Music Therapy and Pain Management in Patients with End-Stage Liver Disease: An Evidence-Based Practice Quality Improvement Project.
Identifieur interne : 000517 ( Main/Exploration ); précédent : 000516; suivant : 000518Music Therapy and Pain Management in Patients with End-Stage Liver Disease: An Evidence-Based Practice Quality Improvement Project.
Auteurs : Sonia Pathania [États-Unis] ; Larry Z. Slater [États-Unis] ; Courtney Vose [États-Unis] ; Ann-Margaret Navarra [États-Unis]Source :
- Pain management nursing : official journal of the American Society of Pain Management Nurses [ 1532-8635 ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Gestion de la douleur, Musicothérapie, Pratique factuelle.
- normes : Pratique factuelle.
- thérapie : Défaillance rénale chronique.
- Adulte, Adulte d'âge moyen, Amélioration de la qualité, Humains, Mâle.
English descriptors
- KwdEn :
- MESH :
- methods : Evidence-Based Practice, Music Therapy, Pain Management.
- standards : Evidence-Based Practice.
- therapy : Kidney Failure, Chronic.
- Adult, Humans, Male, Middle Aged, Quality Improvement.
Abstract
BACKGROUND
Pain can negatively affect the inpatient hospitalization experience; however, in patients with compromised metabolic pathways who are more vulnerable to medication side effects, pain control becomes even more challenging.
AIMS
This evidence-based practice quality improvement project explored the feasibility of implementing a music therapy intervention for improved pain management (pain intensity, analgesic volume) and patient satisfaction among patients with a diagnosis of cirrhotic end-stage liver disease in the acute care setting.
DESIGN
The plan-do-check-act cycle served as the implementation framework. Four nurse champions were trained to implement a 30-minute music intervention. Self-selected musical selections were delivered via unit-based iPads with earbud headphones during 3 consecutive days.
METHODS
Data collection was performed using unit-based measures for pain and patient satisfaction and an investigator-developed audit tool. Bivariate analyses and descriptive statistics were used to assess the effect of the intervention on the three outcomes of interest.
RESULTS
Overall results from data collected with eight participants during a 6-week period indicated a 10% reduction in pain intensity and a 30% improvement in patient satisfaction with pain management care.
CONCLUSIONS
Findings from this evidence-based practice quality improvement project provide support for the effectiveness of music therapy as an adjunct to traditional pharmacologic modalities for pain management of the end-stage liver disease patient population.
DOI: 10.1016/j.pmn.2018.07.004
PubMed: 30448441
Affiliations:
Links toward previous steps (curation, corpus...)
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Slater</name><affiliation wicri:level="2"><nlm:affiliation>New York University Rory Meyers College of Nursing, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>New York University Rory Meyers College of Nursing, New York</wicri:cityArea></affiliation></author><author><name sortKey="Vose, Courtney" sort="Vose, Courtney" uniqKey="Vose C" first="Courtney" last="Vose">Courtney Vose</name><affiliation wicri:level="2"><nlm:affiliation>New York University Rory Meyers College of Nursing, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>New York University Rory Meyers College of Nursing, New York</wicri:cityArea></affiliation></author><author><name sortKey="Navarra, Ann Margaret" sort="Navarra, Ann Margaret" uniqKey="Navarra A" first="Ann-Margaret" last="Navarra">Ann-Margaret Navarra</name><affiliation wicri:level="2"><nlm:affiliation>New York University Rory Meyers College of Nursing, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>New York University Rory Meyers College of Nursing, New York</wicri:cityArea></affiliation></author></analytic><series><title level="j">Pain management nursing : official journal of the American Society of Pain Management Nurses</title><idno type="eISSN">1532-8635</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Evidence-Based Practice (methods)</term><term>Evidence-Based Practice (standards)</term><term>Humans (MeSH)</term><term>Kidney Failure, Chronic (therapy)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Music Therapy (methods)</term><term>Pain Management (methods)</term><term>Quality Improvement (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Amélioration de la qualité (MeSH)</term><term>Défaillance rénale chronique (thérapie)</term><term>Gestion de la douleur (méthodes)</term><term>Humains (MeSH)</term><term>Musicothérapie (méthodes)</term><term>Mâle (MeSH)</term><term>Pratique factuelle (méthodes)</term><term>Pratique factuelle (normes)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Evidence-Based Practice</term><term>Music Therapy</term><term>Pain Management</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Gestion de la douleur</term><term>Musicothérapie</term><term>Pratique factuelle</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Pratique factuelle</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Evidence-Based Practice</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Défaillance rénale chronique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Quality Improvement</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Amélioration de la qualité</term><term>Humains</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Pain can negatively affect the inpatient hospitalization experience; however, in patients with compromised metabolic pathways who are more vulnerable to medication side effects, pain control becomes even more challenging.</p></div><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>This evidence-based practice quality improvement project explored the feasibility of implementing a music therapy intervention for improved pain management (pain intensity, analgesic volume) and patient satisfaction among patients with a diagnosis of cirrhotic end-stage liver disease in the acute care setting.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>The plan-do-check-act cycle served as the implementation framework. Four nurse champions were trained to implement a 30-minute music intervention. Self-selected musical selections were delivered via unit-based iPads with earbud headphones during 3 consecutive days.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Data collection was performed using unit-based measures for pain and patient satisfaction and an investigator-developed audit tool. Bivariate analyses and descriptive statistics were used to assess the effect of the intervention on the three outcomes of interest.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Overall results from data collected with eight participants during a 6-week period indicated a 10% reduction in pain intensity and a 30% improvement in patient satisfaction with pain management care.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Findings from this evidence-based practice quality improvement project provide support for the effectiveness of music therapy as an adjunct to traditional pharmacologic modalities for pain management of the end-stage liver disease patient population.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30448441</PMID><DateCompleted><Year>2019</Year><Month>05</Month><Day>20</Day></DateCompleted><DateRevised><Year>2019</Year><Month>05</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-8635</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>02</Month></PubDate></JournalIssue><Title>Pain management nursing : official journal of the American Society of Pain Management Nurses</Title><ISOAbbreviation>Pain Manag Nurs</ISOAbbreviation></Journal><ArticleTitle>Music Therapy and Pain Management in Patients with End-Stage Liver Disease: An Evidence-Based Practice Quality Improvement Project.</ArticleTitle><Pagination><MedlinePgn>10-16</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1524-9042(17)30553-2</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.pmn.2018.07.004</ELocationID><Abstract><AbstractText Label="BACKGROUND">Pain can negatively affect the inpatient hospitalization experience; however, in patients with compromised metabolic pathways who are more vulnerable to medication side effects, pain control becomes even more challenging.</AbstractText><AbstractText Label="AIMS">This evidence-based practice quality improvement project explored the feasibility of implementing a music therapy intervention for improved pain management (pain intensity, analgesic volume) and patient satisfaction among patients with a diagnosis of cirrhotic end-stage liver disease in the acute care setting.</AbstractText><AbstractText Label="DESIGN">The plan-do-check-act cycle served as the implementation framework. Four nurse champions were trained to implement a 30-minute music intervention. Self-selected musical selections were delivered via unit-based iPads with earbud headphones during 3 consecutive days.</AbstractText><AbstractText Label="METHODS">Data collection was performed using unit-based measures for pain and patient satisfaction and an investigator-developed audit tool. Bivariate analyses and descriptive statistics were used to assess the effect of the intervention on the three outcomes of interest.</AbstractText><AbstractText Label="RESULTS">Overall results from data collected with eight participants during a 6-week period indicated a 10% reduction in pain intensity and a 30% improvement in patient satisfaction with pain management care.</AbstractText><AbstractText Label="CONCLUSIONS">Findings from this evidence-based practice quality improvement project provide support for the effectiveness of music therapy as an adjunct to traditional pharmacologic modalities for pain management of the end-stage liver disease patient population.</AbstractText><CopyrightInformation>Copyright © 2018 American Society for Pain Management Nursing. Published by Elsevier Inc. 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Slater</name><name sortKey="Vose, Courtney" sort="Vose, Courtney" uniqKey="Vose C" first="Courtney" last="Vose">Courtney Vose</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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