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Music Listening Among Postoperative Patients in the Intensive Care Unit: A Randomized Controlled Trial with
Nancy Ames1, Rebecca Shuford1, Li Yang1
1Nursing Department, Clinical Center, National Institutes of Health, Bethesda, MD, USA.
Integrative Medicine Insights
|September 15, 2017
Summary
Music listening may improve patient experience in the intensive care unit (ICU). While not significantly reducing pain or opioid use, it positively impacted patients' self-reported post-intervention feelings.
Area of Science:
- Critical Care Medicine
- Pain Management
- Music Therapy
Background:
- Music listening is known to alleviate distress and anxiety.
- Its effect on opioid use and patient experience in critical care settings remains unclear.
Purpose of the Study:
- To investigate the impact of music listening on pain, distress, anxiety, and opioid intake in surgical patients admitted to the ICU.
- To assess the effect of music on the overall patient experience in the ICU.
Main Methods:
- A randomized controlled trial involving 41 surgical patients in the ICU.
- Patients were assigned to either a music listening group or a control group for 48 hours.
- Pain, distress, and anxiety scores were measured pre- and post-intervention, with opioid intake recorded regularly.
Main Results:
- No significant differences in pain, opioid intake, distress, or anxiety scores were observed between groups at initial time points.
- A significant decrease in pain scores was noted in the music group compared to the control group at the first intervention point (P=.037).
- Qualitative analysis of patient interviews post-ICU discharge revealed positive experiences in the music group.
Conclusions:
- Music listening shows potential as an intervention to improve patient experience in the ICU.
- Further mixed-methods research is recommended to explore patient perspectives and optimize music interventions in critical care.
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