Effects of Music Intervention on State Anxiety and Physiological Indices in Patients Undergoing Mechanical Ventilation in the Intensive Care Unit
Lee CH, Lee CY, Hsu MY, Lai CL, Sung YH, Lin CY, Lin LY
Biological research for nursing · 57 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Randomized controlled trial (classified by our AI screen)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2016-09-21 · Biol Res Nurs · vol. 19 · issue 2 · pp. 137–144
- Publisher
- SAGE Publishing
- Cited
- 84 citations · more than 97% of similar papers · 8.0× the field average
- Impact
- Top 10% most cited in its field
- References
- 32 works
- Access
- Paywalled
- Research areas
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Neuroscience and Music Perception
- Keywords
- Anxiety, Music therapy, Medicine, Intensive care unit, Mood, Blood pressure, Mechanical ventilation, Adverse effect, Sedation, Heart rate, Delirium, Intervention (counseling), Physical therapy, Anesthesia, Psychiatry, Internal medicine
- MeSH
- humans, music therapy, respiration, artificial, stress, psychological, anxiety, blood pressure, heart rate, adult, aged, aged, 80 and over, middle aged, intensive care units, taiwan, female, male, surveys and questionnaires, asian people
7 authors
From TW, HK
- Chiu‐Hsiang LeeChung Shan Medical University Hospital; Chung Shan Medical University
- Chien-Ying LeeChung Shan Medical University Hospital; Chung Shan Medical University
- Ming-Yi HsuChung Shan Medical University Hospital
- Chiung-Ling LaiChung Shan Medical University Hospital
- Yi-Hui SungChung Shan Medical University Hospital
- Chung‐Ying Lin · correspondingHong Kong Polytechnic University
Abstract
Patients in intensive care units (ICUs) often experience stress and anxiety. Although stress and anxiety can be pharmacologically attenuated, some drugs cause adverse side effects such as bradycardia, immobility, and delirium. There is thus a need for an alternative treatment with no substantial adverse effects. Music intervention is a potential alternative. In the present study, we used cortisol levels, subjective questionnaires, and physiological parameters to explore the anxiety-reducing effects of music intervention in a sample of ICU patients on mechanical ventilation. Patients admitted to the ICU for ≥ 24 hr were randomly assigned to the music intervention ( n = 41) or control group ( n = 44). Music group patients individually listened to music from 4:00 to 4:30 p.m.; control group patients wore headphones but heard no music for the same 30 min. Anxiety was measured using serum cortisol levels, the Chinese Version of the State-Trait Anxiety Inventory, the Visual Analogue Scale for Anxiety, heart rate, and blood pressure. After adjusting for demographics, analysis of covariance showed that the music group had significantly better scores for all posttest measures ( p < .02) and pre-post differences ( p < .03) except for diastolic blood pressure. Because of music intervention's low cost and easy administration, clinical nurses may want to use music to reduce stress and anxiety for ICU patients. A single 30-min session might work immediately without any adverse effects. However, the duration of the effect is unclear; thus, each patient's mood should be monitored after the music intervention.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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