The effect of music on discomfort experienced by intensive care unit patients during turning: A randomized cross-over study

Cooke, Marie, Chaboyer, Wendy, Schluter, Philip J., Foster, Michelle, Harris, Denise and Teakle, Roz (2010) The effect of music on discomfort experienced by intensive care unit patients during turning: A randomized cross-over study. International Journal of Nursing Practice, 16 2: 125-131. doi:10.1111/j.1440-172X.2010.01819.x

Author Cooke, Marie
Chaboyer, Wendy
Schluter, Philip J.
Foster, Michelle
Harris, Denise
Teakle, Roz
Title The effect of music on discomfort experienced by intensive care unit patients during turning: A randomized cross-over study
Journal name International Journal of Nursing Practice   Check publisher's open access policy
ISSN 1322-7114
Publication date 2010-04
Sub-type Article (original research)
DOI 10.1111/j.1440-172X.2010.01819.x
Volume 16
Issue 2
Start page 125
End page 131
Total pages 7
Editor Alan Pearson
Place of publication Richmond, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2011
Language eng
Subject C1
110310 Intensive Care
920499 Public Health (excl. Specific Population Health) not elsewhere classified
Abstract Research consistently demonstrates that intensive care unit (ICU) patients experience pain, discomfort and anxiety despite analgesic and sedative use. The most painful procedure reported by critically ill patients is being turned. Music diminishes anxiety and discomfort in some populations; however, its effect on critically ill patients remains unknown. This research aimed to identify the effect of music on discomfort experienced by ICU patients during turning using a single blind randomized cross-over design. Seventeen post-operative ICU patients were recruited and treatment order randomized. Discomfort and anxiety were measured 15 min before and immediately after two turning procedures. Findings indicated that listening to music 15 min before and during turning did not significantly reduce discomfort or anxiety. Pain management might effectively be addressing discomfort and anxiety experienced during turning. Given previous studies have identified turning as painful, current results are promising and it might be useful to determine if this is widespread. © 2010 Blackwell Publishing Asia Pty Ltd.
Keyword Anxiety
Perioperative care
References 1 Puntillo KA, White C, Morris AB et al. Patients’ perceptions and responses to procedural pain: Results from thunder project II. American Journal of Critical Care 2001; 10: 238–251. 2 Stein-Parbury J, McKinley S. Patients experiences of being in an intensive care unit: A select literature review. American Journal of Critical Care 2000; 9: 20–27. 3 Guzzetta C. Effects of relaxation and music therapy on patients in a coronary care unit with presumptive acute myocardial infarction. Heart & Lung 1989; 18: 609–616. 4 Leach M, Zernike W, Tanner S. How anxious are surgical patients? ACORN Journal 2000; 13: 29–35. 5 Bally K, Campbell D, Chesnick K, Tranmer J. Effects of patient-controlled music therapy during coronary angiography on procedural pain and anxiety distress syndrome. Critical Care Nurse 2003; 23: 50–58. 6 Sapolsky RM. Stress hormones: Good and bad. Neurobiology of Disease 2000; 7: 540–542. 7 Sapolsky RM, Romero LM, Munck AU. How do glucocorticoids influence stress responses? Integrating permissive, suppressive, stimulatory, and preparative actions. Endocrine Reviews 2000; 21: 55–89. 8 Siffleet J, Young J, Nikoletti S, Shaw T. Patients’ self-report of procedural pain in the intensive care unit. Journal of Clinical Nursing 2007; 16: 2142–2148. 9 Cooke M, Chaboyer W, Hiratos M. Music and its effect on anxiety in short waiting periods: A critical appraisal. Journal of Clinical Nursing 2005; 14: 145–155. 10 Cooke M, Chaboyer W, Hiratos M, Schluter P. The effect of music on pre-operative anxiety in day surgery. Journal of Advanced Nursing 2005; 52: 47–55. 11 Chlan L, Evans D, Greenleaf M, Walker J. Effects of a single music therapy intervention on anxiety, discomfort, satisfaction, and compliance with screening guidelines in outpatients undergoing flexible sigmoidoscopy. Gastroenterology Nursing 2000; 23: 148–156. 12 Cepeda MS, Carr DB, Lau J, Alvarez H. Music for pain relief. Cochrane Database of Systematic Reviews 2006; Issue 2. Ar. No.: CD004843. DOI: 10.1002.14651858. CD004843.pub2. 13 Broscious B. Music: An intervention for pain during chest tube removal after open heart surgery. American Journal of Critical Care 1999; 8: 410–415. 14 Jacobson AF. Intradermal normal saline solution, self selected music, and insertion difficulty effects on intravenous insertion pain. Heart & Lung 1999; 28: 114–122. 15 Chlan L, Tracy MF, Nelson B, Walker J. Feasibility of a music intervention protocol for patients receiving mechanical ventilatory support. Alternative Therapies in Health and Medicine 2001; 7: 80–83. 16 Hayes A, Buffum M, Lanier E, Rodahl E, Sasso C. A music intervention to reduce anxiety prior to gastrointestinal procedures. Gastroenterology Nursing 2003; 26: 145–149. 17 Shadish WR, Cook TD, Campbell DT. Experimental and Quasi-Experimental Designs for Generalized Causal Inferences. New York: Houghton Mifflin, 2002. 18 McGuire D. Measuring pain. In: Frank Stromborg M, Olsen S (eds). Instruments for Clinical Health-Care Research. Sudbury, MA, USA: Jones and Bartlett Publishers, Inc, 1998; 528–561. 19 McKinley S, Coote K, Stein-Parbury J. Development and testing of a Faces Scale for the assessment of anxiety in critically ill patients. Journal of Advanced Nursing 2003; 41: 73–79. 20 McKinley S, Stein-Parbury J, Chehelnabi A, Lovas J. Assessment of anxiety in intensive care patients by using the faces anxiety scale. American Journal of Critical Care 2004; 13: 146–152. 21 Gustad L, Chaboyer W, Wallis M. Performance of the faces anxiety scale in patients transferred from the ICU. Intensive and Critical Care Nursing 2005; 21: 355–360. 22 Senn S. Cross-over Trails in Clinical Research. Chichester, UK: John Wiley & Sons, Ltd, 1993. 23 SAS Institute Inc. The SAS System for Windows (9.1). Cary, NC, USA: SAS Institute Inc, 2001. 24 Gelinas C. Management of pain in cardiac surgery ICU patients: Have we improved over time? Intensive and Critical Care Nursing 2007; 23: 298–303. 25 Grap M, Munro C. Subject recruitment in critical care nursing research: A complex task in a complex environment. Heart & Lung 2003; 32: 162–168. 26 Polit D, Beck C. Nursing Research: Principles and Methods, 7th edn. Philadelphia, PA, USA: Lippincott Williams & Wilkins, 2004.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
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Created: Thu, 27 May 2010, 13:48:13 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work