Clinical and psychological changes associated with music listening in haemodialysis patients: A prospective study

Fatma Zehra Ağan1, Çiğdem Cindoğlu1, Neriman Sila Koç2

  • 1Department of Internal Medicine, Faculty of Medicine, Harran University, Şanliurfa, Turkey.

Insights

Music therapy significantly reduced anxiety and depression in hemodialysis patients. This safe, complementary intervention also positively impacted key biochemical markers, improving patient well-being during treatment.

Area of Science:

  • Nephrology and Psychology
  • Integrative Medicine

Background:

  • Chronic kidney disease (CKD) management involves hemodialysis (HD), which imposes significant psychological and physiological stress on patients.
  • Non-pharmacological interventions, such as music listening, offer a potential avenue to mitigate this stress without adverse drug effects.

Purpose of the Study:

  • To investigate the impact of music therapy on the psychological well-being of hemodialysis patients.
  • To assess the effects of music listening on specific biochemical parameters in patients undergoing hemodialysis.

Main Methods:

  • A 4-week music listening program (12 sessions, 30 minutes each) was implemented for 49 hemodialysis patients.
  • Psychological status was evaluated using Beck Anxiety and Depression Inventories pre- and post-intervention.
  • Biochemical markers and dialysis efficiency were monitored, with data analyzed using the Wilcoxon Signed-Rank Test.

Main Results:

  • Significant reductions in anxiety and depression scores were observed (p < 0.001).
  • Notable changes occurred in sodium (p < 0.001), calcium (p = 0.002), glucose (p = 0.024), and albumin (p < 0.001) levels.
  • No significant alterations in dialysis efficiency indicators were found.

Conclusions:

  • Music listening sessions during hemodialysis effectively improved patients' psychological state and influenced selected biochemical parameters.
  • This intervention is safe, cost-effective, and serves as a valuable complementary approach to enhance patient comfort and potentially improve physiological outcomes.
  • Music therapy represents a promising adjunct to conventional hemodialysis care.
Abstract

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