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

Su, Chiu-Ping; Lai, Hui‐Ling; Chang, En‐Ting; Yiin, Lih‐Ming; Perng, Shoa-Jen; Chen, Pin-Wen

doi:10.1111/j.1365-2648.2012.06130.x

Cited by 92 publications

(96 citation statements)

References 45 publications

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“…Classical music was used as the musical intervention; "Spring" from the four seasons composition by Vivaldi (20) was chosen for having the desired characteristics for the study. It also has 60 to 80 beats per minute, which corroborates the assertion that songs with 60 to 70 beats per minute contribute to a relaxing effect (20)(21)(22) . In its first musical movement, (Allegro) has an E Major tonality and quaternary rhythm (4/4).…”

Section: Methodssupporting

confidence: 67%

Control of anxiety through music in a head and neckoutpatient clinic: a randomized clinical trial

Firmeza

Rodrigues

Melo

et al. 2017

Rev. esc. enferm. USP

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Objective: Evaluating the effectiveness of a musical intervention in reducing anxiety and vital parameters in people suffering from head and neck cancer. Method: A randomized controlled clinical trial, performed in a head and neck outpatient clinic with 40 participants, subdivided into two groups (intervention and control). The classical music "Spring" from The Four Seasons by Vivaldi was used as an intervention. The State-Trait Anxiety Inventory (STAI) was used as the data collection instrument, along with an inventory of socio-demographic and clinical data. Student's t-test was used to verify intragroup and intergroup statistical significance. Results: Participants presented a statistically significant reduction in levels of perceived anxiety (t = 12.68; p<0.001), as well as blood pressure levels (t = 4.56; p<0.001); pulse (t = 6.15; p<0.001) and respiratory rate (t = 5.10; p<0.001). Conclusion: Music has proven to be an effective non-pharmacological therapeutic resource in managing anxiety in an outpatient setting for people with cancer, as well as in reducing blood pressure, pulse and respiratory rate. Brazilian Registry of Clinical Trials: RBR-7W4YJJ. descriPtOrs Music Therapy; Anxiety; Head and Neck Neoplasms; Humanization of Assistance; Oncology Nursing. Control of anxiety through music in a head and neck outpatient clinic: a randomized clinical trialUso da música no controle da ansiedade em ambulatório de cabeça e pescoço: ensaio clínico randomizado Uso de música en el control de la ansiedad en clínicas externas de cabeza y cuello: ensayo clínico aleatorizado

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Section: Methodssupporting

confidence: 67%

Control of anxiety through music in a head and neckoutpatient clinic: a randomized clinical trial

Firmeza

Rodrigues

Melo

et al. 2017

Rev. esc. enferm. USP

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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). …”

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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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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“…Su et al 17 Wang et al 18 Zimmerman et al 19 Sleep outcomes were measured by using a variety of methods. Sleep perceptions were measured through subjective self-reported validated tools, primarily the Richards-Campbell Sleep Questionnaire (RCSQ) and the Pittsburgh Sleep Quality Index (PSQI).…”

Section: Level Of Evidencementioning

confidence: 99%

Using Music to Promote Sleep for Hospitalized Adults

Shaw¹

2016

American Journal of Critical Care

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A dequate sleep is a critical component of illness recovery. Inadequate sleep contributes to a myriad of physiological problems, including impaired immune response, decline in wound healing, greater insulin resistance, increased perceptions of pain, and an increase in mortality. Sleep problems exacerbate the healing process during hospitalization and can endure beyond hospitalization. [1][2][3] Researchers in one study 4 documented that sleep difficulties may endure beyond hospitalization: 50% of respondents reported moderate to severe sleep problems 1 week after discharge. Other studies have offered evidence that sleep problems experienced during hospitalization increase the risk for development of chronic insomnia. 3Acutely ill patients experience difficulty falling asleep, sleep fragmentation, decreased rapid-eye-movement (REM) sleep, and sleep perceived as poor quality. 2,5 In hospitals, many factors can interfere with patients' sleep. Environmental noise (eg, noisy equipment, alarms, staff interaction) is a pervasive problem. The Environmental Protection Agency recommends that noise levels not exceed 45 decibels during the day and 35 decibels at night. Numerous studies in acute and intensive care settings have documented noise levels regularly exceeding the recommendations.6,7 Other sleep disruption factors include lighting that interferes with sleep-wake cycles, pain, anxiety, and symptoms related to patients' underlying illness. 4 Many of these sleep-disrupting factors are amplified in intensive care units.Pharmacological interventions, such as sedatives, are often the first response to promoting sleep in hospitalized patients. However, use of sedatives has been linked to such adverse effects as memory loss, disorientation, increased fall risk, and daytime fatigue.3 In recent years, growing emphasis has been placed on exploring the effectiveness of nonpharmacological interventions to promote sleep, such as minimizing nighttime disruptions, decreasing noise and light, increasing meaningful daytime activity, and using relaxation techniques (eg, aromatherapy, massage, guided imagery, ear plugs, and eye masks).3 Music is another previously studied technique for promoting sleep. Music is hypothesized to have psychological and physiological effects on the body, including potentially sleep-promoting influences. 8 The PICO (patient/problem, intervention, comparison, outcomes) question that this review addresses is, What effect do interventions using music, compared with other methods, or usual care, have on promoting sleep in hospitalized adults? MethodsThe literature search strategy included searching Cochrane Library, Joanna Briggs Institute's Evidence-Based Practice (EBP) Database, PubMed, EMBASE, and CINAHL Plus. Key words included music, sleep, hospital*, lab*, and patient* (asterisks indicate that truncated versions of those words were used in the literature search). No limitations were placed on publication date so as to identify the largest number of relevant studies possible. Reference lists of identifie...

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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

Abstract: The findings provided evidence for nurses to use soothing music as a research-based nursing intervention for intensive care unit patients' sleep improvement.

Cited by 92 publications

References 45 publications

Control of anxiety through music in a head and neckoutpatient clinic: a randomized clinical trial

Control of anxiety through music in a head and neckoutpatient clinic: a randomized clinical trial

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

Using Music to Promote Sleep for Hospitalized Adults

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