A musical road to recovery: music in intensive care

doi:10.1016/0266-612X(91)90004-B

Intensive Care Nursing

Volume 7, Issue 3, September 1991, Pages 160-163

Intensive Care Nursi...

https://doi.org/10.1016/0266-612X(91)90004-B Get rights and content

Abstract

The aim in this paper is to review the possible beneficial effects of music on intensive care patients. Many aspects are considered incorporating the history and physiological and psychological effects music may have. This is then related to the nurses' role within intensive care situations.

‘After silence, that which comes nearest to expressing the unexpressible is music’ Aldous Huxley -‘Music at Night’

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There are more references available in the full text version of this article.

Cited by (21)

Listening to music during regional anesthesia: Patients' experiences and the effect on mood
2013, Journal of Perianesthesia Nursing
Many patients experience a sense of anxiety and insecurity during the perianesthesia period. It is important to the care relationship that the nurse be able to help the patient to establish a degree of control over their situation and thus regain their own sense of security. Music therapy can be a useful tool to accomplish this. The purpose of this study was to determine the effect of a music intervention on patient's mood and self-reported satisfaction.
A multimodal research design using an open-ended interview and quantitative anxiety scale was used.
A total of 15 patients were interviewed with an open question in addition to completing the Hospital Anxiety and Depression (HAD) scale. The interviews were analyzed using qualitative content analysis and the HAD scale according to standard practice.
An analysis of the interviews revealed a main theme: a feeling of satisfaction, and three subthemes: positive experience, inner peace, and detachment from reality. It emerged from the interviews that it was important for the patients to select music themselves. Patients had a positive experience, inner peace, and detachment from reality with changes in the patients' state of mind before and after the musical intervention. The anxiety level significantly decreased (P = .019) after the patients listened to music during surgery compared with the prevalence of anxiety before listening to music.
This study shows that music has a positive impact on patients undergoing anesthesia.
Music therapy - A complementary treatment for mechanically ventilated intensive care patients
2003, Intensive and Critical Care Nursing
The aim of this study was to ascertain whether music therapy had a measurable relaxing effect on patients who were temporarily on a respirator in an intensive care unit (ICU) and after completion of respirator treatment investigate those patients’ experiences of the music therapy. In the study both quantitative and qualitative measurements were applied. Twenty patients were included using consecutive selection. It became apparent that the patients remembered very little of their time in ICU. The analysis of the quantitative data showed a significant fall in systolic and diastolic blood pressure during the music therapy session and a corresponding rise after cessation of treatment. All changes were found to be statistically significant. The conclusion was that intensive care nursing staff can beneficially apply music therapy as a non-pharmacological intervention.
Effects of music therapy on anxiety in ventilator-dependent patients
2001, Heart and Lung: Journal of Acute and Critical Care
Citation Excerpt :
The patients can bring along their own headphones and equipment for music listening, and the music session will not cost a lot of time. Sullivan43 suggests that the financial investment be weighed against the reduced length of stay and decreased use of drugs resulting from use of music therapy. Music therapy is an intervention that can provide meaningful and familiar stimuli to patients.44
Objective: The purpose of this study was to assess the effectiveness of music therapy in decreasing anxiety in ventilator-dependent patients. Design: A crossover repeated measures design with random assignment was used. Setting: The intensive care unit of a university hospital in Hong Kong was used as the setting for this study. Patients: Twenty patients who were ventilator-dependent were recruited for the study. They were all Chinese with a mean age of 58.25 years (range, 19-84 y). Most (75%) were men. Outcome Measures: Physiologic measures of anxiety assessed in this study were mean blood pressure and respiratory rate. An additional measure was the Chinese version of the Spielberger State-Trait Anxiety Inventory. Intervention: Patients were randomized to receive either 30 minutes of uninterrupted rest and then 30 minutes of music therapy or the music therapy first and then the uninterrupted rest period. Patients listened to relaxing music by using audiocassette players and headphones. Subjects selected the music of their choice from a selection including both Chinese and Western music. Subjects had physiologic measures taken immediately before the intervention (or rest period) and at 5-minute intervals throughout the intervention. The Chinese version of Spielberger's State-Trait Anxiety Inventory was completed before the intervention and immediately after the intervention. Results: Findings indicated that music therapy was more effective in decreasing state anxiety than was an uninterrupted rest period (P <.01). As measured by analysis of variance with repeated measures, blood pressure and respiratory rate showed no significant differences in the 2 conditions over time. However, significant differences were observed at the end of the intervention (after 30 minutes) between the 2 conditions, with music therapy being superior to the rest period. Conclusion: Music therapy is an effective nursing intervention in decreasing anxiety in ventilator-dependent patients and its use should be incorporated into the care of mechanically ventilated patients. For the Chinese patients, culture and language were the predominant factors in their choice of music. (Heart Lung^® 2001;30:376-87.)
Specially selected music in the cardiac laboratory - An important tool for improvement of the wellbeing of patients
2004, European Journal of Cardiovascular Nursing
Relaxation Degree Analysis Using Frontal Electroencephalogram Under Virtual Reality Relaxation Scenes
2021, Frontiers in Neuroscience
Examination of the Effect of Music Upon the Postoperative Pain Management in Pediatric Patients Who Are Hospitalized in the Orthopedics Service
2019, E-Journal of Dokuz Eylul University Nursing Faculty

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A musical road to recovery: music in intensive care

Abstract

AORN Journal

Principles of Music Therapy

Physiotherapy

Evaluating the effects of music on electroencephalogram patterns of normal subjects

Journal of Neurosurgical Nursing

The therapeutic use of music: A literature review

Nursing Forum

Music as an intervention in the oncology setting

Cancer Nursing

Physiological responses of coronary care patients to selected music

Heart Lung