The effect of music on biochemical markers and self-perceived stress among first-line nurses: a randomized controlled crossover trial

Lai, Hui‐Ling; Li, Yin-Ming

doi:10.1111/j.1365-2648.2011.05670.x

Cited by 65 publications

(89 citation statements)

References 39 publications

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“…Listening to relaxing music: reduces biochemical markers of stress (Lai & Li, 2011), depression and disability (Siedliecki & Good 2006); promotes sleep and relaxation (Su, 2012), quality of life (Lee, 2011), comfort andanalgesia (Li et al, 2013); reduces heart rate, blood pressure, body temperature, respiration rate and pain (Deng et al 2005, Korczak et al 2013; stimulates EEG alpha waves, which are related to endorphin release, relaxation, pain relief, and lowered blood pressure, heart rate (Demir, 2012).…”

Section: Pain Management In the Icumentioning

confidence: 99%

“…The main goals of pain management in ICUs are to provide adequate analgesia during mechanical ventilation and minimize distress or discomfort, while preserving or improving oxygenation and hemodynamic and respiratory functions (Yagan, White, and Staab 2000, Beaulieu-Boire et al 2013). If pain is not detected or is not relieved efficiently, patient recovery may be delayed or hemodynamic, psychological, and behavioural parameters disturbed Listening to relaxing music: reduces biochemical markers of stress (Lai & Li, 2011), depression and disability (Siedliecki & Good 2006); promotes sleep and relaxation (Su, 2012), quality of life (Lee, 2011), comfort and analgesia (Li et al, 2013); reduces heart rate, blood pressure, body temperature, respiration rate and pain (Deng et al 2005, Korczak et al 2013; stimulates EEG alpha waves, which are related to endorphin release, relaxation, pain relief, and lowered blood pressure, heart rate (Demir, 2012). …”

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confidence: 99%

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Effects of Natural Sounds on Pain: A Randomized Controlled Trial with Patients Receiving Mechanical Ventilation Support

Saadatmand

Rejeh

Heravi‐Karimooi

et al. 2015

Pain Management Nursing

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Background: Non-pharmacological pain management in patients receiving mechanical ventilation support in critical care units is under-investigated. Natural sounds may help reduce the potentially harmful effects of anxiety and pain in hospitalized patients.Aims: This article examines the effect of pleasant, natural sounds on self-reported pain in patients receiving mechanical ventilation support.Design: A pragmatic parallel arm randomised controlled trial. Settings:A general adult ICU of a high turnover teaching hospital, Tehran, Iran. Participants/Subjects: Sixty patients receiving mechanical ventilation supportMethods: Between Oct 2011 and June 2012, we recruited sixty patients receiving mechanical ventilation support to intervention (n=30), and control arms (n=30) of a pragmatic parallel group randomized controlled trial. Participants in both arms wore headphones for 90 minutes. Those in the intervention arm heard pleasant natural sounds, while those in the control arm heard nothing.Outcome measures included the self-reported Visual Analog Scale (VAS) for pain at baseline, and 30, 60, 90 minutes into the intervention and 30 minutes after the intervention.Results: All those approached agreed to participate. The trial arms were similar at baseline. In the intervention arm, pain scores fell and were significantly lower than in the control arm at each time point (p < 0. 05). Conclusions:Administration of pleasant natural sounds via headphones is a simple, safe, nonpharmacologic nursing intervention that may be used to allay pain for up to 120 minutes in patients receiving mechanical ventilation support.Key words: mechanical ventilation, nurse, nursing, pain, randomised controlled trial, sounds. 2 BackgroundPain is the fifth vital sign. Its management is central to the care of critically ill patients, but is sometimes misunderstood and poorly executed by nurses (Aslan et al. 2003, Summer & Puntillo et al. 2001, Shannon & Bucknall 2003, Higgins et al. 2004, Gélinas et al. 2004, Gélinas et al. 2006. Pain is frequently a barrier to caring, haemodynamic stability and healing (Cullen et al. 2001).The need for mechanical ventilation, to maintain adequate oxygenation and protect the airway, is one of the principal reasons for admission to Intensive Care Units (ICUs). Many medical conditions, critical illnesses and critical care procedures, such as intubation, suction, immobilization, repositioning, and invasive monitoring evoke pain (Stanik-Hutt 2003, Kwekkeboom & Herr 2001. Respiratory distress, hypoxemia, and mechanical ventilation, particularly the presence of endotracheal tubes and airway suctioning, may also induce anxiety, in addition to pain and discomfort (Tracy & Chlan 2011, Nelson et al. 2004, Costa et al. 2006, Pun & Dunn 2007. Therefore, provision of adequate care to mechanically ventilated patients usually entails administration of opioids not only to decrease pain and discomfort, but also tominimize the anxiety, tachypnoea and hypertension associated with the unpleasant experiences of endotracheal...

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Section: Pain Management In the Icumentioning

confidence: 99%

mentioning

confidence: 99%

Effects of Natural Sounds on Pain: A Randomized Controlled Trial with Patients Receiving Mechanical Ventilation Support

Saadatmand

Rejeh

Heravi‐Karimooi

et al. 2015

Pain Management Nursing

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“…Expressive writing has been found to be related to long-term improvements in health (Pennebaker, 1997) and lowered stress levels (Smyth et al, 2008). Like expressive writing, evidence suggests that music and art are two interventions that may have a positive effect on psychological states and on biomarkers (Chanda & Levitin, 2013;Lai & Li, 2011;Stuckey & Nobel, 2010). Patients with serious health issues have used art as a therapeutic approach to help reduce stress and anxiety and express emotions (Reynolds & Lim, 2007).…”

Section: Introductionmentioning

confidence: 99%

Reduction of Cortisol Levels and Participants' Responses Following Art Making

Kaimal¹,

Ray²,

Muñiz³

2016

Art Therapy

190

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This quasi-experimental study investigated the impact of visual art making on the cortisol levels of 39 healthy adults. Participants provided saliva samples to assess cortisol levels before and after 45 minutes of art making. Participants also provided written responses about the experience at the end of the session. Results indicate that art making resulted in statistically significant lowering of cortisol levels. Participants' written responses indicated that they found the art-making session to be relaxing, enjoyable, helpful for learning about new aspects of self, freeing from constraints, an evolving process of initial struggle to later resolution, and about flow/losing themselves in the work. They also reflected that the session evoked a desire to make art in the future. There were weak associations between changes in cortisol level and age, time of day, and participant responses related to learning about one's self and references to an evolving process in art making. There were no significant differences in outcomes based on prior experiences with art making, media choice, or gender.

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“…A randomised clinical crossover trial of 54 newly employed (<one year) nurses were assigned to either a 30-minute daily session of music or a 30-minute daily session of chair rest. The study found that the group exposed to 30 minutes of music had lower post-intervention perceived stress, cortisol levels, heart rate, mean arterial pressure and increased finger temperature (a surrogate parasympathetic marker of tension release) than the nonmusic control group (p < 0.05) 26 .…”

Section: Music Therapy In Nursingmentioning

confidence: 94%

“…Of the 49 studies that met our selection criteria, six were systematic reviews 2-7 , three were meta-analyses [8][9][10] , 33 were randomised clinical trials [13][14][15][26][27][28][29][30][32][33][34][35][36][37]44,47 and seven were non-randomised clinical trials 11,12,25,31,45,46 26,31,[35][36][37]43 .…”

Section: Resultsmentioning

confidence: 99%

Music therapy as an adjuvant therapeutic tool in medical practice: an evidence-based summary

Mattei¹,

Rodriguez²

2013

OA Evidence-Based Medicine

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The effect of music on biochemical markers and self-perceived stress among first-line nurses: a randomized controlled crossover trial

Abstract: The findings provided evidence for nurses to use soothing music as a research-based nursing intervention for stress reduction.

Cited by 65 publications

References 39 publications

Effects of Natural Sounds on Pain: A Randomized Controlled Trial with Patients Receiving Mechanical Ventilation Support

Effects of Natural Sounds on Pain: A Randomized Controlled Trial with Patients Receiving Mechanical Ventilation Support

Reduction of Cortisol Levels and Participants' Responses Following Art Making

Music therapy as an adjuvant therapeutic tool in medical practice: an evidence-based summary

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