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Covid-19 and absence of music therapy: Impact on mother-child dyad during invasive procedures in pediatric oncology
The Arts in Psychotherapy ( IF 1.847 ) Pub Date : 2021-07-28 , DOI: 10.1016/j.aip.2021.101839
Filippo Giordano 1, 2 , Chiara Rutigliano 2 , Francesco De Leonardis 2 , Roberta Rana 2 , Daniela Neri 3 , Nicola Brienza 4 , Nicola Santoro 2
Affiliation  

During COVID-19 pandemic, Italian pediatric oncology departments were obliged to adopt restrictive measures to minimize the risk of in-hospital infections in frail patients and staff members. Access to the wards was significantly reduced and music therapy (MT) activities were suspended. The aim of this study was to compare the level of anxiety and sedation in pediatric patients undergoing invasive procedure before (T1), during(T2) and after(T3) the pandemic, with and without the presence of MT.

From January to September 2020, all children aged 2–15 with oncological and hematological diseases undergoing to invasive procedure were enrolled. During T1 and T3 children received preoperative preparation with MT by a certified music-therapist. In T2 they received music or video by clinical staff. Preoperative anxiety scores were measured with the m- YPAS scale. Interviews with mothers were performed. The average consumption of drugs used was analyzed.

Significant differences in preoperative anxiety levels between scores in T1, T2 (p.value = 0,0000014) and in T2, T3 (p.value = 0,0000031) were observed. No difference between T1-T3 (p.value = 0,96). Higher dosage of midazolam in T2 (1,14 mg 0,189) compared to T1 (0, 71 mg 0,399) and T2 (1,14 mg 0,189) were observed. Mothers also recorded higher scores on anxiety and stress without music therapy.



中文翻译:

Covid-19 和缺乏音乐疗法:在儿科肿瘤学侵入性手术中对母子二元组的影响

在 COVID-19 大流行期间,意大利儿科肿瘤科不得不采取限制性措施,以尽量减少体弱患者和工作人员在院内感染的风险。进入病房的机会大大减少,音乐治疗 (MT) 活动也暂停了。本研究的目的是比较在大流行之前 (T1)、期间 (T2) 和之后 (T3) 接受侵入性手术的儿科患者的焦虑和镇静水平,无论是否存在 MT。

从 2020 年 1 月至 2020 年 9 月,所有接受有创手术的 2-15 岁患有肿瘤和血液病的儿童均被纳入。在 T1 和 T3 期间,儿童接受了由经过认证的音乐治疗师进行的 MT 术前准备。在 T2 中,他们收到了临床工作人员提供的音乐或视频。使用 m-YPAS 量表测量术前焦虑评分。对母亲进行了访谈。分析了所用药物的平均消耗量。

观察到 T1、T2(p.value = 0,0000014)和 T2、T3(p.value = 0,0000031)评分之间的术前焦虑水平存在显着差异。T1-T3 之间没有差异(p.value = 0,96)。观察到与 T1(0、71 mg 0.399)和 T2(1.14 mg 0.189)相比,T2 中咪达唑仑的剂量更高(1.14 mg 0.189)。在没有音乐疗法的情况下,母亲们在焦虑和压力方面的得分也更高。

更新日期:2021-08-01
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