Music and biological stress dampening in mechanically-ventilated patients at the intensive care unit ward—a prospective interventional randomized crossover trial

Beaulieu-Boire, Genevieve; Bourque, Solange; Chagnon, Frédéric; Chouinard, Lucie; Gallo‐Payet, Nicole; Lesur, Olivier

doi:10.1016/j.jcrc.2013.01.007

Cited by 69 publications

(62 citation statements)

References 34 publications

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“…Music affects the right hemisphere of the brain and causes psychophysiological responses through the limbic system. It also results in the reduction of pain intensity by causing encephalin and endorphin release [10, 15, 16]. A recent study on 66 mechanically ventilated patients reported that pain scores during ES were lower in the music group than in the control group [19].…”

Section: Discussionmentioning

confidence: 99%

“…Music increases release of endorphins, the body’s endogenous morphine. Furthermore, music primarily activates the right hemisphere of the brain, leading to the secretion of dopamine, noradrenalin, encephalin, and endorphin, transmitters that trigger many beneficial psycho-physiological responses via the limbic system [15, 16]. In a systematic review, it was reported that relaxing music in ICUs and medical-surgical areas reduced patient pain [10].…”

Section: Introductionmentioning

confidence: 99%

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Relief of Procedural Pain in Critically Ill Patients by Music Therapy: A Randomized Controlled Trial

Aktaş

Karabulut

2019

Complement Med Res

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Background: This study aimed to determine the effectiveness of music listening for procedural pain relief using two different observational pain tools during endotracheal suctioning. Materials and Methods: This study was a randomized controlled trial. The sample of the study included 98 patients with mechanical ventilation support who met the selection criteria. The patients were randomly assigned to control and music therapy groups. Patients in the control group were routinely suctioned as usual. Patients in the music group received music therapy 20 min before, during, and 20 min after endotracheal suctioning. The primary outcome was the pain relief during suctioning. Results: Forty patients in each arm completed the study. Pain scores in the Critical Care Pain Observation Tool and Behavioral Pain Scale were lower in the music group than in the control group during endotracheal suctioning (group: F = 14.85, p = 0.000; F = 9.04, p = 0.000, respectively). It was also found to be a significant interaction effect between the groups and time (group × time: F = 17.35, p = 0.000; F = 18.00, p = 0.000, respectively). Conclusion: The Critical Care Pain Observation Tool and Behavioral Pain Scale in the current study generally demonstrated similar pain scores during the painful procedure. Our findings support that music therapy may act as a nonpharmacological therapy to relieve procedural pain in patients on mechanical ventilation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Relief of Procedural Pain in Critically Ill Patients by Music Therapy: A Randomized Controlled Trial

Aktaş

Karabulut

2019

Complement Med Res

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“…On a neurophysiological level, listening to music may reduce anxiety through suppressive action on the sympathetic nervous system [10]. Additionally, its pain-reducing and mood-enhancing effects have been attributed to amygdala mediation [11,12]. Cognitively, music helps patients focus their attention away from stressful events to something pleasant and soothing.…”

Section: Introductionmentioning

confidence: 99%

The impact of music therapy versus music medicine on psychological outcomes and pain in cancer patients: a mixed methods study

Bradt

Potvin

Kesslick

et al. 2014

Support Care Cancer

168

145

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“…Nursing is a job with a high level of stress, especially in some wards such as intensive care unit (ICU), coronary care unit (CCU), and dialysis unit (1,2). The crucial responsibilities of ICU and CCU nurses, operating with highly developed technologies, and necessitating fast decision making in ICU patients, excessive workload (3), management styles, managerial skills, professional disagreement, and the emotional cost of caring (4)(5)(6) are the remarkable characteristics of the job of ICU nurses.…”

Section: Introductionmentioning

confidence: 99%

Stress Among Iranian Nurses in Critical Wards

Hashemian¹,

Farzanegan²,

Fathi³

et al. 2015

Iran Red Crescent Med J

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Background: Stress has been recognized as a significant psychosocial and physiologic component in educational and practical processes. Objectives:The purpose of present study was to survey stress among Iranian nurses in critical wards. Patients and Methods:In this cross-sectional study, 3643 anonymous questionnaires were disseminated among nurses in different hospitals in Tehran, Iran, by utilizing multistage random sampling. The questionnaire consisted of two sections: demographic characteristics and a 22-item list on a five-point Likert scale. The association of variables with stress was evaluated using hierarchical logistic regression. Results: A total of 3043 completed questionnaires were completed and returned (response rate, 83.53%). Age (> 33 years, 1571 (51.63%); < 33 years old, 1472 (48.37%)), marital status (single, 188 (6.18%); married, 2685 (88.24%); and widow, 170 (5.59%)), working shift (morning, 605 (19.88%); evening, 631 (20.74%); night, 603 (19.82%); and rotation, 1204 (39.57%)), and the years of experience of nurses (1 -5 years, 413 (13.57%); 6 -10 years, 589 (19.36%); 11 -15 years, 832 (27.34%); 16 -20 years, 758 (24.91%); and 21-25 years, 451 (14.82%)) had significant association with the level of stress (P < 0.05 for all parameters). However, sex (male, 937 (30.79%); and female, 2106 (69.21%)), education (associate, 444 (14.59%); baccalaureate, 2250 (73.94%); and master, 349 (11.47%)), and body mass index (> 24.6 kg/m 2 , 2514 (49.75%); and < 24.6 kg/m 2 , 1529 (50.25%)) showed no significant association with the level of stress (P > 0.05 for all parameters). Conclusions: Considering the personal and background characteristics of personnel and understanding their association with stress and stressful situations encompasses the ability to persevere and adapt to contextual stressors.

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Music and biological stress dampening in mechanically-ventilated patients at the intensive care unit ward—a prospective interventional randomized crossover trial

Cited by 69 publications

References 34 publications

Relief of Procedural Pain in Critically Ill Patients by Music Therapy: A Randomized Controlled Trial

Relief of Procedural Pain in Critically Ill Patients by Music Therapy: A Randomized Controlled Trial

The impact of music therapy versus music medicine on psychological outcomes and pain in cancer patients: a mixed methods study

Stress Among Iranian Nurses in Critical Wards

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