Music therapy as an alternative to control psychomotor agitation and sedation of the patients with invasive mechanical ventilation
Keywords:
music therapy, agitation, sedation, invasive mechanical ventilationAbstract
Introduction: music therapy is promoted as a tool to handle certain health issues.
Objective: to specify the effect of music therapy in sedated patients with invasive mechanical ventilation in the intensive care unit at the General Teaching Hospital ¨Dr. Agostinho Neto¨ in Guantanamo during the year 2018.
Method: from January to December, 2018, a pre-experimental application of music therapy was undertaken. 40 patients were part of the experiment, during the process of weaning from invasive mechanical ventilation. Patients were randomly selected to the studied group (n=20) or to a control group (n=20), the first being treated with music therapy while the last was not. Modifications in heart rate, respiratory rate, mean arterial pressure, sedative dose and levels of psychomotor agitation were taken into account; also listening to professionals´ and patients´ opinions on the treatment. The information gathered was sorted in absolute frequencies, percentages, mean and standard deviation, and the differences were evaluated with Student´s t-distribution.
Results: music therapy improved heart and respiratory rate, mean arterial pressure and helped to decrease the use of sedative doses; besides, it improved the agitation in the group studied (p<0.05). Patients and professionals both gave favorable opinions about the treatment and its ability to control the agitation (p<0.05).
Conclusions: music therapy constitutes a non-pharmacological form of therapy that proves effective to control agitation in patients during the process of weaning from invasive mechanical ventilation.
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References
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21.Yoen JP, Soohyun P. Effects of two music therapy methods on agitation and anxiety among patients weaning off mechanical ventilation: a pilot study. J Korean Acad Fundam Nurs [en línea]. 2019 [citado 25 Sep 2020]; 26(2):136-143 [aprox. 38 p.]. Doi: https://doi.org/10.7739/jkafn.2019.26.2.136
2. Hernández LDD, Cerón JR, Escobar OD, Graciano GL, Gororod DLA, Merinos SG, Castañón GJA. Retro de la ventilación mecánica. Med Crit [en línea]. 2020 [citado 25 Sep 2020]; 31(4):238-245. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumeI.cgi?IDARTICULO=74617
3. Gopal A, Roberts KJ, Anderson E, Siegel AM. Ventilator dependent patients successfully weaned with cognitive behavioral therapy: a case series. Psychosomatics [en línea]. 2019 [citado 25 Sep 2020]; [aprox. 38 p.]. Doi: https://doi.org/10.1016/j.psym.2019.02.003
4. Díaz RLB. Efectividad de la musicoterapia en el nivel de ansiedad en pacientes con ventilación mecánica no invasiva en una unidad de cuidados intensivos, Huaraz octubre 2016. [Tesis de grado]. Lima-Perú: Universidad Peruana Cayetano Heredia; 2019.[citado 25 Sep 2020]; [aprox. 38 p.]. Disponible en: http://www.repositorio.upch.edu.pe/bitstream/hamdle/upch/7664/Efectividad_DiazRimac_Liz?sequence=1&isAllowed=y
5. Giordano F, Zanchi B, de Leonardis F, Rutigliano C, Esposito F, Brienza N, Santoro N. The influence of music therapy on preoperative anxiety in pediatric oncology patients undergoing invasive procedures. Arts Psychoth[en línea]. 2020 [citado 25 Sep 2020]; 68: [aprox. 9 p.]. Doi: https://doi.org/10.1016/j.aip.2020.101649
6. Hawkes E. The Effects of Group music therapy on levels of anxiety, depression, well-being, functional disability, and distress in adult congolese refugees. JOUR [en línea]. 2020 [citado 25 Sep 2020]; 5:32-36. Doi: https://doi.org/10.25172/jour.5.1.8
7. Hetland B, Lindquist R, Weinert CR, Peden-McAlpine C, Savik K, Chlan L. Predictive associations of music, anxiety, and sedative exposure on mechanical ventilation weaning trials. Am J Crit Care [en línea]. 2017 [citado 25 Sep 2020]; 26(3):210-220. Doi:https://dx.doi.org/10.4037/ajcc2017468
8. Lee CH, Lee CY, Hsu MY, Lai CL, Sung YH, Lin CY, Lin LY. Effects of music intervention on state anxiety and physiological indices in patients undergoing mechanical ventilation in the intensive care unit. Biol Res Nurs[en línea]. 2017 [citado 25 Sep 2020];19(2):137-144. Doi: https://dx.doi.org/10.1177/1099800416669601
9. Liang Z, Ren D, Choi J, et al. Music intervention during daily weaning trials-A 6 day prospective randomized crossover trial. Complement Ther Med [en línea]. 2016 [citado 25 Sep 2020]; 29:72-77. Disponible en: https://europmc.org/article/med/27912960
10.Sessler CN, Gosnell MS, Grap MJ, Brophy GM, O'Neal PV, Keane KA, et al. The Richmond agitation sedation scale validityand reliability in adult intensive care unit patients. Am J Resp Crit Care Med [en línea]. 2002 [citado 25 Sep 2020]; 166(10):1338-1344. Doi: https://dx.doi.org/10.1164/rccm.2107138
11.Rodríguez SC, Díaz RGM, Martín MR, Herrador LM. Efecto de la musicoterapia sobre la sedación y el nivel de estrés de pacientes con ventilación mecánica en una unidad de cuidados intensivos. Biblioteca Lascasas [en línea]. 2016 [citado 25 Sep 2020]; 12(1):[aprox. 12 p.]. Disponible en: http://www.index-f.com/lascasas/documentos/lc0881.php
12.Sociedad Española de Neurología. La musicoterapia mejora el rendimiento motor, el lenguaje, la cognición y el estado de ánimo en pacientes neurológicos [en línea]. 2020 Mar [citado 25 Sep 2020]; [aprox. 3 p.]. Doi: http://dx.doi.org/10.1177/15347354187573492020
13.Covre JF, Zanini CRO. Música e comunicação: interrelações e possibilidades de utilização terapêutica. [Tesis de grado]. São Carlos: Universidade Federal de Goiás; 2015. [citado 25 Sep 2020]; 6(11):[aprox. 50 p.]. Disponible en:https://www.researchgate.net/publication/278588271_musica_e_comunicacao_interrelacoes_e_possibilidades_de_utilizacao_terapeutica
14.Lyu J, Zhang J, Mu H, Li W, Champ M, Xiong Q, et al. The effects of music therapy on cognition, psychiatric symptoms, and activities of daily living in patients with Alzheimer's disease. J Alzheimers Dis [en línea]. 2018 [citado 25 Sep 2020]; 64:1347-58. Doi: https://dx.doi.org/10.3233/JAD-180183
15.Tsoi KKF, Chan JYC, Ng YM., Lee MMY, Kwok TCY, Wong SYS. Receptive music therapy is more effective than interactive music therapy to relieve behavioral and psychological symptoms of dementia: a systematic review and meta-analysis. J Am Med Dir Assoc[en línea]. 2018 [citado 25 Sep 2020]; 19, 568-76 e3. Doi: http://dx.doi.org/10.1016/j.jamda.2017.12.009
16.Jasemi M, Aazami S, Esmaili ZR. The effects of music therapy on anxiety and depression of cancer patients. Indian J Palliat Care [en línea]. 2020 [citado 25 Sep 2020]; 22(4):455-458. Doi: https://doi.org/10.4103/0973-1075.191823
17.Gogoularadja A, Singh BS. A Randomized study on the efficacy of music therapy on pain and anxiety in nasal septal surgery. Int Arch Otorhinolaryngol [en línea]. 2020 [citado 25 Sep 2020]; 24(2):e232-e236. Doi: https://doi.org/10.1055/s-0039-3402438
18.Clements CA, Bartel L. Are we doing more than we know? possible mechanisms of response to music therapy. Front Med (Lausanne) [en línea]. 2018 [citado 25 Sep 2020]; 5:255-263. Doi: http://dx.doi.org/10.3389/fmed.2018.00255
19.Schlaug G. Musicians and music making as a model for the study of brain plasticity. Prog Brain Res[en línea]. 2015 [citado 25 Sep 2020]; 217: 37-55. Doi: https://dx.doi.org/10.1016/bs.pbr.2014.11.020
20.Vidal M, De María F. Eficacia de la musicoterapia en reducción de la ansiedad y sedación del paciente con ventilación mecánica. [Tesis de grado]. Lima, Perú: Universidad Peruana Cayetano Heredia; 2018 [citado 25 Sep 2020]; [aprox. 38 p.]. Disponible en: http://www.fi-admin.bvsalud.org/document/view/v35fn
21.Yoen JP, Soohyun P. Effects of two music therapy methods on agitation and anxiety among patients weaning off mechanical ventilation: a pilot study. J Korean Acad Fundam Nurs [en línea]. 2019 [citado 25 Sep 2020]; 26(2):136-143 [aprox. 38 p.]. Doi: https://doi.org/10.7739/jkafn.2019.26.2.136
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Published
2020-10-27
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1.
Álvarez-Trutié JA, Fernández Fernández L, Lahite-Savón Y, Rivo-Sayoux BN. Music therapy as an alternative to control psychomotor agitation and sedation of the patients with invasive mechanical ventilation. Rev Inf Cient [Internet]. 2020 Oct. 27 [cited 2025 Apr. 4];99(5):442-51. Available from: https://revinfcientifica.sld.cu/index.php/ric/article/view/3037
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