Effects of Music and Musical Mobile on Pain and Vital Signs During Chest Tube Removal in Infants with Congenital Heart Disease

What this Trial Is About

This research aims to evaluate how music and musical mobile interventions affect pain and physiological responses during chest tube removal in infants undergoing surgery for congenital heart disease. The study focuses on infants aged 2 to 12 months and addresses concerns about pain and stress caused by this invasive procedure in pediatric intensive care. It is a randomized controlled trial conducted in a specialized cardiovascular surgery unit. Participants are randomly assigned to one of three groups a music group, a musical mobile group, or a control group receiving standard care. The music group listens to soft, slow-tempo instrumental music beginning 10 minutes before chest tube removal, continuing during the procedure, and lasting 5 minutes after. The musical mobile group experiences a combination of auditory and visual stimulation over the same time period. The control group receives routine care without these interventions. During the study, pain levels are measured using the FLACC Scale at three time points 10 minutes before chest tube removal, immediately after, and 5 minutes post-removal. Heart rate and oxygen saturation are monitored continuously, and the duration of crying during the removal is recorded. These assessments help researchers understand the effects of multisensory distraction on pain and physiological stability. The study lasts from screening through the procedure and immediate post-procedure monitoring, with data analyzed statistically to assess outcomes.

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