Funded in part by Kimberly-Clark
Music Listening Among Postoperative Patients in the Intensive Care Unit: A Randomized Controlled Trial with Mixed-Methods Analysis
Ames N, Shuford R, Yang L, Moriyama B, Frey M, Wilson F, Sundaramurthi T, Gori D, Mannes A, Ranucci A, Koziol D, Wallen GR
Integrative medicine insights · 25 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
- Industry funded
- Company
- Kimberly-Clark
Based on 1 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2017-01-01 · Integr Med Insights · vol. 12 · p. 1178633717716455
- Publisher
- SAGE Publishing
- Cited
- 45 citations · more than 94% of similar papers · 4.4× the field average
- Impact
- Top 10% most cited in its field
- References
- 51 works
- Access
- Open access (free to publish) · CC-BY
- Research areas
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Family and Patient Care in Intensive Care Units
- Keywords
- Active listening, Distress, Randomized controlled trial, Music therapy, Anxiety, Intensive care unit, Psychological intervention, Medicine, Intervention (counseling), Psychology, Physical therapy, Anesthesia, Clinical psychology, Psychiatry, Psychotherapist, Internal medicine
12 authors
From US
- Nancy J. Ames · correspondingNational Institutes of Health Clinical Center
- Rebecca L. ShufordNational Institutes of Health Clinical Center
- Li YangNational Institutes of Health Clinical Center
- Brad MoriyamaNational Institutes of Health Clinical Center
- Meredith C. FreyNational Institutes of Health Clinical Center
- Florencia WilsonNational Institutes of Health Clinical Center
Abstract
Background
Music listening may reduce the physiological, emotional, and mental effects of distress and anxiety. It is unclear whether music listening may reduce the amount of opioids used for pain management in critical care, postoperative patients or whether music may improve patient experience in the intensive care unit (ICU).
Methods
A total of 41 surgical patients were randomized to either music listening or controlled non-music listening groups on ICU admission. Approximately 50-minute music listening interventions were offered 4 times per day (every 4-6 hours) during the 48 hours of patients' ICU stays. Pain, distress, and anxiety scores were measured immediately before and after music listening or controlled resting periods. Total opioid intake was recorded every 24 hours and during each intervention.
Results
There was no significant difference in pain, opioid intake, distress, or anxiety scores between the control and music listening groups during the first 4 time points of the study. However, a mixed modeling analysis examining the pre- and post-intervention scores at the first time point revealed a significant interaction in the Numeric Rating Scale (NRS) for pain between the music and the control groups (P = .037). The Numeric Rating Score decreased in the music group but remained stable in the control group. Following discharge from the ICU, the music group's interviews were analyzed for themes.
Conclusions
Despite the limited sample size, this study identified music listening as an appropriate intervention that improved patients' post-intervention experience, according to patients' self-report. Future mixed methods studies are needed to examine both qualitative patient perspectives and methodology to improve music listening in critical care units.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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