Yoğun Bakım Ünitesinde Ağrı ve Anksiyete Yönetiminde Nonfarmakolojik Adjuvan Tedavi: Müzik Terapi

Amaç: Mekanik ventilatör desteği alan yoğun bakım hastalarında müziğin ağrı ve anksiyete yönetimi üzerine etkisini çeşitli fizyolojik değişkenler üzerinden tespitini sağlamaktır. Gereç ve Yöntem: Çalışma 2015 yılı içinde Glaskow Koma Skalası GKS 6E-9E olan, 18-65 yaş arası 40 yoğun bakım hastası dahil edilerek yapıldı. Hastalara 30 dk. süre ile 3 gün arka arkaya, aynı saatte saat 10:00 Klasik Türk Müziği dinletildi. Hastaların ağrı değerlendirmesi yüz ifadesi skalası ile anksiyetleri ise fizyolojik parametrelerden KAH kalp atım hızı , periferik oksijen satürasyonu SpO2 , ortalama kan basıncı OKB , mekanik ventilatördeki tidal volüm TV ve solunum sayısı f değerleri müzikten önce ve müzik esnasında 30 dk boyunca belli aralıklarla kaydedilerek değerlendirildi. Bulgular: Hastalar Mann Whitney U testine göre 3 gün boyunca müzik öncesi ve sonrası değerler kıyaslandığında KAH, SpO2 ve solunum f değerlerinde istatistiksel olarak anlamlı iken p

Anahtar Kelimeler:

Müzik, anksiyete, ağrı, yoğun bakım

Nonpharmacologic Adjuvant Treatment in Pain and Anxiety Management in Intensive Care Unit: Music Therapy

Objective: The pain and the effect of anxiety management in support of music in mechanically ventilated intensive care patient is to identify through a variety of physiological variables. Methods: This study was undertaken in 2015 with Glaskow Coma Scale GKS 6E-9E, 40 intensive care unit patients between the ages of 18-65. Classical Turkish Music was listened to the patients with 30 minutes consecutive for 3 days at the same oclock 10:00 am . Patients anxiety and pain scores were assessed by physiological parameters such as heart rate HR , peripheral oxygen saturation SpO2 , mean blood pressure MBP , tidal volume TV and respiratory rate f in mechanical ventilator before and during music for 30 minutes. Results: Patients were compared with Mann Whitney U test for 3 days before and after music values, HR, SpO2 and respiratory f were statistically significant p

Keywords:

Music, anxiety, pain, intensive care unit,

PDF

___

Chlan L, Tracy MF, Nelson B, Walker J. Feasibility of a music intervention protocol for patients receiving mechanical ventilatory support. Altern Ther Health Med 2001;7(6):80-83.
Bradt J, Dileo C. Music interventions for mechan- ically ventilated patients. Cochrane Database Syst Rev. 2014; 12:CD006902.
Thaut MH. The future of music in therapy and medicine. Annals of the New York Academy of Sciences 2005;1060:303-308.
Nilsson U. The anxiety and pain-reducing effects of music interventions: a systematic review. AORN J 2008;87(4):780-807.
Jenkins MDA. Descriptive study of subject indexing and abstracting in international index to music pe- riodicals rilm abstracts of music literatüre and the music index online. Notes 2001;834:834-863
Chang SC, Chen CH. Effects of musictherapy on women’s physiologic measures, anxiety, and sat- isfaction during cesarean delivery. Res Nurs Health 2005;28(6):453-461.
Lee OK, Chung YF, Chan MF, Chan WM. Music and its effecton the physiological responses and anxiety levels of patients receiving mechanical ventilation: a pilot study. J Clin Nurs 2005;14(5):609-620.
Tsay SL, Wang JC, Lin KC, Chung UL. Effects of acupressure therapy for patients having pro- longed mechanical ventilation support. J Adv Nurs 2005;52(2):142-150.
Wong HL, Lopez-Najas V, Molassiotis A. Effects of musictherapy on anxiety in ventilator- dependent patients. HeartLung 2001; 30:376-387.
Sanjuán Naváis M, Via Clavero G, Vázquez Guil- lamet B, Moreno Duran AM, Martínez Estalella G. Efecto de la mşsica sobre la ansiedad y el dolor en pacientes con ventilación mecánica. Enferm Inten- siva. 2013; 24(2): 63-71
Han L, Li JP, Sit JW, Chung L, Jiao ZY, Ma WG. Ef- fects of music intervention on physiological stress response and anxiety level of mechanically ventilat- ed patients in China: a randomised controlled trial. J Clin Nurs. 2010;19:978-987.
Chlan LL, Weinert CR, Heiderscheit A, Tracy MF, Skaar DJ, Guttormson JL, et al. Effects of patient-di- rected music intervention on anxiety and sedative exposure in critically ill patients receiving mechan- ical ventilatory support: a randomized clinical trial. JAMA 2013;309:2335-2344.
Chlan L. Effectiveness of a music therapy interven- tion on relaxation and anxiety for patients receiving ventilatory assistance. Heart Lung. 1998;27:169- 176.
Yaman Aktaş Y, Karabulut N. The effects of music therapy in endotracheal suctioning of mechanically ventilated patients. Nurs Crit Care. 2015 Feb 26. doi: 10.1111/nicc.12159.
Dijkstra BM, Gamel C, Bijl JJ, Bots ML, Kesecioglu J. The effects of music on physiological responses and sedation scores sedated, mechanically venti- lated patients. J Clin Nurs. 2010;19:1030-1039.
K Szilágyi A, Diószeghy C, Fritşz G, Gál J, Varga K. Shortening the length of stay and mechanical ven- tilation time by using positive suggestions via MP3 players for ventilated patients. Interv Med Appl Sci. 2014;6(1):3-15.
Chanques G, Jaber S, Barbotte E, Violet S, Sebanne M, Perrigault PF, et al. Impact of systematic evalua- tion of pain and agitation in an intensive care unit. Crit Care Med. 2006;34:1691-1699.
Chlan L, Engeland WC, Anthony A, Guttormson J. Influence of music on the stress response in pa- tients receiving mechanical ventilator support: a pilot study. AJCC. 2007;16:141-145.

Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Maltepe Üniversitesi

Arşiv