of music during a painful procedure in pediatric intensive care unit. Music therapy has real effects on the pain level already proven in adults units. Our objective is to apply this technic to children. The investigators will evaluate this technic during cleaning care which is daily procedure for each stable patient and wich may be painful in this population.
Detailed description
Pediatric intensive care units may be anxious places. A lot of painful and stressful procedures are done every day. A simple care such as a simple cleaning care may become painful or uncomfortable. Usually those situation require the use of painkillers. For several years, new approaches are used in order to decrease the pain level without medication such as hypnosis or music therapy. Music therapy proved efficacy to reduce pain in different procedures and is currently used in adult intensive care units in order to decrease anxiety and pain. One specific program, "Music Care" is based on a "U sequence" which use tempo and rhythm variations following the U scheme, to relax patients. This program will be evaluated in our department and the investigators will study the effects on the pain level during a cleaning care . The patients will be evaluated during two consecutive cleaning cares. One with and the other without music therapy. The investigators will compare the variation of the FLACC scores (before and during cleaning care ) to show a difference between both methods. The order (with or without) will be randomized. The patient will be his one control.
Interventions
DEVICEPain evaluation ( FLACC scale) before and during the cleaning care with and without music therapy.
Each child will benefit two cleaning cares during hospitalization. One with music therapy and the other without music therapy. Every time, the preparation will be the same with an equipment installation in order to keep comparability and blind. Child will be videotaped without sound during the care. The order of music therapy intervention will be randomized.
Sponsors
University Hospital, Montpellier
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Months to 15 Years
Healthy volunteers
No
Inclusion criteria
* Infants between 6 months and 15 years old * Vigil child * Admitted to the department of Pediatric Critical Ill Unit at University Hospital in Montpellier (France) * Signed both parental consent. * Signed both parental authorization for videotape recording * Parents or person with legal authority who speaks and understands french
Exclusion criteria
* Deaf child * Refusal of the child to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The FLACC (Face Legs Activity Cry Consolability) scale's score | Day 1 : 10 minutes before the care | The scale is scored in a range of 0-10 with 0 representing no pain. The scale has five criteria, which are each assigned a score of 0, 1 or 2. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cardiac frequency | Day 1 : 10 minutes before the care | Values found on a device |
| breathing frequency | Day 1: 10 minutes before the care | Values found on a device |
| Mean arterial pressure | Day 1: 10 minutes before the care | Values found on a device |
| Duration care | Day 1 | Time management during cleaning cares |
Countries
France
Outcome results
None listed