Clinical study on the combination of Five Elements music therapy and early graded rehabilitation training in preventing delirium in ICU patients
五行音乐疗法联合早期分级康复训练在预防ICU患者谵妄发生的临床研究

摘要

目的 探讨五行音乐疗法联合早期分级康复训练在ICU谵妄预防中的效果。方法 选取2024年1月至2024年12月某三甲医院综合及专科ICU患者200例，随机分为对照组（n=100例，常规护理）与观察组（n=100例，五行音乐疗法联合早期分级康复训练）。对比两组谵妄发生情况、躁动镇静评分、肌力情况、疼痛情况、住院时间及费用。结果 观察组CAM-ICU、VAS评分、住院时间及费用均低于对照组，RASS、肌力评分高于对照组（P＜0.05）。结论 五行音乐疗法联合早期分级康复训练可有效改善ICU患者病情，缩短住院时间，降低谵妄发生率，促进患者机体恢复。

Abstract

Objective To explore the effect of five element music therapy combined with early graded rehabilitation training in the prevention of delirium in ICU.
Methods Select 200 patients from the comprehensive and specialized ICU of a tertiary hospital from January 2024 to December 2024, and randomly divide them into a control group (n=100, receiving routine care) and an observation group (n=100, receiving five element music therapy combined with early graded rehabilitation training). Compare the occurrence of delirium, agitation sedation score, muscle strength, pain, hospital stay, and cost between two groups.
Results The observation group had lower CAM-ICU, VAS scores, length of hospital stay, and costs compared to the control group, RASS、 The muscle strength score was higher than that of the control group (P<0.05).
Conclusion   The combination of Five Elements music therapy and early graded rehabilitation training can effectively improve the condition of ICU patients, shorten hospitalization time, reduce the incidence of delirium, and promote patient recovery.