Role of Music in Alleviating Procedural Pain in Neonates
Bhavana Bhushan Lakhkar, Mallanagouda Madappagouda Patil
Abstract
Aim: To observe the effects of music therapy on pain relief in neonates and compare the effects of instrumental music and vocal music during IV cannulation in the NICU
Materials and Methods: This prospective interventional study enrolled 66 term neonates requiring IV cannulation. Neonates were randomly distributed into music intervention groups A and B (23 in each), where vocal music and instrumental (sitar) music were used, respectively, and control group C (20 neonates), where no music intervention was used. The Neonatal Infant Pain Scale was used for baseline and postprocedure pain scoring. The mean postprocedure scores and rise in pain scores were compared between the groups.
Results: The mean initial pain scores of the 3 groups were 1.2, 1.3, and 0.9, respectively, and the mean postprocedure pain scores were 4.5, 4.4, and 5.8, respectively. The mean postprocedure pain scores in both the music intervention groups were lower than that in the control group (P < .05). The mean rise in pain score in both the music intervention groups was significantly less than that in the control group. The mean postprocedure pain score in the vocal music group was higher than that in the instrumental music group, though the statistical significance could not be proven.
Conclusion: Music is a very effective modality for pain management in neonates. Instrumental music appears to have more benefits over vocal music.
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