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Impact of an Active Music Therapy Intervention on Intensive Care Patients.

Identifieur interne : 000541 ( Main/Exploration ); précédent : 000540; suivant : 000542

Impact of an Active Music Therapy Intervention on Intensive Care Patients.

Auteurs : Amanda J. Golino [États-Unis] ; Raymond Leone [États-Unis] ; Audra Gollenberg [États-Unis] ; Catherine Christopher [États-Unis] ; Debra Stanger [États-Unis] ; Theresa M. Davis [États-Unis] ; Anthony Meadows [États-Unis] ; Zhiwei Zhang [États-Unis] ; Mary Ann Friesen [États-Unis]

Source :

RBID : pubmed:30600227

Descripteurs français

English descriptors

Abstract

BACKGROUND

Nonpharmacological interventions appear to benefit many patients and do not have the side effects commonly associated with medications. Music-based experiences may benefit critical care patients.

OBJECTIVE

To examine the effect of an active music therapy intervention on physiological parameters and self-reported pain and anxiety levels of patients in the intensive care unit.

METHODS

A study was conducted using a pretest-posttest, within-subject, single-group design. The study population consisted of a convenience sample of 52 patients. Study participants received a 30-minute music therapy session consisting of either a relaxation intervention or a "song choice" intervention. The music therapist recorded the patients' vital signs before and after the intervention, and patients completed self-assessments of their pain and anxiety levels before and after the intervention.

RESULTS

After the intervention, significant decreases (all

CONCLUSIONS

The results of this study support active music therapy as a nonpharmacological intervention in intensive care units. This study may lay the groundwork for future research on music therapy in critical care units using larger, more diverse samples.


DOI: 10.4037/ajcc2019792
PubMed: 30600227


Affiliations:


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Le document en format XML

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<nlm:affiliation>Amanda J. Golino is a clinical nurse specialist, Catherine Christopher is director of physical medicine and rehabilitation, and Debra Stanger is the Magnet program director, Inova Loudoun Hospital, Leesburg, Virginia. Raymond Leone is director of medical music therapy, A Place to Be, Middleburg, Virginia. Audra Gollenberg is an associate professor of public health and Anthony Meadows is an associate professor of music therapy, Shenandoah University, Winchester, Virginia. Theresa M. Davis is clinical operations director of enVision eICU, INOVA Telemedicine, and Mary Ann Friesen is nursing research and evidence-based practice coordinator, Inova Health System, Falls Church, Virginia. Zhiwei Zhang is an associate professor and director of the Statistical Collaboratory, University of California, Riverside, California. amanda.golino@inova.org.</nlm:affiliation>
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<name sortKey="Christopher, Catherine" sort="Christopher, Catherine" uniqKey="Christopher C" first="Catherine" last="Christopher">Catherine Christopher</name>
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<name sortKey="Stanger, Debra" sort="Stanger, Debra" uniqKey="Stanger D" first="Debra" last="Stanger">Debra Stanger</name>
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<country>États-Unis</country>
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<region type="state">Californie</region>
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<wicri:cityArea>Amanda J. Golino is a clinical nurse specialist, Catherine Christopher is director of physical medicine and rehabilitation, and Debra Stanger is the Magnet program director, Inova Loudoun Hospital, Leesburg, Virginia. Raymond Leone is director of medical music therapy, A Place to Be, Middleburg, Virginia. Audra Gollenberg is an associate professor of public health and Anthony Meadows is an associate professor of music therapy, Shenandoah University, Winchester, Virginia. Theresa M. Davis is clinical operations director of enVision eICU, INOVA Telemedicine, and Mary Ann Friesen is nursing research and evidence-based practice coordinator, Inova Health System, Falls Church, Virginia. Zhiwei Zhang is an associate professor and director of the Statistical Collaboratory, University of California, Riverside</wicri:cityArea>
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<title level="j">American journal of critical care : an official publication, American Association of Critical-Care Nurses</title>
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<term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Anxiety (psychology)</term>
<term>Anxiety (therapy)</term>
<term>Critical Care (methods)</term>
<term>Critical Illness (psychology)</term>
<term>Critical Illness (therapy)</term>
<term>Female (MeSH)</term>
<term>Heart Rate (physiology)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Music (psychology)</term>
<term>Music Therapy (methods)</term>
<term>Pain (psychology)</term>
<term>Pain Management (methods)</term>
<term>Relaxation (physiology)</term>
<term>Relaxation (psychology)</term>
<term>Respiratory Rate (physiology)</term>
<term>Young Adult (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Anxiété (psychologie)</term>
<term>Anxiété (thérapie)</term>
<term>Douleur (psychologie)</term>
<term>Femelle (MeSH)</term>
<term>Fréquence respiratoire (physiologie)</term>
<term>Gestion de la douleur (méthodes)</term>
<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Maladie grave (psychologie)</term>
<term>Maladie grave (thérapie)</term>
<term>Musicothérapie (méthodes)</term>
<term>Musique (psychologie)</term>
<term>Mâle (MeSH)</term>
<term>Relaxation (physiologie)</term>
<term>Relaxation (psychologie)</term>
<term>Rythme cardiaque (physiologie)</term>
<term>Soins de réanimation (méthodes)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Critical Care</term>
<term>Music Therapy</term>
<term>Pain Management</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr">
<term>Gestion de la douleur</term>
<term>Musicothérapie</term>
<term>Soins de réanimation</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Fréquence respiratoire</term>
<term>Relaxation</term>
<term>Rythme cardiaque</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Heart Rate</term>
<term>Relaxation</term>
<term>Respiratory Rate</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Anxiété</term>
<term>Douleur</term>
<term>Maladie grave</term>
<term>Musique</term>
<term>Relaxation</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Anxiety</term>
<term>Critical Illness</term>
<term>Music</term>
<term>Pain</term>
<term>Relaxation</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Anxiety</term>
<term>Critical Illness</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr">
<term>Anxiété</term>
<term>Maladie grave</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Nonpharmacological interventions appear to benefit many patients and do not have the side effects commonly associated with medications. Music-based experiences may benefit critical care patients.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To examine the effect of an active music therapy intervention on physiological parameters and self-reported pain and anxiety levels of patients in the intensive care unit.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>A study was conducted using a pretest-posttest, within-subject, single-group design. The study population consisted of a convenience sample of 52 patients. Study participants received a 30-minute music therapy session consisting of either a relaxation intervention or a "song choice" intervention. The music therapist recorded the patients' vital signs before and after the intervention, and patients completed self-assessments of their pain and anxiety levels before and after the intervention.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>After the intervention, significant decreases (all </p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The results of this study support active music therapy as a nonpharmacological intervention in intensive care units. This study may lay the groundwork for future research on music therapy in critical care units using larger, more diverse samples.</p>
</div>
</front>
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<Month>04</Month>
<Day>03</Day>
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<Year>2020</Year>
<Month>04</Month>
<Day>03</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1937-710X</ISSN>
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<Volume>28</Volume>
<Issue>1</Issue>
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<Year>2019</Year>
<Month>01</Month>
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<Title>American journal of critical care : an official publication, American Association of Critical-Care Nurses</Title>
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<ArticleTitle>Impact of an Active Music Therapy Intervention on Intensive Care Patients.</ArticleTitle>
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<MedlinePgn>48-55</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.4037/ajcc2019792</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND">Nonpharmacological interventions appear to benefit many patients and do not have the side effects commonly associated with medications. Music-based experiences may benefit critical care patients.</AbstractText>
<AbstractText Label="OBJECTIVE">To examine the effect of an active music therapy intervention on physiological parameters and self-reported pain and anxiety levels of patients in the intensive care unit.</AbstractText>
<AbstractText Label="METHODS">A study was conducted using a pretest-posttest, within-subject, single-group design. The study population consisted of a convenience sample of 52 patients. Study participants received a 30-minute music therapy session consisting of either a relaxation intervention or a "song choice" intervention. The music therapist recorded the patients' vital signs before and after the intervention, and patients completed self-assessments of their pain and anxiety levels before and after the intervention.</AbstractText>
<AbstractText Label="RESULTS">After the intervention, significant decreases (all
<i>P</i>
< .001) were found in respiratory rate (mean difference, 3.7 [95% CI, 2.6-4.7] breaths per minute), heart rate (5.9 [4.0-7.8] beats per minute), and self-reported pain (1.2 [0.8-1.6] points) and anxiety levels (2.7 [2.2-3.3] points). No significant change in oxygen saturation level was observed. Outcomes differed between the 2 intervention groups: patients receiving the relaxation intervention often fell asleep.</AbstractText>
<AbstractText Label="CONCLUSIONS">The results of this study support active music therapy as a nonpharmacological intervention in intensive care units. This study may lay the groundwork for future research on music therapy in critical care units using larger, more diverse samples.</AbstractText>
<CopyrightInformation>©2019 American Association of Critical-Care Nurses.</CopyrightInformation>
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<LastName>Golino</LastName>
<ForeName>Amanda J</ForeName>
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</ArticleIdList>
</PubmedData>
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<affiliations>
<list>
<country>
<li>États-Unis</li>
</country>
<region>
<li>Californie</li>
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<country name="États-Unis">
<region name="Californie">
<name sortKey="Golino, Amanda J" sort="Golino, Amanda J" uniqKey="Golino A" first="Amanda J" last="Golino">Amanda J. Golino</name>
</region>
<name sortKey="Christopher, Catherine" sort="Christopher, Catherine" uniqKey="Christopher C" first="Catherine" last="Christopher">Catherine Christopher</name>
<name sortKey="Davis, Theresa M" sort="Davis, Theresa M" uniqKey="Davis T" first="Theresa M" last="Davis">Theresa M. Davis</name>
<name sortKey="Friesen, Mary Ann" sort="Friesen, Mary Ann" uniqKey="Friesen M" first="Mary Ann" last="Friesen">Mary Ann Friesen</name>
<name sortKey="Gollenberg, Audra" sort="Gollenberg, Audra" uniqKey="Gollenberg A" first="Audra" last="Gollenberg">Audra Gollenberg</name>
<name sortKey="Leone, Raymond" sort="Leone, Raymond" uniqKey="Leone R" first="Raymond" last="Leone">Raymond Leone</name>
<name sortKey="Meadows, Anthony" sort="Meadows, Anthony" uniqKey="Meadows A" first="Anthony" last="Meadows">Anthony Meadows</name>
<name sortKey="Stanger, Debra" sort="Stanger, Debra" uniqKey="Stanger D" first="Debra" last="Stanger">Debra Stanger</name>
<name sortKey="Zhang, Zhiwei" sort="Zhang, Zhiwei" uniqKey="Zhang Z" first="Zhiwei" last="Zhang">Zhiwei Zhang</name>
</country>
</tree>
</affiliations>
</record>

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