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Receptive Music Therapy for Patients Receiving Mechanical Ventilation in the Intensive Care Unit
Amanda J Golino1, Raymond Leone2, Audra Gollenberg3
1Amanda J. Golino is a clinical nurse specialist, Inova Loudoun Hospital, Leesburg, Virginia.
Summary
Live music therapy significantly reduced agitation and heart rate in intensive care unit (ICU) patients receiving mechanical ventilation. This therapy offers a valuable, non-pharmacological approach to improve patient well-being in critical care settings.
Area of Science:
- Critical Care Medicine
- Integrative Medicine
- Psychoneuroimmunology
Background:
- Live music therapy is recognized for its potential to alleviate anxiety, reduce pain, and improve physiological responses in intensive care unit (ICU) patients.
- The application of music therapy in critical care settings is an evolving area of research with significant implications for patient outcomes.
Purpose of the Study:
- To investigate the impact of live music therapy on physiological parameters, pain, and agitation levels in adult ICU patients requiring mechanical ventilation.
- To provide evidence-based support for the integration of music therapy into standard critical care protocols.
Main Methods:
- A randomized controlled trial involving 118 adult ICU patients receiving mechanical ventilation.
- Patients were assigned to either live music therapy (30-minute tailored sessions) or standard care.
- Physiological parameters (heart rate, respiratory rate, oxygenation) and patient agitation/sedation (Richmond Agitation-Sedation Scale) and pain (Critical Care Pain Observation Tool) were assessed before and after interventions.
Main Results:
- Live music therapy significantly reduced agitation scores (P < .001) and pain scores (odds ratio, 6.02; P = .002) compared to standard care.
- A significant decrease in heart rate (P < .001) was observed in the music therapy group.
- No significant differences were found in oxygenation levels between the groups.
Conclusions:
- Live music therapy demonstrates significant efficacy in reducing agitation and heart rate among mechanically ventilated ICU patients.
- These findings underscore the therapeutic value of music therapy in the ICU, even for intubated patients.
- Music therapy presents a promising non-pharmacological intervention for enhancing patient care in critical settings.
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