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

Year 2017, Volume: 9 Issue: 1, 14 - 17, 01.04.2017

Serpil Bayındır Fatma Koçyiğit

Abstract

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 o’clock 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< 0.05 , but there was no significant difference between MBP and TV values. When Face Skala was compared with Mann Whitney U test, a significant difference was found in % 95 confidence interval p=0.00 . Conclusion: We concluded that music therapy can be used effectively in the non-drug control of pain and reducing the anxiety and the pain in intensive care patients. We expect to be among the routine intensive care practices as non-pharmacologic adjuvant in the future because of the increased patient comfort and lack of side effects.

Keywords

Music, anxiety, pain, intensive care unit

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

Abstract

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< 0.05 , OKB ve TV değerlerinde anlamlı bir fark saptanmamıştır. Yüz skalası Mann Whitney U Testi ile kıyaslandığında % 95 güven aralığında anlamlı fark çıkmıştır p=0.00 . Sonuç: Yoğun bakım hastalarındaki ağrı ve anksiyetelerinin azaltılmasında, ağrının ilaç dışı kontrolünde müzik terapinin etkin olarak kullanılabileceğini düşünmekteyiz. Hasta konforunu arttırması ve yan etkisinin olmaması nedeniyle ilerleyen zamanlarda nonfarmakolojik adjuvan olarak rutin yoğun bakım uygulamaları arasında yer alacağını öngörmekteyiz.

Keywords

Müzik, anksiyete, ağrı, yoğun bakım

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