@2024 Afarand., IRAN
ISSN: 2252-0805 The Horizon of Medical Sciences 2014;20(1):63-68
ISSN: 2252-0805 The Horizon of Medical Sciences 2014;20(1):63-68
Comparing the Effect of Music on Pain Threshold, Anxiety, Behavioral Responses to Pain and the Hemodynamic Parameters During Dressing Change in Burn Patients
ARTICLE INFO
Article Type
Original ResearchAuthors
Naderi F. (1 )Aghayi A. (2 )
Mohammadzadeh M. (3 )
Nazemi S. (* )
Salmani F. (4)
Rashvand M. (4)
(* ) “Physiology & Pharmacology Department, Medicine Faculty” & “Cellular and Molecular Research Center”, Sabzevar University of Medical Sciences, Sabzevar, Iran
(1 ) Internal Surgery Department, Nursing & Midwifery Faculty, Qazvin University of Medical Sciences, Qazvin, Iran
(2 ) Department of Surgery, Medicine Faculty, Shahed University, Tehran, Iran
(3 ) “Physiology & Pharmacology Department, Medicine Faculty” & “Cellular and Molecular Research Center”, Sabzevar University of Medical Sciences, Sabzevar, Iran
(4) Qazvin University of Medical Sciences, Qazvin, Iran
(4) Qazvin University of Medical Sciences, Qazvin, Iran
Correspondence
Address: Deputy of Education, Research & Technology, Building No. 2, Sabzevar University of Medical Sciences, Kilometer 5th of Tehran Road, Sabzevar, Iran. Postal Code: 96135. Post Box: 319Phone: +985714446070
Fax: +985714445648
samadnazemi@gmail.com
Article History
Received: November 9, 2013Accepted: March 11, 2014
ePublished: April 1, 2014
ABSTRACT
Aims
Music is one of the non-pharmacotherapeutic approaches of pain relief.
This study was done to investigate the effect of music (selective and
nonselective) in reducing pain, anxiety and behavioral reactions and changes of
hemodynamic parameters in the burned patients during the daily dressing
changing.
Materials & Methods This clinical trial was done on 90 burned patients of Shahid Rajaei Hospital of Qazvin, Iran, in 2012 that were selected via purposeful sampling method and randomly divided into three control, selected music and nonselective music groups. Data were collected by interview, selfreporting and document observing with the demographic, the Spielberger and pain behavioral questionnaires and pain intensity recording sheet. The hemodynamic status (heart rate, blood pressure and respiratory rate) of the patient was measured during dressing changing. Data were analyzed using oneway ANOVA and Tukey’s post hoc tests.
Findings Music caused a significant reduction of pain and also anxiety in the burned patients (p<0.05). The selective music caused a significant reduction of behavioral reactions to pain (p=0.02). Selective and nonselective music caused significant modification of heart rate of the patients (p<0.05).
Conclusion Music, especially the familiar type can have positive effects in reducing anxiety, pain and controlling some vital sings of burned patients.
Materials & Methods This clinical trial was done on 90 burned patients of Shahid Rajaei Hospital of Qazvin, Iran, in 2012 that were selected via purposeful sampling method and randomly divided into three control, selected music and nonselective music groups. Data were collected by interview, selfreporting and document observing with the demographic, the Spielberger and pain behavioral questionnaires and pain intensity recording sheet. The hemodynamic status (heart rate, blood pressure and respiratory rate) of the patient was measured during dressing changing. Data were analyzed using oneway ANOVA and Tukey’s post hoc tests.
Findings Music caused a significant reduction of pain and also anxiety in the burned patients (p<0.05). The selective music caused a significant reduction of behavioral reactions to pain (p=0.02). Selective and nonselective music caused significant modification of heart rate of the patients (p<0.05).
Conclusion Music, especially the familiar type can have positive effects in reducing anxiety, pain and controlling some vital sings of burned patients.
CITATION LINKS
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[2]Van der Does AJ. Patients' and nurses' ratings of pain and anxiety during burn wound care. Pain. 1989;39(1):95-101.
[3]Field T, Peck M, Krugman S, Tuchel T, Schanberg S, Kuhn C, et al. Burn injuries benefit from massage therapy. J Burn Care Rehabil. 1998;19(3):241-4.
[4]Gray E. Music: a therapy for all?. Perspect Public Health. 2013;133(1):14.
[5]Protacio J. Patient-directed music therapy as an adjunct during burn wound care. Crit Care Nurs. 2010;30(2):74-6.
[6]Wall PD, Melzack R. Textbook of pain. Edinburgh: Churchill Livingstone; 1984.
[7]Raglio A. When music becomes music therapy. Psychiatry Clin Neurosci. 2011;65(7):682-3.
[8]Patterson DR. Practical applications of psychological techniques in controlling burn pain. J Burn Care Rehabil. 1992;13(1):13-8.
[9]Ferrell BR, Eberts MT, McCaffery M, Grant M. Clinical decision making and pain. Cancer Nurs. 1991;14(6):289-97.
[10]Ovayolu N, Ucan O, Pehlivan S, Pehlivan Y, Buyukhatipoglu H, Savas MC, et al. Listening to Turkish classical music decreases patients' anxiety, pain, dissatisfaction and the dose of sedative and analgesic drugs during colonoscopy: a prospective randomized controlled trial. World J Gastroenterol. 2006;12(46):7532-6.
[11]Gagner-Tjellesen D, Yurkovich EE, Gragert M. Use of music therapy and other ITNIs in acute care. J psychosoc nurs ment health serv. 2001;39(10):26-37.
[12]Mandel SE, Davis BA, Secic M. Effects of music therapy and music-assisted relaxation and imagery on health-related outcomes in diabetes education: a feasibility study. Diabetes Educ. 2013;39(4):568-81.
[13]Cole LC, Lobiondo-Wood G. Music as an adjuvant therapy in control of pain and symptoms in hospitalized adults: a systematic review. Pain Manag Nurs. 2012;15(1):406-25.
[14]Kimber L, McNabb M, Mc Court C, Haines A, Brocklehurst P. Massage or music for pain relief in labour: a pilot randomised placebo controlled trial. Eur J Pain. 2008;12(8):961-9.
[15]Ebneshahidi A, Mohseni M. The effect of patientselected music on early postoperative pain, anxiety, and hemodynamic profile in cesarean section surgery. J Altern Compl Med. 2008;14(7):827-31.
[16]Hamel WJ. The effects of music intervention on anxiety in the patient waiting for cardiac catheterization. Intensive Crit Care Nurs. 2001;17(5):279-85.
[17]Tayebi V. Familiar music, the other kind of treatment for anxiety before surgery. J Nurs Midwifery Urmia Uni Med Sci. 2009;7(1):28-35. [Persian]
[18]Henry LL. Music therapy: a nursing intervention for the control of pain and anxiety in the ICU: a review of the research literature. Dimens Crit Care Nurs. 1995;14(6):295- 304.
[19]Schorr JA. Music and pattern change in chronic pain. Adv Nurs Sci. 1993;15(4):27-36.
[20]Wang CF, Sun YL, Zang HX. Music therapy improves sleep quality in acute and chronic sleep disorders: a metaanalysis of 10 randomized studies. Int J Nurs Stud. 2014;51(1):51-62.
[21]Ferrer AJ. The effect of live music on decreasing anxiety in patients undergoing chemotherapy treatment. J Music Ther. 2007;44(3):242-55.
[22]Bral EE. Caring for adults with chronic cancer pain. Am J Nurs. 1998;98(4):27-32.
[23]Comeaux T, Comeaux T. The effect of complementary music therapy on the patient's postoperative state anxiety, pain control, and environmental noise satisfaction. Medsurg Nurs. 2013;22(5):313-8.
[24]Son JT, Kim SH. The effects of self-selected music on anxiety and pain during burn dressing changes. Taehan Kanho Hakhoe Chi. 2006;36(1):159-68.
[25]Tan X, Yowler CJ, Super DM, Fratianne RB. The efficacy of music therapy protocols for decreasing pain, anxiety, and muscle tension levels during burn dressing changes: a prospective randomized crossover trial. J Burn Care Res. 2010;31(4):590-7.
[26]Palakanis KC, DeNobile JW, Sweeney WB, Blankenship CL. Effect of music therapy on state anxiety in patients undergoing flexible sigmoidoscopy. Dis Colon Rectum. 1994;37(5):478-81.
[27]Landreth JE, Landreth HF. Effects of music on physiological response. J Res Music Educ. 1974;22(1):4-12.
[28] Thaut MH, Davis WB. The influence of subject-selected versus experimenter-chosen music on affect, anxiety, and relaxation. J Music Ther. 1993;30:210-23.
[29]Stevens K. Patients' perceptions of music during surgery. J Adv Nurs. 1990;15(9):1045-51.
[30] Esmaeili K, Sadeghy S, Iranfar S, Abbasi P, Afkary B. The comparison of the effect of music and rhythmic breathing techniques on pain severity of intravenous cannulation during blood transfusion. J Kermanshah Uni Med Sci. 2008;12(2):129-38. [Persian]
[2]Van der Does AJ. Patients' and nurses' ratings of pain and anxiety during burn wound care. Pain. 1989;39(1):95-101.
[3]Field T, Peck M, Krugman S, Tuchel T, Schanberg S, Kuhn C, et al. Burn injuries benefit from massage therapy. J Burn Care Rehabil. 1998;19(3):241-4.
[4]Gray E. Music: a therapy for all?. Perspect Public Health. 2013;133(1):14.
[5]Protacio J. Patient-directed music therapy as an adjunct during burn wound care. Crit Care Nurs. 2010;30(2):74-6.
[6]Wall PD, Melzack R. Textbook of pain. Edinburgh: Churchill Livingstone; 1984.
[7]Raglio A. When music becomes music therapy. Psychiatry Clin Neurosci. 2011;65(7):682-3.
[8]Patterson DR. Practical applications of psychological techniques in controlling burn pain. J Burn Care Rehabil. 1992;13(1):13-8.
[9]Ferrell BR, Eberts MT, McCaffery M, Grant M. Clinical decision making and pain. Cancer Nurs. 1991;14(6):289-97.
[10]Ovayolu N, Ucan O, Pehlivan S, Pehlivan Y, Buyukhatipoglu H, Savas MC, et al. Listening to Turkish classical music decreases patients' anxiety, pain, dissatisfaction and the dose of sedative and analgesic drugs during colonoscopy: a prospective randomized controlled trial. World J Gastroenterol. 2006;12(46):7532-6.
[11]Gagner-Tjellesen D, Yurkovich EE, Gragert M. Use of music therapy and other ITNIs in acute care. J psychosoc nurs ment health serv. 2001;39(10):26-37.
[12]Mandel SE, Davis BA, Secic M. Effects of music therapy and music-assisted relaxation and imagery on health-related outcomes in diabetes education: a feasibility study. Diabetes Educ. 2013;39(4):568-81.
[13]Cole LC, Lobiondo-Wood G. Music as an adjuvant therapy in control of pain and symptoms in hospitalized adults: a systematic review. Pain Manag Nurs. 2012;15(1):406-25.
[14]Kimber L, McNabb M, Mc Court C, Haines A, Brocklehurst P. Massage or music for pain relief in labour: a pilot randomised placebo controlled trial. Eur J Pain. 2008;12(8):961-9.
[15]Ebneshahidi A, Mohseni M. The effect of patientselected music on early postoperative pain, anxiety, and hemodynamic profile in cesarean section surgery. J Altern Compl Med. 2008;14(7):827-31.
[16]Hamel WJ. The effects of music intervention on anxiety in the patient waiting for cardiac catheterization. Intensive Crit Care Nurs. 2001;17(5):279-85.
[17]Tayebi V. Familiar music, the other kind of treatment for anxiety before surgery. J Nurs Midwifery Urmia Uni Med Sci. 2009;7(1):28-35. [Persian]
[18]Henry LL. Music therapy: a nursing intervention for the control of pain and anxiety in the ICU: a review of the research literature. Dimens Crit Care Nurs. 1995;14(6):295- 304.
[19]Schorr JA. Music and pattern change in chronic pain. Adv Nurs Sci. 1993;15(4):27-36.
[20]Wang CF, Sun YL, Zang HX. Music therapy improves sleep quality in acute and chronic sleep disorders: a metaanalysis of 10 randomized studies. Int J Nurs Stud. 2014;51(1):51-62.
[21]Ferrer AJ. The effect of live music on decreasing anxiety in patients undergoing chemotherapy treatment. J Music Ther. 2007;44(3):242-55.
[22]Bral EE. Caring for adults with chronic cancer pain. Am J Nurs. 1998;98(4):27-32.
[23]Comeaux T, Comeaux T. The effect of complementary music therapy on the patient's postoperative state anxiety, pain control, and environmental noise satisfaction. Medsurg Nurs. 2013;22(5):313-8.
[24]Son JT, Kim SH. The effects of self-selected music on anxiety and pain during burn dressing changes. Taehan Kanho Hakhoe Chi. 2006;36(1):159-68.
[25]Tan X, Yowler CJ, Super DM, Fratianne RB. The efficacy of music therapy protocols for decreasing pain, anxiety, and muscle tension levels during burn dressing changes: a prospective randomized crossover trial. J Burn Care Res. 2010;31(4):590-7.
[26]Palakanis KC, DeNobile JW, Sweeney WB, Blankenship CL. Effect of music therapy on state anxiety in patients undergoing flexible sigmoidoscopy. Dis Colon Rectum. 1994;37(5):478-81.
[27]Landreth JE, Landreth HF. Effects of music on physiological response. J Res Music Educ. 1974;22(1):4-12.
[28] Thaut MH, Davis WB. The influence of subject-selected versus experimenter-chosen music on affect, anxiety, and relaxation. J Music Ther. 1993;30:210-23.
[29]Stevens K. Patients' perceptions of music during surgery. J Adv Nurs. 1990;15(9):1045-51.
[30] Esmaeili K, Sadeghy S, Iranfar S, Abbasi P, Afkary B. The comparison of the effect of music and rhythmic breathing techniques on pain severity of intravenous cannulation during blood transfusion. J Kermanshah Uni Med Sci. 2008;12(2):129-38. [Persian]