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Efecto de intervenciones musicoterapéuticas sobre prevención del delirium en UCI

Effect of music therapy interventions on delirium prevention in ICU



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Bojacá B, L. C., Ortiz O, J. A., & Pérez P, C. A. (2023). Efecto de intervenciones musicoterapéuticas sobre prevención del delirium en UCI. Revista Avances En Salud, 7(1), 9-25. https://doi.org/10.21897/25394622.3488

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Laura Cristina Bojacá B,

Médica general. M.Sc. en Musicoterapia, Universidad Nacional de Colombia


Juan Alberto Ortiz O,

Médico general. M.Sc. en Musicoterapia, Universidad Nacional de Colombia.


César Alberto Pérez P,

Médico. Esp. en Cardiología, UCI adultos, Hospital Universitario de Neiva. 


Objetivo: Identificar la efectividad de las intervenciones musicoterapéuticas sobre la prevención del delirium en individuos con factores de riesgo internos en la UCI, a favor de la modulación de constantes vitales, el menor requerimiento de Ventilación Mecánica Invasiva (VMI) y el bienestar de los participantes. Métodos: Esta investigación corresponde a un estudio pre-experimental, de carácter cualitativo, caracterizado por la aplicación de tests para delirium pre y post-intervención (CAM-ICU y equivalentes sonoromusicales), el registro de constantes vitales antes y después de la sesión, la determinación de la necesidad de VMI, la valoración de 6 categorías de análisis aplicables a cada sesión, la recolección de percepciones personales sobre la terapia y la valoración de productos sonoro-musicales. Resultados: Ninguno de los 7 participantes expuestos a la intervención presentó delirium (uno de ellos en estado post delirium), 6 de ellos no requirieron de VMI (excepto por un individuo que decidió retirarse del estudio con posterior necesidad de VMI) y se generaron 3 productos sonoromusicales que expusieron la búsqueda y alcance de bienestar en el transcurso de las sesiones. Conclusión: De dicha estrategia y su aplicación variada en cantidad, frecuencia y duración, se concluye que favorece la prevención del delirium en la UCI, disminuye, indirectamente, la necesidad de VMI y aporta positivamente al bienestar de los participantes; sin embargo, aún hay falta de consenso en cuanto a la dosificación de la terapia y existe la necesidad de más estudios con rigurosidad metodológica y su reproducción en otros escenarios clínicos.


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