Impact of an Active Music Therapy Intervention on Intensive Care Patients
Golino AJ, Leone R, Gollenberg A, Christopher C, Stanger D, Davis TM, Meadows A, Zhang Z, Friesen MA
American journal of critical care : an official publication, American Association of Critical-Care Nurses · 49 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
- Controlled clinical 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
- 2019-01-01 · Am J Crit Care · vol. 28 · issue 1 · pp. 48–55
- Publisher
- American Association of Critical-Care Nurses
- Cited
- 89 citations · more than 98% of similar papers · 8.6× the field average
- Impact
- Top 10% most cited in its field
- References
- 18 works
- Access
- Paywalled
- Research areas
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Family and Patient Care in Intensive Care Units
- Keywords
- Music therapy, Medicine, Anxiety, Intervention (counseling), Physical therapy, Psychological intervention, Respiratory rate, Intensive care unit, Heart rate, Intensive care, Population, Relaxation Therapy, Relaxation (psychology), Intensive care medicine, Blood pressure, Nursing, Internal medicine, Psychiatry
- MeSH
- humans, pain, critical illness, relaxation, music therapy, critical care, anxiety, heart rate, music, adult, aged, aged, 80 and over, middle aged, female, male, young adult, respiratory rate, pain management
9 authors
From US
- Amanda J. GolinoUniversity of California, Riverside
- Raymond LeoneUniversity of California, Riverside
- Audra GollenbergUniversity of California, Riverside
- Catherine ChristopherUniversity of California, Riverside
- Debra StangerUniversity of California, Riverside
- Theresa DavisUniversity of California, Riverside
Abstract
Background
Nonpharmacological interventions appear to benefit many patients and do not have the side effects commonly associated with medications. Music-based experiences may benefit critical care patients.
Objective
To examine the effect of an active music therapy intervention on physiological parameters and self-reported pain and anxiety levels of patients in the intensive care unit.
Methods
A study was conducted using a pretest-posttest, within-subject, single-group design. The study population consisted of a convenience sample of 52 patients. Study participants received a 30-minute music therapy session consisting of either a relaxation intervention or a "song choice" intervention. The music therapist recorded the patients' vital signs before and after the intervention, and patients completed self-assessments of their pain and anxiety levels before and after the intervention.
Results
After the intervention, significant decreases (all P < .001) were found in respiratory rate (mean difference, 3.7 [95% CI, 2.6-4.7] breaths per minute), heart rate (5.9 [4.0-7.8] beats per minute), and self-reported pain (1.2 [0.8-1.6] points) and anxiety levels (2.7 [2.2-3.3] points). No significant change in oxygen saturation level was observed. Outcomes differed between the 2 intervention groups: patients receiving the relaxation intervention often fell asleep.
Conclusions
The results of this study support active music therapy as a nonpharmacological intervention in intensive care units. This study may lay the groundwork for future research on music therapy in critical care units using larger, more diverse samples.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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