The effects of music therapy on peripherally inserted central catheter in hospitalized children with leukemia

Abstract

Aim:

To explore the effect of music therapy on children with leukemia who have peripherally inserted central catheters (PICC).

Method:

In this study, we divided 107 patients undergoing PICC into music group (47 cases) and control group (60 cases). The music group received music therapy during PICC, while the control group was given no complementary treatment. The total length of catheterization, the use of sedatives and the changes of pain level and emotion level before and after PICC placement were compared between two groups.

Results:

Compared with the control group, the total PICC placement time of the music group was significantly shorter (35(30–40) vs. 60(60–60); Z = −8.307; p < 0.001), and the use of sedative medications was also significantly reduced (4.35% (n = 2) vs. 91.84% (n = 45); p < 0.001). Moreover, the pain of catheterization was significantly alleviated. The median difference of pain scores of the music group was significantly less (2(1–3) vs. 5(5–5); p < 0.001). The mood of patients was also improved. The median difference of emotional scores of the music group was significantly more (5(4.75–6) vs. 3(3–3); p < 0.001) than the control group.

Conclusions:

Music therapy is effective to use in PICC. It can shorten the treatment time, reduce the use of sedative medications, and improve the children’s emotion and pain response significantly, which is worth clinical application.

Keywords:

• mood management
• music therapy
• pain management
• pediatric leukemia
• PICC

Disclosure statement

The authors declare no conflict of interest.

Funding

This research was funded by the Science and Technology Planning Project of Guangdong Province, China (Grant No. 2015A020210041), Open Fund of Laboratory, Sun Yat-sen University (201902102), Scientific Research youth project of Humanistic Nursing Committee of China Life Care Association (RW2016AQ05), the Science and Technology Planning Project of Guangdong Province, China (Grant No. 2020B1010010003), the Youth Talent Promotion project of Guangzhou Association for Science and Technology (Grant No. X20210201015), the Guangdong Basic and Applied Basic Research Foundation [Grant No.2020A1515010282].