Effect of music therapy on ICU induced anxiety and physiological parameters among ICU patients: An experimental study in a tertiary care hospital of India

Chahal, Jaskirat Kaur; Sharma, Pallavi; Sulena,; Rawat, HC

doi:10.1016/j.cegh.2021.100716

Cited by 6 publications

(9 citation statements)

References 18 publications

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“…These findings provide insights into the effects of psychological treatment against depression [ 10 ]. However, previous studies with music therapy have shown that music therapy has a stabilizing and relaxing effect on both the infant’s general behavioral status and physiological parameters such as oxygen saturation, heart rate and respiratory rate [ 11 , 12 , 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Music Therapy on Vital Signs in Children with Chronic Disease

Kobus

Buehne

Kathemann

et al. 2022

IJERPH

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Background: Recent research found evidence supporting music therapy for hospitalized children with chronic diseases. The aim of this study was to investigate the effect of music therapy on hospitalized children’s vital signs. Methods: In this prospective study, children with chronic gastroenterological and nephrological diseases received active or receptive music therapy two to four times a week until discharge from hospital at the pediatric special care unit (SCU) and pediatric intensive care unit (ICU). Baseline and post-therapy heart rate, oxygen saturation and blood pressure were recorded and analyzed as control values at three points on the same day when the children were alone in their patient room at rest. Results: A total of 83 children, median 3 age of years (range one month to eighteen years) received music therapy. In total, 377 music therapy sessions were treated: 200 receptive therapy (78 ICU, 122 SCU) and 177 with active therapy (0 ICU, 177 SCU). Music therapy interventions showed changes in vital signs during music therapy sessions. After music therapy, heart rates decreased by 18 beats per minute (95% confidence interval (CI), −19.4 to (−16.8)), oxygen saturation increased by 2.3% (95% CI, 2.2 to 2.5), systolic blood pressure decreased by 9.2 (95% CI, −10.6 to −7.7) and diastolic blood pressure decreased by 7.9 (95% CI, −9.6 to −6.3). When music therapy was applied at the SCU (ICU), heart rates significantly reduced by 17.9 (18.9) beats per min, oxygen saturation increased by 2.4% (2.1%) and blood pressure reduced by 9.2 (2.8) mmHg (systolic) and 7.9 (0.3) mmHg (diastolic). Almost all control values were better than directly before the intervention. However, after music therapy intervention, the children showed better values in vital signs compared to being alone in their patient room. Conclusion: Music therapy is an added value for children with kidney and liver/gastrointestinal diseases during their hospital stay.

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Section: Introductionmentioning

confidence: 99%

Effects of Music Therapy on Vital Signs in Children with Chronic Disease

Kobus

Buehne

Kathemann

et al. 2022

IJERPH

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“…Other bias: For this category, explanations such as baseline characteristics of participants, data collection procedures, funding of a trial, sample size and conflict of interest were examined. The studies were judged to have ‘unclear’ risk if missing one of these explanations, and ‘high’ risk if missing more than one; thus, nine studies had low risk (Chahal et al, 2021; Chlan et al, 2013; Elay & Özkaya, 2020; Han et al, 2010; Johnson et al, 2018; Korhan et al, 2011; Kurt & Çelik, 2019; Lee et al, 2017; Sanjuán Naváis et al, 2013). …”

Section: Resultsmentioning

confidence: 99%

“…Table 2 presents the characteristics of 25 RCTs/CCTs conducted in nine countries (United States = 5; Turkey = 11; China = 3; Taiwan = 1, Australia = 1; Netherlands = 1; Spain = 1; Canada = 1; and India = 1) arranged chronologically by year of publication from 1998 to 2021 (Ames et al, 2017; Beaulieu‐Boire et al, 2013; Chahal et al, 2021; Chiasson et al, 2013; Chlan, 1998; Chlan et al, 2013; Çiftçi & Öztunç, 2015; Ciğerci & Özbayır, 2016; Cooke et al, 2010; Dijkstra et al, 2010; Elay & Özkaya, 2020; Güngör Çağlar, 2018; Han et al, 2010; İzan & Birgili, 2020; Johnson et al, 2018; Kıray, 2019; Korhan et al, 2011; Kurt & Çelik, 2019; Lee et al, 2005; Lee et al, 2017; Özer et al, 2013; Sanjuán Naváis et al, 2013; Uzelli Yılmaz et al, 2016; Wong et al, 2001; Yaman Aktaş & Karabulut, 2016). Although articles in English were more prominent among those identified in the search, articles in Turkish and Spanish were also present.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 10 studies were excluded from the meta‐analysis; six studies had high‐risk assessments of four or more items according to RoB (Chlan, 1998; Çiftçi & Öztunç, 2015; Ciğerci & Özbayır, 2016; İzan & Birgili, 2020; Özer et al, 2013; Yaman Aktaş & Karabulut, 2016), and four studies had missing data that prevented them from being included in a meta‐analysis (authors were contacted but no response was received or data could not be determined with the RevMan calculator) (Beaulieu‐Boire et al, 2013; Chlan et al, 2013; Johnson et al, 2018; Korhan et al, 2011). Selection bias: 13 studies had detailed descriptions of randomisation, such as computer‐generated randomisation lists and random number tables (Ames et al, 2017; Beaulieu‐Boire et al, 2013; Chahal et al, 2021; Chlan, 1998; Chlan et al, 2013; Dijkstra et al, 2010; Han et al, 2010; Kıray, 2019; Kurt & Çelik, 2019; Lee et al, 2005; Sanjuán Naváis et al, 2013; Uzelli Yılmaz et al, 2016; Wong et al, 2001). Allocation concealment: Six studies reported using opaque envelopes to meet the standards for allocation concealment methods (Ames et al, 2017; Beaulieu‐Boire et al, 2013; Chlan et al, 2013; Elay & Özkaya, 2020; Kıray, 2019; Sanjuán Naváis et al, 2013), while 11 studies were considered ‘unclear’(Chahal et al, 2021; Chiasson et al, 2013; Chlan, 1998; Cooke et al, 2010; Güngör Çağlar, 2018; Han et al, 2010; Johnson et al, 2018; Korhan et al, 2011; Lee et al, 2005; Lee et al, 2017; Wong et al, 2001).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 10 studies were excluded from the meta-analysis; six studies had high-risk assessments of four or more items according to RoB (Chlan, 1998 4. Attrition bias: Most of the studies (n = 12) provided full information or complete outcome data (Ames et al, 2017;Beaulieu-Boire et al, 2013;Chahal et al, 2021;Chiasson et al, 2013;Ciğerci & Özbayır, 2016;Cooke et al, 2010;Dijkstra et al, 2010;Han et al, 2010;İzan & Birgili, 2020;Kıray, 2019;Sanjuán Naváis et al, 2013;Uzelli Yılmaz et al, 2016), this situation was evaluated as 'unclear' for 11 studies (Wong et al, 2001;Lee et al, 2005;Lee et al, 2011;Korhan et al, 2011;Chlan et al, 2013;Özer et al, 2013;Çiftçi & Öztunç, 2015;Yaman Aktaş & Karabulut, 2016;Güngör Çağlar, 2018;Kurt & Çelik, 2019;Elay & Özkaya, 2020).…”

Section: Risk Of Biasmentioning

confidence: 99%

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The effectiveness of music interventions on stress response in intensive care patients: A systematic review and meta‐analysis

Erbay

Bozkurt

Yıldırım

2022

Journal of Clinical Nursing

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Aim and objective To investigate the effectiveness of music interventions on physiological and psychological stress response in intensive care unit (ICU) patients. Background ICU patients are exposed to several physiological and psychological stressors during their treatments. Music interventions can be implemented to control these negative effects. Design Systematic review and meta‐analysis conducted according to PRISMA Guidelines. Method Seven electronic literature databases, reference lists of similar reviews, grey literature and the Clinical Trials Registry were searched for potential studies up to 30 January 2022. Studies were expected to meet PICOS inclusion criteria. Two reviewers independently assessed the risk of bias of the included studies by using the Cochrane Collaboration tool. Overall, meta‐analysis and subgroup analyses (comparator group and music session frequency) were performed using RevMan 5.4. Meta‐analysis was conducted when data were available; otherwise, a narrative description was provided. Results Twenty‐five articles were included in this meta‐analysis. Across all studies, regardless of the comparator, music was found to significantly reduce anxiety scores with an SMD of 1.81 ([95% CI: −3.09,‐0.53]; p = .006). Music was found to significantly reduce anxiety scores with an SMD of 1.97 (95% CI: −3.66, −0.28) compared to standard care (p = .02), but there was no significant change in anxiety scores in comparison with the noise cancellation group (p > 0.05). It was found that multiple music sessions reduced the anxiety level better than a single music session. Music had no effect the systolic/diastolic blood pressure, respiratory or heart rate level in both subgroup and general analyzes concerning the physiological stress (p > 0.05). Conclusions Music interventions involving multiple sessions can be used as a nursing intervention to control the anxiety levels of ICU patients. Relevance to the clinical practice Using music to reduce anxiety and stress levels may reduce the pharmacological need (for sedative or antipsychotic medications) and the risk of associated side effects in ICU patients.

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An in-depth analysis of music structure and its effects on human body for music therapy

Pingle,

Ragha

2023

Multimed Tools Appl

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Effect of music therapy on ICU induced anxiety and physiological parameters among ICU patients: An experimental study in a tertiary care hospital of India

Cited by 6 publications

References 18 publications

Effects of Music Therapy on Vital Signs in Children with Chronic Disease

Effects of Music Therapy on Vital Signs in Children with Chronic Disease

The effectiveness of music interventions on stress response in intensive care patients: A systematic review and meta‐analysis

An in-depth analysis of music structure and its effects on human body for music therapy

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