Article CritiquePatient-directed music therapy reduces anxiety and sedation exposure in mechanically-ventilated patients: A research critique
Section snippets
Research article for critique
Chlan LL, Weinert CR, Heiderscheit A, Tracy MF, Skaar DJ, Guttormson JL, Savik K. Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: a randomized clinical trial. JAMA 2013;309(22):2335–44.
Summary
The aim of this study was to determine whether self-directed, self-initiated music therapy, compared to either noise-cancelling headphones or usual care reduced self-reported anxiety or sedation use in 373 mechanically-ventilated patients. Patient-directed music (PDM) therapy has been shown to divert attention from negative experiences or emotions, reducing the perception of emotional stress.1 PDM is selected with the assistance of a music therapist according to patient preference and
Critique
These findings have relevance for Australian critical care practice. Given the high frequency of anxiety in the critical care environment7 and the known benefits of reducing sedative exposure in the ICU,8 research findings that support non-pharmacological interventions may both improve patient experience and facilitate patients’ participation in their own care. While others have explored the use of music therapy in the ICU, this is the first to use a patient-directed and initiated approach.
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Cited by (11)
Effect of music therapy on ICU induced anxiety and physiological parameters among ICU patients: An experimental study in a tertiary care hospital of India
2021, Clinical Epidemiology and Global HealthCitation Excerpt :2015)23 who conducted an experimental study on ICU patients diagnosed with cerebro-vascular accident, in order to determine the effect of music on anxiety, comfort and pain. Another studies also supported the study findings.24,25 One more study has favourable assistance to the present study (Hatice C et.al.
The benefits of music therapy in critical patients
2021, Enfermeria IntensivaThe impact of listening to pleasant natural sounds on anxiety and physiologic parameters in patients undergoing coronary angiography: A pragmatic quasi-randomized-controlled trial
2016, Complementary Therapies in Clinical PracticeCitation Excerpt :The findings of this study are in line with the findings of our previous studies supporting the notion that listening to natural sounds is a pleasant stimulus and an alternative perceptual focus for patients undergoing mechanical ventilation [13,19]. Similarly, Gullick and Kwan (2015) also indicated that patient-controlled music therapy is a helpful and effective nursing intervention that reduces anxiety in patients undergoing mechanical ventilation [34]. According to the Nguyen et al.’s study, music reduced anxiety scores and some physiologic parameters in children with leukemia who underwent lumbar puncture procedure [35].