Effect of Music Therapy in Relieving the Symptom Experiences and Improving Outcomes of Critical Care Patients: A Systematic Review
DOI:
https://doi.org/10.3889/oamjms.2023.11172Keywords:
Music therapy, Symptom experience, Outcomes, Critical careAbstract
BACKGROUND: The critical care patients often have unpleasant experiences while facing critical care activities that may impact on physiological and psychological changes. Music therapy is a simple complementary therapy that can promote relaxation, potentially affecting some outcomes for critical care patients. However, a systematic review related to the application of music therapy and the results obtained from music therapy is still limited.
AIM: This systematic review aimed to explore and evaluate the effectiveness of music therapy interventions in relieving symptom experiences and improving outcomes of critical care patients.
METHODS: We conducted a systematic review of research articles focused on music therapy in critical care areas using three electronic databases, namely PubMed, CINAHL, and Science Direct. We selected English articles that had a Randomized Control Trial (RCT) design and published from 2005 to 2020. PICO format used to search literature; “Adult, Critical Care, Intensive Care Unit (ICU), Critically Ill Patients, Intensive Care, Surgical ICU, Cardiac Surgical ICU, Medical-Surgical ICU, Therapy Music, Music Therapy, Pain, Agitation, Stress. Anxiety, Delirium, Mobility, Sleep, Physiological, and Psychological. The risk of bias from 19 articles was evaluated by JBI. Furthermore, we assessed the manner and effect of music therapy on various symptoms.
RESULTS: The researchers found 743 articles. After manual review, 19 RCTs (1711 participants) were identified and assessed. Based on the review, it was reported that music with a relaxed rhythm, soft tone, slow rhythm; duration from 15 to 60 min; 60–80 beats/min, and using headphones, has a significant effect on pain, anxiety, stress, delirium, mobilization, sleep quality, sedation levels, and physiological parameters.
CONCLUSION: Music therapy has proved effective in reducing symptoms experiences of critical care patients. It is suggested to be used as a viable option in symptoms management of patients in ICU.
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Suwardianto, HA. Prasetyo RS. Utami, Physical Function in Critically Ill Patients Under Sedation in the Intensive Care Unit. J Health Sci. 2017;5(2):91-102. https://doi.org/10.32831/jik.v5i2.139
Halain AA, Tang LY, Chong MC, Ibrahim NA, Abdullah KL. Psychological distress among the family members of intensive Care Unit (ICU) patients: A scoping review. J Clin Nurs. 2021;31(5-6):497-507. https://doi.org/10.1111/jocn.15962 PMid:34254377
Ige OA, Kolawole IK, Ajiboye PO. The psychological impact of intensive care unit admission on relatives of critically ill patients. Rwanda Med J. 2021;78(4):17-26. https://doi.org/10.4314/rmj.v78i4.3
Istiarini C, Osa EP, Eda MT. Anxiety Nursing Interventions in Preoperative Patients: Literature Review. J Health Sci. 2021;16(2):95-106.
Urden LD, Stacy KM, Lough ME. Thelan’s Critical care Nursing, Diagnosis and Management. St. Louis: Mosby; 2010.
Barr J, Fraser GL, Puntillo K, Ely EW, Gélinas C, Dasta JF, et al. Clinical practicevguidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Crit Care Med. 2013;41(1):263-306. https://doi.org/10.1097/CCM.0b013e3182783b72. PMid:23269131
Moitra VK, Guerra C, Linde-Zwirble WT, Wunsch H. Relationship between ICU length of stay and long-term mortality for elderly ICU survivors. Crit Care Med. 2016;44(4):655-62. https://doi.org/10.1097/CCM.0000000000001480. PMid:26571190
Sukantarat KT, Williamson RC, Brett SJ. Psychological assessment of ICU survivors: A comparison between the hospital anxiety and depression scale and the depression, anxiety and stress scale. Anesthesia. 2007;62(1):239-43. https://doi.org/10.1111/j.1365-2044.2006.04948.x. PMid:17300300
Chan MF, Chung YF, Chung SW, Lee OK. Investigating the physiological responses of patients listening to music in the intensive care unit. J Clin Nurs. 2009;18(9):1250-7. https://doi.org/10.1111/j.1365-2702.2008.02491.x PMid:18775053
Korhan EA, Khorshid L, Uyar M. The effect of music therapy on physiological signs of anxiety in patients receiving mechanical ventilator support. J Clin Nurs. 2011;20(7-8):1026-34. https:// doi.org/10.1111/j.1365-2702.2010.03434.x PMid:21323778
Gélinas C, Arbour C, Michaud C, Robar L, Côté J. Patients and ICU nurses’ perspectives of non-pharmacological interventions for pain management. Nurs Crit Care. 2012;18(6):307-18. https://doi.org/10.1111/j.1478-5153.2012.00531.x PMid:24165072
Erdogan Z, Atik D. Complementary health approaches used in the intensive care unit. Holist Nurs Pract. 2017;31(5):325-42. https://doi.org/10.1097/HNP.0000000000000227 PMid:28786890
Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJ, Pandharipande PP, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med. 2018;46(9):e825-73. https://doi.org/10.1097/CCM.0000000000003299 PMid:30113379
Aktas YY, Karabulut N. Relief of procedural pain in critically ill patients by music therapy: A randomized controlled trial. Complement Med Res. 2019;26(3):156-65. https://doi.org/10.1159/000495301 PMid:30897585
Lee CH, Lee CY, Hsu MY, Lai CL, Sung YH, Lin CY, et al. Effects of music intervention on state anxiety and physiological indices in patients undergoing mechanical ventilation in the intensive care unit. Biol Res Nurs. 2017;19(2):137-44. https://doi.org/10.1177/1099800416669601 PMid:27655993
Lee CH, Lai CL, Sung YH, Lai MY, Lin CY, Lin LY. Comparing effects between music intervention and aromatherapy on anxiety of patients undergoing mechanical ventilation in the intensive care unit: A randomized controlled trial. Qual Life Res. 2017;26(7):1819-29. https://doi.org/10.1007/s11136-017-1525-5 PMid:28236262
Aktas YY, Karabulut N. The effects of music therapy in endotracheal suctioning of mechanically ventilated patients. Nurs Crit Care. 2016;21(1):44-52. https://doi.org/10.1111/nicc.12159 PMid:25721305
Ciğerci Y, Özbayır T. The effects of music therapy on anxiety, pain and the amount of analgesics following coronary artery surgery. Turk J Thorac Cardiovasc Surg. 2016;24(1):44-50. https://doi.org/10.5606/tgkdc.dergisi.2016.12136
Chlan LL, Weinert CR, Heiderscheit A, Tracy MF, Skaar DJ, Guttormson JL, et al. Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: A randomized clinical trial. JAMA. 2013;309(22):2335-44. https://doi.org/10.1001/jama.2013.5670 PMid:23689789
Su CP, Lai HL, Chang ET, Yiin LM, Perng SJ, Chen PW. A randomized controlled trial of the effects of listening to non-commercial music on quality of nocturnal sleep and relaxation indices in patients in medical intensive care unit. J Adv Nurs. 2013;69(6):1377-89. https://doi.org/10.1111/j.1365-2648.2012.06130.x PMid:22931483
Han L, Li JP, Sit JW, Chung L, Jiao ZY, Ma WG. Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in China: A randomised controlled trial. J Clin Nurs. 2010;19(7-8):978-87. https://doi.org/10.1111/j.1365-2702.2009.02845.x PMid:20492042
Chan MF. Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions: A randomized controlled trial. Heart Lung. 2007;36(6):431-9. https://doi.org/10.1016/j.hrtlng.2007.05.003 PMid:18005804
Chan MF, Wong OC, Chan HL, Fong MC, Lai SY, Lo CW, et al. Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions. J Adv Nurs. 2006;53(6):669- 79. https://doi.org.10.1111/j.1365-2648.2006.03773.x PMid:16553675
Khan SH, Xu C, Purpura R, Durrani S, Lindroth H, Wang S, et al. Decreasing delirium through music: A randomized pilot trial. Am J Crit Care. 2020;29(2):e31-8. https://doi.org/10.4037/ajcc2020175 PMid:32114612
Johnson KJ, Fleury J, McClain D. Music intervention to prevent delirium among older patients admitted to a trauma intensive care unit and a trauma orthopaedic unit. Intensive Crit Care Nurs. 2018;47:7-14. https://doi.org/10.1016/j.iccn.2018.03.007 PMid:29735284
Hansen IP, Langhorn L, Dreyer P. Effects of music during daytime rest in the intensive care unit. Nurs Crit Care. 2018;23(4):207-13. https://doi.org/10.1111/nicc.12324 PMid:29159864
Ghezeljeh TN, Ardebili FM, Rafii F. The effects of massage and music on pain, anxiety and relaxation in burn patients: Randomized controlled clinical trial. Burns. 2017;43(5):1034-43. https://doi.org/10.1016/j.burns.2017.01.011 PMid:28169080
Hu RF, Jiang XY, Hegadoren KM, Zhang YH. Effects of earplugs and eye masks combined with relaxing music on sleep, melatonin and cortisol levels in ICU patients: A randomized controlled trial. Crit Care. 2015;19(1):115. https://doi.org/10.1186/s13054-015-0855-3 PMid:25881268
Dijkstra BM, Gamel C, van der Bijl JJ, Bots ML, Kesecioglu J. The effects of music on physiological responses and sedation scores in sedated, mechanically ventilated patients. J Clin Nurs. 2010;9(7-8):1030-9. https://doi.org/10.1111/j.1365-2702.2009.02968.x PMid:20492047
Twiss E, Seaver J, McCaffrey R. The effect of music listening on older adults undergoing cardiovascular surgery. Nurs Crit Care. 2006;11(5):224-31. https://doi.org/10.1111/j.1478-5153.2006.00174.x. PMid:16983853
Nilsson U, Unosson M, Rawal N. Stress reduction and analgesia in patients exposed to calming music postoperatively: A randomized controlled trial. Eur J Anaesthesiol. 2005;22(2):96-102. https://doi.org/10.1017/s0265021505000189 PMid:15816586
Lee OK, Chung YF, Chan MF, Chan WM. Music and its effect on the physiological responses and anxiety levels of patients receiving mechanical ventilation: A pilot study. J Clin Nurs. 2005;14(5):609-20. https://doi.org/10.1111/j.1365-2702.2004.01103.x PMid:15840076
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Copyright (c) 2023 Linda Widiastuti, Utari Yunie Atrie, Liza Wati, Soni Hendra Sitindaon, Tri Arianingsih, Budi Mulyana Mulyana (Author)
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