Effect of music therapy on anxiety and pain in the critical polytraumatised patient.

OBJECTIVE: To determine the effectiveness of music therapy on anxiety and pain in critical polytraumatised patients admitted to the resuscitation unit of a tertiary level hospital in Spain. MATERIAL AND METHOD: Randomised clinical trial conducted in a tertiary level hospital, from June 2016 to May 2018. The study sample was 60 patients, 30 belonging to the intervention group (IG), and 30 to the control group (CG). The IG were given a 30-minute music session and heart rate (HR) and blood pressure (BP) were measured. The VAS (Visual Analogue Scale) was applied for anxiety and pain before and after each session. The same measures and scales were applied in the CG who did not receive a music session. The music session comprised 3 parts: the first was standard music selected by music therapists; the second was personalised, chosen by the patient and the third was a new standard. The intervention took place in a booth with headphones. RESULTS: Significant changes in anxiety levels (P<.01) were detected in the group of patients undergoing the intervention, measured with the VAS scale for anxiety, and pain levels (P<.01), measured with the VAS scale for pain. No significant differences were found in the physiological parameters of HR and BP. CONCLUSION: The use of music in critical polytraumatised patients reduces anxiety and pain levels, increasing the patient's well-being and improving the quality of care. Music therapy, therefore, is considered beneficial as a complementary measure in critical care units. It would be worthwhile to continue studies in this and other hospital areas.

Efecto de la musicoterapia sobre la ansiedad y el dolor en el paciente crítico politraumatizado / Effect of music therapy on anxiety and pain in the critical polytraumatised patient

Objetivo Determinar la efectividad de la musicoterapia sobre la ansiedad y el dolor en pacientes críticos politraumatizados ingresados en la unidad de reanimación de un hospital de tercer nivel en España. Material y método Ensayo clínico aleatorizado realizado en un hospital de tercer nivel, desde junio de 2016 a mayo de 2018. La muestra del estudio fue de 60 pacientes, 30 pertenecientes al grupo intervención y 30 al grupo control. El grupo intervención recibió una sesión musical de 30minutos y se midieron los parámetros de frecuencia cardiaca y presión arterial. Se aplicaron las escalas visuales analógicas (EVA) desarrolladas para la ansiedad y para el dolor antes y después de cada sesión. Al grupo control se le aplicaron las mismas medidas y escalas sin recibir sesión musical. La sesión musical estaba compuesta de 3 partes: primera parte de música estándar, seleccionada por musicoterapeutas; segunda parte personalizada, elegida por el paciente, y tercera parte de nuevo estándar. La aplicación de la intervención se realizó en el box mediante auriculares. Resultados Se detectaron cambios significativos en el grupo de pacientes que recibieron la intervención, tanto en los niveles de ansiedad (p<0,01), medidos con la escala EVA para la ansiedad, como en los niveles de dolor (p<0,01), medidos con la escala EVA para el dolor. No se encontraron diferencias significativas en los parámetros fisiológicos de frecuencia cardiaca y presión arterial. Conclusión El uso de la música en pacientes críticos politraumatizados reduce los niveles de ansiedad y dolor, aumentando el bienestar del paciente y mejorando la calidad en sus cuidados. Por ello se considera beneficiosa la musicoterapia como medida complementaria en las unidades de cuidados críticos, y sería conveniente la continuidad de los estudios en esta y otras áreas de hospitalización. (AU)

Objective To determine the effectiveness of music therapy on anxiety and pain in critical polytraumatised patients admitted to the resuscitation unit of a tertiary level hospital in Spain. Material and methodRandomised clinical trial conducted in a tertiary level hospital, from June 2016 to May 2018. The study sample was 60 patients, 30 belonging to the intervention group (IG), and 30 to the control group (CG). The IG were given a 30-minute music session and heart rate (HR) and blood pressure (BP) were measured. The VAS (Visual Analogue Scale) was applied for anxiety and pain before and after each session. The same measures and scales were applied in the CG who did not receive a music session. The music session comprised 3 parts: the first was standard music selected by music therapists; the second was personalised, chosen by the patient and the third was a new standard. The intervention took place in a booth with headphones. Results Significant changes in anxiety levels (P<.01) were detected in the group of patients undergoing the intervention, measured with the VAS scale for anxiety, and pain levels (P<.01), measured with the VAS scale for pain. No significant differences were found in the physiological parameters of HR and BP. Conclusion The use of music in critical polytraumatised patients reduces anxiety and pain levels, increasing the patient's well-being and improving the quality of care. Music therapy, therefore, is considered beneficial as a complementary measure in critical care units. It would be worthwhile to continue studies in this and other hospital areas. (AU)

Effect of music therapy on anxiety and pain in the critical polytraumatised patient. / Efecto de la musicoterapia sobre la ansiedad y el dolor en el paciente crítico politraumatizado.

OBJECTIVE: To determine the effectiveness of music therapy on anxiety and pain in critical polytraumatised patients admitted to the resuscitation unit of a tertiary level hospital in Spain. MATERIAL AND METHOD: Randomised clinical trial conducted in a tertiary level hospital, from June 2016 to May 2018. The study sample was 60 patients, 30 belonging to the intervention group (IG), and 30 to the control group (CG). The IG were given a 30-minute music session and heart rate (HR) and blood pressure (BP) were measured. The VAS (Visual Analogue Scale) was applied for anxiety and pain before and after each session. The same measures and scales were applied in the CG who did not receive a music session. The music session comprised 3 parts: the first was standard music selected by music therapists; the second was personalised, chosen by the patient and the third was a new standard. The intervention took place in a booth with headphones. RESULTS: Significant changes in anxiety levels (P<.01) were detected in the group of patients undergoing the intervention, measured with the VAS scale for anxiety, and pain levels (P<.01), measured with the VAS scale for pain. No significant differences were found in the physiological parameters of HR and BP. CONCLUSION: The use of music in critical polytraumatised patients reduces anxiety and pain levels, increasing the patient's well-being and improving the quality of care. Music therapy, therefore, is considered beneficial as a complementary measure in critical care units. It would be worthwhile to continue studies in this and other hospital areas.