Effects of music intervention on inflammatory markers in critically ill and post-operative patients: A systematic review of the literature

Khan, Sikandar; Kitsis, Michelle; Golovyan, Dmitriy; Wang, Sophia; Chlan, Linda L.; Boustani, Malaz; Khan, Babar

doi:10.1016/j.hrtlng.2018.05.015

Cited by 34 publications

(41 citation statements)

References 28 publications

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“…A Cochrane Review of music interventions with mechanically ventilated patients indicated that only 1 of the 14 studies reviewed included a board certified music therapist as a member of the research team [22]. As a result, in many studies the music was selected by the researchers and provided patients only limited options of music to listen to throughout the course of the study [50][51][52][53]. While researchers may refer to this as patient-preferred music, in essence patients are choosing what music to listen to, based on a pre-determined and a restrictive list of music, thus choosing what to listen to from limited options.…”

Section: Classicalmentioning

confidence: 99%

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Non-Pharmacological Management of Symptoms during Mechanical Ventilation and Chronic Obstructive Pulmonary Disease in Critical Care: Patient Directed Music Listening

Heiderscheit¹

2021

Chronic Obstructive Pulmonary Disease - A Current Conspectus

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This chapter provides a review of the literature on nonpharmacological management of symptoms with music listening for critically ill patients during mechanical ventilation and with chronic obstructive pulmonary disease. The critical care environment is high energy, intense, and noisy. These characteristics of the ICU can often exacerbate symptoms and overstimulate patients. Patients may experience increased agitation, anxiety, increased pain or discomfort, and sleep interruptions. Patients are often on various medications unique to their diagnosis and underlying health issues and may need additional medications to address symptoms associated with the hospitalization. Nonpharmacological management, such as music listening provides an intervention that can assist in managing multiple symptoms, can be utilized repeatedly or at various times through the day or evening, be tailored to patient preferences, can be safe and effective, and require minimal energy for patients to use. The chapter reviews the mechanisms of how music listening can help with symptom management and provides guidelines, recommendations, and contraindications for selecting music of patient use. A brief assessment tool is presented to help guide the process of determining patient music preferences and how music listening may be helpful. Lastly, recommendations are provided on how to make music listening accessible in the critical care environment.

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Section: Classicalmentioning

confidence: 99%

“…Music that is 60-80 beats per minute (BPM) is ideal for fostering this relaxation response. Music that is preferred by the listener is more effective in fostering relaxation[21,28,[49][50][51][52].…”

mentioning

confidence: 99%

Non-Pharmacological Management of Symptoms during Mechanical Ventilation and Chronic Obstructive Pulmonary Disease in Critical Care: Patient Directed Music Listening

Heiderscheit¹

2021

Chronic Obstructive Pulmonary Disease - A Current Conspectus

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“…Nach vorliegenden Berichten und kürzlich publizierten prospektiv-randomisierten Studien ist ein positiver Effekt von Musik in vielen Fachdisziplinen der Medizin und auch in der Intensivmedizin beobachtet worden [4,15]. Auch bei postoperativen Patienten, ob aus der Viszeralchirurgie, der Herzchirurgie, der Orthopädie und der Frauenheilkunde, um exemplarisch nur einige zu nennen, wurden positive Wirkungen von Musik bei kritisch Kranken hinsichtlich der Parameter Schmerz, Stress und Angst nachgewiesen [17,25]. Trotz vorliegender randomisierter Studien bleiben im klinischen Alltag noch viele Fragen offen.…”

Section: Schlussfolgerungenunclassified

Effekte von Musik in der Intensivmedizin

Trappe

2020

Med Klin Intensivmed Notfmed

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“…For example, studies show that serum concentrations of both salivary IgA, a marker of immune function, and oxytocin, a hormone involved in human connection, increase after singing lessons [14,15]. Several studies also report decreases in cortisol, a hormone integral to the stress response, for subjects during the act of singing and other creative activities [13,14,[16][17][18][19][20]. Group singing in particular has also been shown to reduce stress and arousal, measured by serum levels of ACTH, a precursor to cortisol [21].…”

Section: Introductionmentioning

confidence: 99%

Doc’Apella: A Vocal Performance Group Designed to Reduce Stress And Prevent Burnout Among Medical and Health Sciences Students

Carlson¹

2020

JWellness

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Introduction: Burnout is common among health professions trainees characterized by emotional exhaustion induced by repeated stressors. Although traditional stress management activities to promote wellness are effective in reducing stress short-term, alternative approaches are needed with the potential for long-term impact. To address burnout among students at the University of Nebraska Medical Center (UNMC), a vocal group was formed to provide a creative outlet. The purpose of this study was to determine the students' motivation for joining Doc' Apella and assess the impact on burnout. Methods: Students enrolled in a health sciences program were invited to participate during the 2018-19 academic year (August-May). Two volunteer students arranged the music, recorded individual practice tracks, and directed the group during rehearsals two nights/week from 5:30-6:30. Group members selected arrangements and performed in a variety of settings. At the end of the year, participants were invited to complete an anonymous online survey. Results: Of the 98 students on the roster, 18 (18.4%) responded to the survey. Participants included medical students (n = 9, 50.0%), three graduate students (16.7%), two public health students (11.1%), one pharmacy student (5.5%), and three classified as "other" (16.7%). Nine (50.0%) indicated the aspect of the group that was MOST important was "escaping my stress or frustration with a creative activity. " Thirteen (72.2%) felt Doc' Apella was very or extremely beneficial to their "own sense of wellbeing" and 94.4% (n = 17) reported Doc' Apella "helped reduce stress and burnout" somewhat or very much. Conclusion: Creating music with others may provide an effective way for medical trainees to not only to express creative energy but also to connect with others across health professions. Although the results support structured creative activities to reduce stress and burnout, a large-scale study is needed will strengthen empirical evidence and highlight the impact for health professions trainees.

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Effects of music intervention on inflammatory markers in critically ill and post-operative patients: A systematic review of the literature

Abstract: Music intervention may decrease cortisol levels, but other biomarkers remain unchanged. Given the low level of evidence, further research on music effects on inflammatory biomarkers is needed.

Cited by 34 publications

References 28 publications

Non-Pharmacological Management of Symptoms during Mechanical Ventilation and Chronic Obstructive Pulmonary Disease in Critical Care: Patient Directed Music Listening

Non-Pharmacological Management of Symptoms during Mechanical Ventilation and Chronic Obstructive Pulmonary Disease in Critical Care: Patient Directed Music Listening

Effekte von Musik in der Intensivmedizin

Doc’Apella: A Vocal Performance Group Designed to Reduce Stress And Prevent Burnout Among Medical and Health Sciences Students

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