The Effect of Music and Musical Mobile Interventions on Pain and Physiological Parameters

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age2-12
SponsorBaskent University

About this trial

Chest tube removal in infants undergoing surgery for congenital heart disease is an invasive procedure associated with significant pain and physiological stress responses. This randomized controlled trial evaluates the effects of music and musical mobile interventions on pain and physiological parameters during chest tube removal. A total of 54 infants aged 2-12 months are randomly assigned to music, musical mobile, or control groups. Pain is assessed using the FLACC scale, and physiological parameters (heart rate and oxygen saturation \[SpO₂\]) are monitored. Measurements are obtained at predefined time points: periprocedural (10 minutes before chest tube removal, immediately after removal, and 5 minutes post-removal). The findings aim to support evidence-based non-pharmacological pain management in pediatric intensive care settings.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Infants aged 2 to 12 months

Undergoing surgery due to congenital heart disease

Having a single chest tube

Not receiving mechanical ventilation support

Disqualifiers

Receiving mechanical ventilation support

Administration of analgesics within 2 hours prior to chest tube removal

Presence of a neurodevelopmental disorder

Parent(s) do not consent to participate in the study

Trial design

Design model

Parallel

Treatments tested in this trial

  • Music Group

    Behavioral

    Soft, slow-tempo instrumental music will be played starting 10 minutes before chest tube removal, continued during the procedure, and maintained for 5 minutes after the procedure.

  • Musical Mobile Group

    Behavioral

    A musical mobile providing audio-visual stimulation (soft, slow-tempo instrumental music with visual movement) will be used starting 10 minutes before the procedure, during, and for 5 minutes after.

Treatment groups

54 Participants
are divided into 3 treatment groups
Group A: Music GroupExperimental treatment 1 intervention
Group B: Musical Mobile GroupExperimental treatment 1 intervention
Group C: Control GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Pain level assessed by FLACC Scale

Pain will be evaluated using the FLACC (Face, Legs, Activity, Cry, Consolability) Scale. Scores range from 0 to 10, with higher scores indicating greater pain intensity.

Time frame
[Time Frame: Periprocedural (10 minutes before chest tube removal, immediately after removal, and 5 minutes post-removal)]

Secondary outcomes

1

Heart rate

Heart rate will be monitored and recorded at specified time points using a bedside monitor.

Time frame
[Time Frame: Periprocedural (10 minutes before chest tube removal, immediately after removal, and 5 minutes post-removal)]
2

Oxygen saturation (SpO₂)

Oxygen saturation will be measured using a bedside monitor and recorded at specified time points.

Time frame
[Time Frame: Periprocedural (10 minutes before chest tube removal, immediately after removal, and 5 minutes post-removal)]
3

Crying Duration

Crying duration will be recorded in seconds throughout the chest tube removal procedure.

Time frame
Time Frame: Periprocedural (during chest tube removal procedure)]

Other outcomes

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