The effect of listening to music during continuous positive airway pressure on agitation levels and compliance of intensive care patients with COVID-19: A randomized controlled trial.
Agitation
COVID-19
CPAP
compliance
music
Journal
Nursing in critical care
ISSN: 1478-5153
Titre abrégé: Nurs Crit Care
Pays: England
ID NLM: 9808649
Informations de publication
Date de publication:
03 Aug 2023
03 Aug 2023
Historique:
revised:
29
06
2023
received:
29
01
2023
accepted:
05
07
2023
medline:
4
8
2023
pubmed:
4
8
2023
entrez:
3
8
2023
Statut:
aheadofprint
Résumé
Agitation and incompliance with the treatment may be observed in patients undergoing continuous positive airway pressure (CPAP), which may cause inadequate oxygenation, sedation, termination of CPAP or intubation of the patient. This study was conducted to determine the effect of listening to music during CPAP on the agitation levels of intensive care patients who underwent CPAP as a result of COVID-19 and their compliance with the treatment. This study was a prospective, randomized, controlled clinical trial. Seventy-six intensive care patients with COVID-19 were included in this study and assigned to the music and control groups via the block randomization method. The study was completed with 70 patients. The patients and outcome assessors were not blinded in this study. The Richmond Agitation and Sedation Scale (RASS) level, respiratory rate, oxygen saturation (SpO The mean RASS score of the patients in the intervention group was 2.14 ± 0.69 before CPAP, 1.63 ± 064 at the 1st minute, 0.89 ± 0.58 at the 15th minute and 0.74 ± 0.61 at the 30th minute. The mean RASS score of the patients in the control group was 2.06 ± 0.53 before CPAP, 1.80 ± 0.58 at the 1st minute, 1.43 ± 0.60 at the 15th minute and 1.46 ± 0.61 at the 30th minute of CPAP. There was a statistically significant difference between the groups at the 15th and 30th minutes (t = -3.81, p < .001; t = -4.89, p < .001 respectively). The mean respiratory rate, SpO The study results show that listening to music during CPAP reduces the agitation levels of patients and helps them comply with the treatment. Music may be a beneficial application for patients who are agitated and unable to comply with CPAP therapy. This is an easy and applicable method, which can protect patients from the adverse effects of failed CPAP.
Sections du résumé
BACKGROUND
BACKGROUND
Agitation and incompliance with the treatment may be observed in patients undergoing continuous positive airway pressure (CPAP), which may cause inadequate oxygenation, sedation, termination of CPAP or intubation of the patient.
AIM
OBJECTIVE
This study was conducted to determine the effect of listening to music during CPAP on the agitation levels of intensive care patients who underwent CPAP as a result of COVID-19 and their compliance with the treatment.
STUDY DESIGN
METHODS
This study was a prospective, randomized, controlled clinical trial. Seventy-six intensive care patients with COVID-19 were included in this study and assigned to the music and control groups via the block randomization method. The study was completed with 70 patients. The patients and outcome assessors were not blinded in this study. The Richmond Agitation and Sedation Scale (RASS) level, respiratory rate, oxygen saturation (SpO
RESULTS
RESULTS
The mean RASS score of the patients in the intervention group was 2.14 ± 0.69 before CPAP, 1.63 ± 064 at the 1st minute, 0.89 ± 0.58 at the 15th minute and 0.74 ± 0.61 at the 30th minute. The mean RASS score of the patients in the control group was 2.06 ± 0.53 before CPAP, 1.80 ± 0.58 at the 1st minute, 1.43 ± 0.60 at the 15th minute and 1.46 ± 0.61 at the 30th minute of CPAP. There was a statistically significant difference between the groups at the 15th and 30th minutes (t = -3.81, p < .001; t = -4.89, p < .001 respectively). The mean respiratory rate, SpO
CONCLUSIONS
CONCLUSIONS
The study results show that listening to music during CPAP reduces the agitation levels of patients and helps them comply with the treatment.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
Music may be a beneficial application for patients who are agitated and unable to comply with CPAP therapy. This is an easy and applicable method, which can protect patients from the adverse effects of failed CPAP.
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : TUBITAK
Organisme : Ataturk University
ID : TYL-2021-9711
Informations de copyright
© 2023 The Authors. Nursing in Critical Care published by John Wiley & Sons Ltd on behalf of British Association of Critical Care Nurses.
Références
WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int/. Accessed June 28, 2023
Pinto VL, Sharma S. Continuous Positive Airway Pressure. StatPearls Publishing; 2022:25.
Aliberti S, Radovanovic D, Billi F, et al. Helmet CPAP treatment in patients with COVID-19 pneumonia: a multicentre cohort study. Eur Respir J. 2020;56:1-5.
Radovanovic D, Rizzi M, Pini S, Saad M, Chiumello DA, Santus P. Helmet CPAP to treat acute hypoxemic respiratory failure in patients with COVID-19: a management strategy proposal. J Clin Med. 2020;9:1191.
Liu J, Duan J, Bai L, Zhou L. Noninvasive ventilation intolerance: characteristics, predictors, and outcomes. Respir Care. 2016;61:277-284.
Nair PR, Haritha D, Behera S, et al. Comparison of high-flow nasal cannula and noninvasive ventilation in acute hypoxemic respiratory failure due to severe COVID-19 pneumonia. Respir Care. 2021;66:1824-1830.
Altınkaya Çavuş M, Gökbulut Bektaş S, Turan S. Comparison of clinical safety and efficacy of dexmedetomidine, remifentanil, and propofol in patients who cannot tolerate non-invasive mechanical ventilation: a prospective, randomized, cohort study. Front Med (Lausanne). 2022 Aug;30:9.
Bulechek G, Butcher H, Dochterman JM. Nursing Interventions Classification (NIC). 50th ed. Mosby Elsevier; 2008:502.
Koelsch S, Jäncke L. Music and the heart. Eur Heart J. 2015;36(44):3043-3049.
Umbrello M, Sorrenti T, Mistraletti G, Formenti P, Chiumello D, Terzoni S. Music therapy reduces stress and anxiety in critically ill patients: a systematic review of randomized clinical trials. Minerva Anestesiol. 2019;85(8):886-898.
Miller CR, Patmon FL, Knapp H. Music to reduce stress in hospitalized patients. Nursing. 2021;51:62-66.
Chen YF, Chang MY, Chow LH, Ma WF. Effectiveness of music-based intervention in improving uncomfortable symptoms in ICU patients: an umbrella review. Int J Environ Res Public Health. 2021;18:11500.
Reidy J, MacDonald MC. Use of palliative care music therapy in a hospital setting during COVID-19. J Palliat Med. 2021;24:1603-1605.
Messika J, Martin Y, Maquigneau N, et al. A musical intervention for respiratory comfort during noninvasive ventilation in the ICU. Eur Respir J. 2019;53:1801873.
Sazak Y, Aytekin Kanadlı Y, Olgun N. Physiological and psychological effects of music application on intensive care patients: a systematic review. Hacettepe Univ Faculty Nurs J. 2021;8:203-212.
Chlan LL, Engeland WC, Savik K. Does music influence stress in mechanically ventilated patients? Intensive Crit Care Nurs. 2013;3:121-127.
Bradt J, Dileo C. Music interventions for mechanically ventilated patients. Cochrane Database Syst Rev. 2014;2014(12):CD006902.
Dallı ÖE, Yıldırım Y, Şenuzun AF, Kahveci F. The effect of music on delirium, pain, sedation and anxiety in patients receiving mechanical ventilation in the intensive care unit. Intensive Crit Care Nurs. 2023;75:103348.
Karamızrak N. Healing effects of sound and music on the organs. Koşuyolu Heart J. 2014;17:54-57.
Yazıcı D. The effects of music on human brain. Int J Cult Soc Stud. 2017;3:88-103.
Bernardi NF, Codrons E, di Leo R, et al. Increase in synchronization of autonomic rhythms between individuals when listening to music. Front Physiol. 2017 Oct;17(8):785.
Trappe HJ. Music and medicine: the effects of music on the human being. Appl Cardiopulm Pathophysiol. 2012;16:133-142.
Mollakazemi MJ, Biswal D, Elayi SC, Thyagarajan S, Evans J. Synchronization of autonomic and cerebral rhythms during listening to music: effects of tempo and cognition of songs. Physiol Res. 2019;68(6):1005-1019. Epub 2019 Oct 25.
Eldridge SM, Chan CL, Campbell MJ, et al. CONSORT 2010 statement: extension to randomised pilot and feasibility trials. BMJ. 2016;355:i5239.
Capık C. Statistical power analysis and its use in nursing studies: basic Information. J Anatolian Nurs Health Sci. 2014;17:268-274.
Sessler CN, Gosnell M, Grap MJ, et al. The Richmond agitation-sedation scale: validity and reliability in adult intensive care patients. Am J Respir Crit Care Med. 2002;166:1338-1344.
Sılay F, Akyol A. Adaptation of two measurement tools used to assess sedation-agitation and pain among patients in intensive care units into Turkish: a reliability and validity study. J Intensive Care Nurs. 2018;22:50-65.
Robinson BR, Berube M, Barr J, Riker R, Gelinas C. Psychometric analysis of subjective sedation scales in critically ill adults. Crit Care Med. 2013;41(9 Suppl 1):S16-S29.
Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323:1239-1242.
Zhou Y, Chi J, Lv W, Wang Y. Obesity and diabetes as high-risk factors for severe coronavirus disease 2019 (Covid-19). Diabetes Metab Res Rev. 2021;37:e3377.
Goli R, Arad M, Mam-Qaderi M, Parizad N. Comparing the effects of geranium aromatherapy and music therapy on the anxiety level of patients undergoing inguinal hernia surgery: a clinical trial. Explore (NY). 2022 Jan-Feb;18(1):57-63.
Su CP, Lai HL, Chang ET, Yiin LM, Perng SJ, Chen PW. 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. J Adv Nurs. 2013;69(6):1377-1389.
Çiftçi H, Öztunç G. The effect of music on comfort, anxiety and pain in the intensive care unit: a case in Turkey. Int J Caring Sci. 2015;8:594-602.
Golino AJ, Leone R, Gollenberg A, et al. Impact of an active music therapy intervention on intensive care patients. Am J Crit Care. 2019 Jan;28(1):48-55.
Liang Z, Ren D, Choi J, Happ MB, Hravnak M, Hoffman LA. Music intervention during daily weaning trials-a 6 day prospective randomized crossover trial. Complement Ther Med. 2016;29:72-77.
Yilmaz DU, Korhan EA, Baysal B, et al. The effect of music therapy on sedation levels and vital signs of patients under mechanical ventilatory support: a pilot study. J Izmir Katip Celebi Univ Faculty Health Sci. 2016;1:21-27.
Boşnak M, Kurt AH, Yaman S. Music physiology of our brain. J KSU Faculty Med. 2017;12:35-34.