Effects of Therapist Positioning within Patient Preferred Live Music on Positive and Negative Affect, Pain, and Trust in the Therapist with Adults on a Cardiovascular Unit: A Three-Group Randomized Pilot Effectiveness Study
DOI :
https://doi.org/10.15845/voices.v20i1.2710Mots-clés :
music therapy, patient preferred live music, therapist position, cardiovascular, positive and negative affect, pain, trust in the therapistRésumé
Effets du positionnement du musicothérapeute entre musique en direct préférée des patients sur l'affect, la douleur, et confiance: Une étude pilote randomisée en trois groups
Contexte: Bien que la musique en direct préférée des patients (MDPP) puisse être une musique efficace intervention thérapeutique pour l'humeur et la douleur chez des patients médicaux hospitalisés, il y a un manque de littérature concernant le positionnement du thérapeute dans les interventions de MDPP.
Objectif: Le but de cette étude pilote randomisée était de déterminer les effets du positionnement du thérapeute au sein du MDPP sur l'affect positif et négatif, la douleur et la confiance chez le thérapeute avec des adultes sur une unité cardiovasculaire.
Méthodes: Les participants (N = 27) ont été assignés l'une des trois conditions en seances individuelles: MDPP livré avec le thérapeute assis, MDPP livré avec le thérapeute debout, ou contrôle des listes d'attente. Les effets positifs et négatifs ont été mesurés avec l'échelle globale de l'humeur, la douleur a été mesurée avec une échelle de type Likert à 10 points, et la confiance dans le thérapeute a été mesurée avec l'échelle de confiance des médecins de Wake Forest.
Résultats: Les résultats n'ont indiqué aucune différence significative entre les groupes dans l'affect positif, affect négatif ou douleur. Les participants témoins avaient tendance à avoir les résultats moyens affectent les résultats positifs apres-teste et les effets négatifs légèrement supérieurs scores de douleur, indiquant que les deux conditions MDPP ont eu des résultats plus favorables que la condition de contrôle. Quel que soit le positionnement du thérapeute, les statistiques descriptives l'affect et la douleur étaient plus favorables après MDPP. Concernant la confiance dans le thérapeute, il n'y avait aucune différence entre les conditions de position assise et debout.
Conclusion: Quel que soit le positionnement du thérapeute, une seule séance de MDPP peut être une intervention efficace pour améliorer immédiatement les effets positifs et négatifs et la douleur pour les patients hospitalisés adultes sur une unité cardiovasculaire. Pour conclure cette étude pilote, limites, implications pour la pratique clinique et recommandations pour les investigations en future.
Mots-clés: musicothérapie, musique live préférée des patients, position du thérapeute, affections cardiovasculaires, positives et négatives, douleur, confiance dans le thérapeute
Traduit par Danielle Jakubiak
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