The effects of music therapy in endotracheal suctioning of mechanically ventilated patients

Aktaş, Yeşim Yaman; Karabulut, Neziha

doi:10.1111/nicc.12159

Cited by 43 publications

(44 citation statements)

References 58 publications

(94 reference statements)

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“…The findings of this study were similar to those of other studies conducted with different populations by Korhan et al [59], Yaman Aktaş and Karabulut [60], and Lee et al [61], in which no significant changes in the HR were observed in patients who received MT. In contrast, Raglio et al [30] evaluated the effects of MT and found an increase in HR variability in patients receiving MT, suggesting a possible improvement in cardiovascular function.…”

Section: Discussionsupporting

confidence: 81%

Effects of Music Therapy on the Care Burden of In-Home Caregivers and Physiological Parameters of Their In-Home Dementia Patients: A Randomized Controlled Trial

Uğur¹,

Orak²,

Aktaş³

et al. 2018

Complement Med Res

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Objectives: This study was conducted to explore the effects of classical Turkish music therapy on both the caregiver burden and physiological parameters of patients with dementia. Methods: The study was a randomized controlled trial. It was conducted with dementia patients (n = 75) and their caregivers who were registered at in-home care services of the General Secretariat of the Association of Public Hospitals in Ordu. The study sample consisted of 30 control and 30 music group patients and their caregivers who satisfied the inclusion criteria for the study conducted between April 2015 and April 2016. The primary outcome of the study was to measure the care burden of in-home caregivers, and the secondary outcome was to measure physiological parameters, including systolic and diastolic blood pressure, heart rate, and respiration rate in patients with dementia. Results: The mean scores of the post-test caregiver burden in the music group were found to be significantly lower than those of the control group (t = -4.478, p = 0.001). The differences in the post-test systolic and diastolic blood pressures between the patient groups were found to be statistically significant (t = -4.603, p = 0.001; t = -2.656, p = 0.010). Conclusions: Classical Turkish music intervention in in-home dementia patients decreased the care burden of caregivers and the patients' blood pressures were brought under control. In parallel with these results, it is recommended that more studies to reveal the effects of classical Turkish music on care burden should be conducted.

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Section: Discussionsupporting

confidence: 81%

Effects of Music Therapy on the Care Burden of In-Home Caregivers and Physiological Parameters of Their In-Home Dementia Patients: A Randomized Controlled Trial

Uğur¹,

Orak²,

Aktaş³

et al. 2018

Complement Med Res

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“…To explore a reduction in pain severity, which is in agreement with the study of Yaman Aktaş and Karabulut [19] with a two-sided 5% significance level (α = 0.05) and a power of 90%, a sample size of 40 patients per group was necessary, given an anticipated dropout rate of 10%. According to Jacob Cohen’s effect size coefficients, the sample size should comprise at least 40 people to have a large effect size ( d = 0.40).…”

Section: Methodsmentioning

confidence: 99%

“…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]. ES is the process of cleaning pulmonary secretions from an artificial airway and is identified as among the most painful and stressful ICU intervention due to anxiety over transient loss of breathing or chocking [7].…”

Section: Discussionmentioning

confidence: 99%

“…To date, there are no studies available testing the effectiveness of music on procedural pain using two independent observational pain tools. Although Yaman Aktaş and Karabulut [19] reported that listening to music decreased pain during ES, the authors emphasize the necessity of further studies examining effects of listening to music to control procedural pain using different pain tools. Our primary interest in this study was to determine whether music therapy during ES could reduce pain in critically ill patients.…”

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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“…Suctioning is accompanied by pain, fear, and sensations of suffocation commonly associated with patients’ loss of breath (3, 12). According to published research, most adult patients in ICUs experience pain and agitation resulting in physical and psychological complications that may last many years after discharge from the hospital (13).…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effect of Open and Closed Endotracheal Suctioning Methods on Pain and Agitation in Medical ICU Patients: A Clinical Trial

2016

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BackgroundEndotracheal suctioning is a necessary procedure practiced by nurses in intensive care units to remove lung secretions. This procedure leads to higher oxygenation levels and reduced breathing difficulties. It also prevents atelectasis, pulmonary infections, and the accumulation of secretions.ObjectivesThe present study aims to compare the effectiveness of open and closed endotracheal suction tube systems on pain and agitation in patients under mechanical ventilation.MethodsA randomized controlled clinical trial was conducted in the general intensive care units of Khatam-ol-Anbia hospital and Sina hospital, Tehran, Iran, in 2015. In total, 60 patients who were qualified to be included in the study were randomly assigned to either the intervention group or the control group. When necessary, suction was carried out for each patient using the standard technique. The patients’ level of pain and agitation was measured in both groups at five stages (before, during, immediately after, 5 minutes after, and 15 minutes after the intervention) using the behavioral pain scale and the Richmond agitation sedation scale.ResultsSignificant statistical differences in the pain and agitation at different times within each of the two groups were observed for both open and closed suction (P > 0.001). However, these changes at different times between the two groups was not significant (P < 0.05).ConclusionsAlthough statistical differences were observed in the levels of pain and agitation in the two groups, the type of suction system did not have any effect on the level of pain and agitation of patients under mechanical ventilation. The researchers recommend that other studies with larger sample sizes should be carried out.

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The effects of music therapy in endotracheal suctioning of mechanically ventilated patients

Abstract: It is recommended that music therapy should be added to the routine nursing care for mechanically ventilated patients.

Cited by 43 publications

References 58 publications

Effects of Music Therapy on the Care Burden of In-Home Caregivers and Physiological Parameters of Their In-Home Dementia Patients: A Randomized Controlled Trial

Effects of Music Therapy on the Care Burden of In-Home Caregivers and Physiological Parameters of Their In-Home Dementia Patients: A Randomized Controlled Trial

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

Comparison of the Effect of Open and Closed Endotracheal Suctioning Methods on Pain and Agitation in Medical ICU Patients: A Clinical Trial

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