Exploring the Role of Music Therapy in Cardiac Rehabilitation After Cardiothoracic Surgery

Short, Alison E; Gibb, Heather; Fildes, Jennifer; Holmes, Colin

doi:10.1097/jcn.0b013e31825bc9c9

Cited by 20 publications

(9 citation statements)

References 33 publications

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“…Pain has also been reported as one of the primary sources of concern for cardiac surgery patients ( 2 , 5 , 6 ). Pain can be caused by incisions, intraoperative tissue retraction and dissection, multiple intravascular cannulations, chest tubes left after surgery, and multiple invasive procedures that patients undergo as part of their therapeutic processes ( 7 ). In one study, patients reported chest incision pain as a problem after CABG ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Effect of Music on Postoperative Pain in Patients Under Open Heart Surgery

Ajorpaz¹,

Mohammadi²,

Najaran³

et al. 2014

Nurs Midwifery Stud

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Background: Music, as a non-pharmacological and inexpensive nursing intervention, can be used easily as a complementary technique in reducing pain along with other methods. While some studies have demonstrated pain to decrease after music, others found music to be ineffective on pain. Objectives: The aim of this study was to investigate the effect of music on postoperative pain in patients under open heart surgery. Patients and Methods: A quasi-experimental study was performed on 60 patients under open heart surgery referred to ICU of Shahid Beheshti hospital in Kashan city. Patients were randomly divided into two groups including experimental and control groups. Patients in music group listened to nonverbal music for 30 minutes after surgery by headphones. The control group did not receive any intervention other than routine care. Before and after intervention, pain intensity was measured and recorded by visual analog scale in two groups. Data was analyzed using Chi-Square and t-tests. Results: Before intervention, the mean of pain intensity was 6.32 ± 0.21 and 6.10 ± 0.21 for experimental and control groups, respectively; and the difference was not significant (P = 0.21). After intervention, the mean of pain intensity was 3.11 ± 0.12 and 5.81 ± 0.38 for experimental and control groups, respectively; and the difference was significant (P = 0.04). Conclusions: Listening to the relaxant music can reduce postoperative pain. It is suggested that relaxant music be used as a complementary method in patients in order to reduce prospective pain.

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Section: Introductionmentioning

confidence: 99%

Effect of Music on Postoperative Pain in Patients Under Open Heart Surgery

Ajorpaz¹,

Mohammadi²,

Najaran³

et al. 2014

Nurs Midwifery Stud

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“…Addressing a different medical population using a semiotic analysis, Short and colleagues [21] found that six cardiac rehabilitation patients used a series of six GIM sessions to elucidate and facilitate their recovery. The weekly sessions began 6-12 weeks after coronary artery bypass grafting.…”

Section: The Bonny Methods Of Guided Imagery and Music For Individualsmentioning

confidence: 99%

The Bonny Method of Guided Imagery and Music for Medical Populations: Evidence for Effectiveness and Vision for the Future

McKinney¹,

Grocke²

2016

MMD

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The Bonny Method of Guided Imagery and Music (GIM) and modifications derived from it are potent and flexible for addressing a variety of psychological and physical concerns in both clinical and nonclinical adult populations. This paper summarizes the existing evidence relevant to medical populations with a focus on mental and physical health. Medical populations found to benefit from a series of individual GIM sessions have included individuals with cancer, cardiovascular disease, autoimmune disorders, and psychological conditions, including anxiety, chemical dependency, posttraumatic stress disorder, and disability from work stress. Researchers also have documented significant change resulting from a series of GIM sessions in physiological variables including blood pressure, cortisol, and chronic pain. Adaptations and modifications to the original method to meet individual clinical need or circumstances include shortening the session, using less evocative music, introducing supportive images, employing directive guiding of the imagery process, and foregoing the verbal dialogue in groups. Group music and imagery, in particular, has been found to contribute to improvement in global functioning for individuals with psychotic disorders and to decrease pain and improve mood in women with fibromyalgia. GIM is effective for ameliorating symptoms and improving quality of life for a variety of medical populations.Keywords: Bonny Method of Guided Imagery and Music, GIM, mental health, physical health, music imageryGermanDie Bonny Methode der Guided Imagery and Music für medizinisch auffälligePatienten: Evidenz für Effektivität und zukünftige VisionenCathy H. McKinney, Denise E. GrockeAbstract: Die BMGIM und ihre Modifikationen sind einflussreich und anpassungsfähig, sie erreichen psychologisch und physisch sowohl klinische als auch nicht-klinische erwachseneMenschen. Dieser Artikel fasst die vorhandene Evidenz zusammen, die für die medizinischauffällige Bevölkerung mit Fokus auf deren mentale und physische Gesundheit relevant sind.Diese medizinische Bevölkerung profitiert von einer Reihe individueller GIM Sitzungen, dies gilt auch für Patienten mit Krebs, cardiovasculäre Krankheiten, Autoimmunkrankheiten und psychischen Problemen, inclusive Angststörungen, Abhängigkeiten von chemischen Substanzen, posttraumatischen Stresssymptomen, und Behinderungen aufgrund von Arbeitsstress. Aufgrund einer Reihe von GIM Sitzungen konnten Forscher signifikante Veränderungen bei physiologischen Variablen dokumentieren, eingeschlossen Blutdruck, Cortisol und chronischer Schmerz. Anpassungen und Modifikationen, die individuellenklinischen Bedürfnisse oder Umstände zu treffen, waren das Verkürzen der Sitzungen, weniger aufwühlende Musik zu benutzen, Einführen unterstützender Bilder, direktives Führen während des Imagery-Prozesses und Verzicht auf den verbalen Dialog in den Gruppen. Besonders bei Music and Imagery in Gruppen wurde festgestellt, dass dies zu einer Verbesserung des globalen Funktionierens bei Patienten mit psychotischen Störungen führt und bei Frauen mit Fibromyalgie den Schmerz vermindert und die Stimmung verbessert. GIM hilft, um bei einer großen Anzahl der medizinischen auffälligen Bevölkerung die Symptome zu verbessern und die Lebensqualität zu erhöhen.Keywords: Bonny Method of Guided Imagery and Music, GIM, mentale Gesundheit, physischeGesundheit, music imageryJapanese医療現場におけるボニー式GIM: 将来に向けた効果と展望のためのエビデンスボニー式GIMとそれから派生した変形様態には、大人への臨床と非臨床の両面において様々な精神と身体の問題に対処するための効能と柔軟性がある。本稿は精神と身体に焦点をあてた医療に関連した存在エビデンスについて要約する。医療現場では、ガン、心血管疾患、自己免疫障害の患者、そして不安障害、薬物依存、心的外傷後障害、そして職場でのストレスによる障害を含む精神的状態において連続した個別GIMセッションから利益があることを発見した。研究者達は、血圧、コルチゾール、慢性疼痛を含む生理学上の変化にも連続したGIMセッションから有意な変化を　得られることをことも報告してきた。対象者の臨床的ニーズと状況に合わせるために原型のメソッドへの適応と変容は、セッション時間の短縮、喚情的な音楽の使用の回避、支援的なイメージの導入、直接的なイメージ処理の導き、そしてグループ内での言語対話を先行することを含んでいる。グループにおける音楽とイメージは、特に、精神障害者の全体機能向キーワード：ボニー式GIM, GIM, 精神医療、身体的健康、音楽イメージChinese邦尼式引導想像音樂治療法(GIM)及其衍生的方法能靈活有效的處理各種成人的心理、生理臨床或非臨床的議題。本文從現有證據針對此方法對醫療族群的心理與生理健康之相關性做一總結。研究發現能受益於個別GIM系列療程的病患包括罹患癌症、心血管疾病、自體免疫系統疾患、心理疾患如焦慮、藥物依賴、創傷後壓力症候群以及工作壓力殘疾者。研究人員並記錄到GIM系列療程帶來血壓、皮質醇以及慢性疼痛等生理變向上的重大變化。為了符合個案需求與情況對原方法所做的改變與調整包括縮短療程、使用較少誘發性的音樂、引入支持性意象、直接帶領意象過程以及在團體中的事前對話。音樂引導意象團體治療被發現對於提升精神疾病患者的整體功能，以及減低女性纖維肌疼痛並改善心情特別有助益。GIM可有效改善多種醫療族群的症狀並提升生活品質。Korean일반병원 환자를 위한 Bonny의 유도된 심상과 음악 기법 : 효과에 대한 근거와 미래에 대한 비전Cathy H. McKinney, Denise E. Grocke초록Bonny에 의해 개발된 유도된 심상과 음악(GIM) 및 수정/보완된 기법은 임상 및 정상범주 성인 대상군 모두에게 다양한 심리 및 신체적 어려움을 해결하는데 상당한 잠재성과 적용 가능성을 보인다. 본 논문은 정신 및 신체 건강에 포커스를 맞추면서 의료현장 환자군과 관련된 현존하는 근거들을 종합하였다. 개별 GIM 세션을 통해 혜택을 받은 의료 환경 내 대상군은 암, 심혈관 질환, 자가면역 장애, 불안 등의 심리 상태, 약물 의존, 외상 후 스트레스 장애, 업무 스트레스로 인한 장애 등을 가진 대상자들이었다. 일련의 GIM 세션 시행 후 혈압, 코티솔, 만성 통증 포함 여러 생리학적 변인에서 나타난 유의미한 변화들을 기록한 연구들도 있었다. 개인별 임상적 필요나 환경적 문제를 고려한 수정/보완 방법의 일환으로 세션 횟수의 감소, 자극이 적은 음악의 사용, 지지적 이미지의 소개, 지시적인 심상유도 도입, 심상 전 그룹내 대화 등이 활용 되었다. 그룹 대상 음악과 심상은 특히 정신증적 장애를 가진 대상자의 전반적 기능을 향상시키고, 섬유근육통이 있는 여성들의 통증을 줄여주며 기분을 향상시키는 데 기여하는 것으로 밝혀졌다. GIM은 다양한 의료환경 내 대상군의 증상을 개선시키고 삶의 질을 향상시키는 데 효과적임을 알 수 있다. 키워드: Bonny에 의해 개발된 유도된 심상과 음악기법, GIM, 정신 건강, 신체 건강, 음악 심상

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“…the BMGiM protocol was adapted to assist postcardiothoracic surgery patients in gathering insights about their journey of recovery. 36 Major themes, detected through semiotic research methods, were "looking through the frame, feeling the impact, spiraling into the unexpected, sublime plateau, and rehearsing new steps." this selfawareness contributed to their understanding of and adjustment to the rehabilitation process.…”

confidence: 99%

Music Therapy in Cardiac Health Care

Hanser

2014

Cardiology in Review

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Music therapy is a service that has become more prevalent as an adjunct to medical practice-as its evidence base expands and music therapists begin to join the cardiology team in every phase of care, from the most serious cases to those maintaining good heart health. Although applications of music medicine, primarily listening to short segments of music, are capable of stabilizing vital signs and managing symptoms in the short-term, music therapy interventions by a qualified practitioner are showing promise in establishing deeper and more lasting impact. On the basis of mind-body approaches, stress/coping models, the neuromatrix theory of pain, and entrainment, music therapy capitalizes on the ability of music to affect the autonomic nervous system. Although only a limited number of randomized controlled trials pinpoint the efficacy of specific music therapy interventions, qualitative research reveals some profound outcomes in certain individuals. A depth of understanding related to the experience of living with a cardiovascular disease can be gained through music therapy approaches such as nonverbal music psychotherapy and guided imagery and music. The multifaceted nature of musical responsiveness contributes to strong individual variability and must be taken into account in the development of research protocols for future music therapy and music medicine interventions. The extant research provides a foundation for exploring the many potential psychosocial, physiological, and spiritual outcomes of a music therapy service for cardiology patients.

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Exploring the Role of Music Therapy in Cardiac Rehabilitation After Cardiothoracic Surgery

Abstract: This study demonstrates that music therapy (BMGIM) may be used to access and understand the internal recovery process of postcardiothoracic surgical patients, providing an additional clinical tool to augment the external rehabilitation process.

Cited by 20 publications

References 33 publications

Effect of Music on Postoperative Pain in Patients Under Open Heart Surgery

Effect of Music on Postoperative Pain in Patients Under Open Heart Surgery

The Bonny Method of Guided Imagery and Music for Medical Populations: Evidence for Effectiveness and Vision for the Future

Music Therapy in Cardiac Health Care

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