Classical Music therapy: Helping mechanically ventilated intensive care patients
CCCF ePoster library. Javed T. Oct 25, 2015; 114767; P
Ms. Tahleel Javed
Ms. Tahleel Javed
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Classical Music therapy: Helping mechanically ventilated intensive care patients
Javed, Tahleel1
1Foundation University Medical College, Fauji Foundation Hospital, Islamabad, Pakistan

Introduction: Mechanical ventilation is frequently associated with increase in anxiety levels, requiring sedatives, which have unavoidable consequences and implications on complications and costs. It has been established through various researches that sedative medicine substitutes, such as music therapy can aid in decreasing stress levels of hospitalized patients. The use of complementary therapies is not a common practice in Pakistan and research data exploring the potential benefits of complementary therapies is sparse. The aim of our study was to ascertain whether classical music had a quantifiable relaxing effect on mechanically ventilated intensive care patients.
• To determine the efficacy of classical music therapy in decreasing anxiety in mechanically ventilated intensive care patients.
Methods: A Randomized controlled trial design was used and 51 patients, receiving acute mechanical ventilatory support for respiratory failure, were recruited from 3 intensive care units, at 2 hospitals in Rawalpindi, Punjab area between February 2014 and April 2015. Of the patients included in the study, Majority 76% was male, and the mean age was 59 years range (17-88y).Physiologic indices recorded in this study were mean blood pressure and respiratory rate. Additionally Urdu version of the Spielberger’s State-Trait Anxiety Inventory was also used as a tool. Patients were randomized to receive either 30 minutes of classical music therapy or 30 minutes of uninterrupted rest. Patients were asked to select the music of their choice from a selection comprising of both Traditional and Western classical music including Pachelbel's Canon in D major. The subjects listened to music using the headphones and mp3 players provided to them. The subjects were requested to complete the Urdu version of Spielberger's State-Trait Anxiety Inventory before the intervention and after the intervention, forthwith. The physiologic indices were measured immediately before the intervention or uninterrupted rest period and at 5-minute intervals throughout the intervention. The behavior and level of agitation of subjects before and after the study period were also recorded. Statistical analysis was performed using SPSS version 21.
Results: It was observed that classical music therapy was more effective in decreasing state anxiety than was an uninterrupted rest period (P =0.001). The majority (68%) preferred traditional classical music over western classical music. When measured by analysis of variance, blood pressure and respiratory rate exhibited variable differences. Conversely, substantial differences were observed at the end of the intervention between the two conditions, where efficacy of classical music therapy was found to be more when compared with rest period (P=0.003). The subjects appeared to be less agitated after the intervention compared to rest period.
Conclusion: The results reveal that Classical Music therapy is an effective non-pharmacological method of reducing anxiety in mechanically ventilated ICU patients and can play a significant role in decreasing potentially injurious responses arising from anxiety in mechanically ventilated ICU patients. Therefore it may be used as a potent, non-invasive and cost effect too as a part of CAM (complementary and alternative medicine) in mechanically ventilated intensive care patients.
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