Year: 2015
Type: article
Abstract: BackgroundAlternatives to sedative medications, such as music, may alleviate the anxiety associated with ventilatory support. MethodsObjective: The aim of the study was to test whether listening to self-initiated patient-directed music (PDM) can reduce anxiety and sedative exposure during ventilatory support in critically ill patients.Design: This study was a randomized clinical trial.Setting: In 12 ICUs of five hospitals in the Minneapolis-St Paul, Minnesota area, 373 patients receiving acute mechanical ventilatory support for respiratory failure were enrolled between September 2006 and March 2011.Of the patients included in the study, 86% were white, 52% were female, and the mean age was 59 years.The patients had a mean Acute Physiology, Age and Chronic Health Evaluation III score of 63 and a mean of 5.7 study days.Interventions: The patients received self-initiated PDM (n =126) with preferred selections tailored by a music therapist, or self-initiated use of noise-canceling headphones (NCH; n = 122), or usual care (n = 125).Outcomes: Daily assessments of anxiety (on a 100 mm visual analog scale) and two aggregate measures of sedative exposure (intensity and frequency) were assessed.
Source: Critical Care
Authors: Jeffrey D DellaVolpe, David T Huang
Institution: University of Pittsburgh
Language: English
Topic: Music Therapy and Health
Subfield: Social Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: gold
Estimated APC paid: $4,190
OpenAlex ID: W2128396178