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:: Volume 3, Issue 4 (Military Caring Sciences 2017) ::
MCS 2017, 3(4): 221-232 Back to browse issues page
The Effect of Music Therapy on Comfort Level and Some Vital Signs of Patients Undergoing Hemodialysismodialysis
Zarurati. M1, Pishgooie. SAH 2, Farsi. Z3 , Karbaschi. K4
1- Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing.
2- PhD in Nursing, Assistant Professor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Medical-Surgical Department.
3- Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Research and Community Health Department.
4- Instructor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Military Nursing Department.
Abstract:   (10652 Views)

Introduction: Attention to the comfort of patients is one of the most important objectives and roles of nurses. Nurses play a central role in taking care of patients with chronic renal failure undergoing hemodialysis.

Objectives: The objective of this study was to determine the effect of music therapy on the level of comfort, as well as homodynamic indexes of patients undergoing hemodialysis.

Material and Methods: The present study was a clinical trial. Overall, 74 patients undergoing hemodialysis were recruited using the convenience sampling method and were randomly assigned to two groups of intervention and control. Subjects completed the demographic questionnaire, and blood pressure and heart rate were measured. The comfort level was then measured in the two groups using the Colcaba’s General Comfort Level Questionnaire. Music therapy was used in the intervention group for 30 minutes, three times per week. The comfort questionnaire was completed at the end of each intervention in the two groups. The vital signs were measured after intervention in the two groups. The data were analyzed using SPSS version 22 statistical software.

Results: The mean score of general comfort had no significant difference between the two groups before the intervention (P=0.09). After the intervention, the mean score of general comfort in the intervention group was significantly less than the control group in the first (P=0.04), second (P<0.01), and third (P<0.01) session. The mean systolic blood pressure of the subjects before the intervention in the two groups had no significant difference (P=0.58) and after the intervention was not significant in each of three sessions. The mean diastolic blood pressure (P=0.13) and mean heart rate (P=0.6) of subjects before the intervention in the two groups had no significant difference, and by the third session, mean diastolic blood pressure (P=0.02) and mean heart rate (P=0.05) in the intervention group was less than the control group.

Discussion and Conclusion: The research findings indicated that the use of music therapy during dialysis can increase the comfort of patients; hence, it is suggested that nurses can use this technique as a complementary method to increase comfort and stabilize vital signs in patients undergoing hemodialysis.

IRCT: IRCT2016092323446N8

Keywords: Blood Pressure, Comfort, Heart Rate, Hemodialysis, Music Therapy.
Full-Text [PDF 367 kb]   (2309 Downloads)    
Type of Study: Research | Subject: Special
Received: 2016/11/8 | Accepted: 2016/12/31 | Published: 2017/03/13
References
1. Namdar A, Bigizadeh S, Naghizadeh M. In The Name Of God Curriculum Vitae. J Jahrom Univ Med Scie. 2013;10(4).
2. Manns BJ, Mendelssohn DC, Taub KJ. The economics of end-stage renal disease care in Canada: incentives and impact on delivery of care. Int J Health Care Finance Econ. 2007;7(2-3):149-69. DOI: 10.1007/s10754-007-9022-y PMID: 17641968 [DOI] [PubMed]
3. Asgari M, Hoshmand Motlagh N, Soleimani M, Ghorbani R. Effect of lidocaine spray on the pain intensity during insertion of vascular needles in hemodialysis patients. Koomesh. 2013;14(3):271-9.
4. Shahgholian N, Ghafourifard M, Shafiei F. The effect of sodium and ultra filtration profile combination and cold dialysate on hypotension during hemodialysis and its symptoms. Iran J Nurs Midwifery Res. 2011;16(3):212-6. PMID: 22224109 [PubMed]
5. Borzou S, Farghadani F, Oshvandi K, Gholyaf M, Mahjub H. Effect of cool dialysate on vital signs, comfort and adequacy. Holist Nurs Midwifery J. 2015;25(3):9-16.
6. Borzou S, Farmani A, Salvati M, Gholyaf M, Mahjoub H. The impact of linear sodium-ultrafiltration profiling on hemodialysis tolerance. Modern Care J. 2015.
7. Ghafourifard M, Rafieian M, Shahgholian N, Mortazavi M. Effect of linear and stepwise sodium and ultra filtration profiles on intradialytic hypotension and muscle cramps in renal disease patients. J Shahrekord Univ Med Sci. 2010;12(3):22-8.
8. Selby NM, McIntyre CW. A systematic review of the clinical effects of reducing dialysate fluid temperature. Nephrol Dial Transplant. 2006;21(7):1883-98. DOI: 10.1093/ndt/gfl126 PMID: 16601075 [DOI] [PubMed]
9. Sadjadi M. Relationship of self care and depression in patients treated with maintenance hemodialysis. J Ofoghe Danesh Med Scie Gonbad. 2008;14(1):13-7.
10. BeladiMousavi S, Hayat F, Nazari A, Zeraati A. Comparison of temporary dialysis catheters and arteriovenous fistula at the onset of chronic hemodialysis in patients with end-stage renal disease. J Mashhad Uni Med Sci. 2011;54(2):75-9.
11. Asif A, Cherla G, Merrill D, Cipleu CD, Briones P, Pennell P. Conversion of tunneled hemodialysis catheter-consigned patients to arteriovenous fistula. Kidney Int. 2005;67(6):2399-406. DOI: 10.1111/j.1523-1755.2005.00347.x PMID: 15882285 [DOI] [PubMed]
12. de Wit GA, Ramsteijn PG, de Charro FT. Economic evaluation of end stage renal disease treatment. Health Policy. 1998;44(3):215-32. DOI: 10.1016/s0168-8510(98)00017-7 [DOI]
13. Figueiredo AE, Viegas A, Monteiro M, Poli-de-Figueiredo CE. Research into pain perception with arteriovenous fistula (avf) cannulation. J Ren Care. 2008;34(4):169-72. DOI: 10.1111/j.1755-6686.2008.00041.x PMID: 19090894 [DOI] [PubMed]
14. Dowd T, Kolcaba K, Steiner R. The addition of coaching to cognitive strategies: interventions for persons with compromised urinary bladder syndrome. J Wound Ostomy Continence Nurs. 2003;30(2):90-9. DOI:12658237PMID: 12658237 [DOI] [PubMed]
15. Jouybari L, Haghdoost Oskouee S, Ahmadi F. Comforting nurse: patients’ experiences and perceptions. Razi J Med Sci. 2005;12(45):59-68.
16. Kshettry VR, Carole LF, Henly SJ, Sendelbach S, Kummer B. Complementary alternative medical therapies for heart surgery patients: feasibility, safety, and impact. Ann Thorac Surg. 2006;81(1):201-5. DOI: 10.1016/j.athoracsur.2005.06.016 PMID: 16368364 [DOI] [PubMed]
17. Cooper K, Gosnell K. Foundations of nursing: Elsevier Health Sciences; 2014.
18. Mok E, Woo CP. The effects of slow-stroke back massage on anxiety and shoulder pain in elderly stroke patients. Complement Ther Nurs Midwifery. 2004;10(4):209-16. DOI: 10.1016/j.ctnm.2004.05.006 PMID: 15519938 [DOI] [PubMed]
19. Erstad BL, Puntillo K, Gilbert HC, Grap MJ, Li D, Medina J, et al. Pain management principles in the critically ill. Chest. 2009;135(4):1075-86. DOI: 10.1378/chest.08-2264 PMID: 19349403 [DOI] [PubMed]
20. Hung CT, Chow YF, Fung CF, Koo CH, Lui KC, Lam A. Safety and comfort during sedation for diagnostic or therapeutic procedures. Hong Kong Med J. 2002;8(2):114-22. PMID: 11937666 [PubMed]
21. McCaffrey R, Locsin R. The Effect of Music on Pain and Acute Confusion in Older Adults Undergoing Hip and Knee Surgery. Holistic Nursing Practice. 2006;20(5):218-24. DOI: 10.1097/00004650-200609000-00002 [DOI]
22. Han L, Li JP, Sit JW, Chung L, Jiao ZY, Ma WG. Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in China: a randomised controlled trial. J Clin Nurs. 2010;19(7-8):978-87. DOI: 10.1111/j.1365-2702.2009.02845.x PMID: 20492042 [DOI] [PubMed]
23. Nilsson U. The anxiety- and pain-reducing effects of music interventions: a systematic review. AORN J. 2008;87(4):780-807. DOI: 10.1016/j.aorn.2007.09.013 PMID: 18395022 [DOI] [PubMed]
24. Ozer N, Karaman Ozlu Z, Arslan S, Gunes N. Effect of music on postoperative pain and physiologic parameters of patients after open heart surgery. Pain Manag Nurs. 2013;14(1):20-8. DOI: 10.1016/j.pmn.2010.05.002 PMID: 23452523 [DOI] [PubMed]
25. Mirbagher Ajorpaz N, Aghajani M. [The effects of music and Holy Quran on patient’s anxiety and vital signs before abdominal surgery]. Evidence Based Care. 2011;1(1):63-76.
26. Tayebi V, Asadi R, Taherpour M, Mosavijajremi S. [The effect of listening to Holy Quran prayers on anxiety and vital signs before elective surgeries]. Teb va Tazkieh J. 2014;23(3,4):45-54
27. Rafieeyan Z, Azarbarzin M, Safaryfard S. [The effect of music therapy on anxiety, pain, nausea and vital signs of caesarean section clients in Dr. Shariatee hospital of Esfahan in 2006]. Med Sci J Islamic Azad Univ Tehran Med Branch. 2009;19(1):25-30.
28. Roohi G, Rahmani H, Abdullahi A, Mahmoudi G. [The effect of music on anxiety and some of physiological variables of patients before abdominal surgery]. J Gorgan Univ Med Sci. 2005;7(1):75-8.
29. Soltani E. [The effect of music therapy on the comfort of patients undergoing coronary artery bypass surgery]. Tehran: Tehran University Medical Scienses; 2014.
30. Cantekin I, Tan M. The influence of music therapy on perceived stressors and anxiety levels of hemodialysis patients. Ren Fail. 2013;35(1):105-9. DOI: 10.3109/0886022X.2012.736294 PMID: 23151089 [DOI] [PubMed]
31. Huang ST, Good M, Zauszniewski JA. The effectiveness of music in relieving pain in cancer patients: a randomized controlled trial. Int J Nurs Stud. 2010;47(11):1354-62. DOI: 10.1016/j.ijnurstu.2010.03.008 PMID: 20403600 [DOI] [PubMed]
32. Brown J, Mahaseth L, Norton L. Complementing Relaxation Music for Pain During Dialysis.
33. Easter B, DeBoer L, Settlemyre G, Starnes C, Marlowe V, Tart RC. The impact of music on the PACU patient's perception of discomfort. J Perianesth Nurs. 2010;25(2):79-87. DOI: 10.1016/j.jopan.2010.01.017 PMID: 20359642 [DOI] [PubMed]
34. Thorgaard P, Ertmann E, Hansen V, Noerregaard A, Hansen V, Spanggaard L. Designed sound and music environment in postanaesthesia care units--a multicentre study of patients and staff. Intensive Crit Care Nurs. 2005;21(4):220-5. DOI: 10.1016/j.iccn.2004.10.008 PMID: 16039959 [DOI] [PubMed]
35. Bradt J, Dileo C, Grocke D, Magill L, Bradt J. Music interventions for improving psychological and physical outcomes in cancer patients. 2011. DOI: 10.1002/14651858.CD006911.pub2 [DOI] [PubMed]
36. Kim KB, Lee MH, Sok SR. [The effect of music therapy on anxiety and depression in patients undergoing hemodialysis]. Taehan Kanho Hakhoe Chi. 2006;36(2):321-9. PMID: 16691049 [PubMed]
37. JM. VJ. Effect of Music Therapy on Blood Pressure and Anxiety in Haemodialysis Patients. Int Res J Med Sci. 2015;3(11):1-8.
38. Kwon IS, Kim J, Park KM. Effects of music therapy on pain, discomfort, and depression for patients with leg fractures. Taehan Kanho Hakhoe Chi. 2006;36(4):630-6. PMID: 16825847 [PubMed]
39. Cooke M, Chaboyer W, Schluter P, Foster M, Harris D, Teakle R. The effect of music on discomfort experienced by intensive care unit patients during turning: a randomized cross-over study. Int J Nurs Pract. 2010;16(2):125-31. DOI: 10.1111/j.1440-172X.2010.01819.x PMID: 20487057 [DOI] [PubMed]
40. Besel JM. The effects of music therapy on comfort in the mechanically ventilated patient in the intensive care unit: Montana State University-Bozeman, College of Nursing; 2006.
41. Kolcaba K, Schirm V, Steiner R. Effects of hand massage on comfort of nursing home residents. Geriatr Nurs. 2006;27(2):85-91. DOI: 10.1016/j.gerinurse.2006.02.006 PMID: 16638478 [DOI] [PubMed]
42. Payami Bousari M, Mousavinasab S. Efficacy of back massage on irritable bowel syndrome (ibs) using colcaba comfort theory. J ilam univ med sci. 2008.
43. Binson B, Lertmaharit S, Satayaprakop P, Chongthanakorn K, Boonyakrai C, Klinphaetkit S, et al. Effects of Music Intervention on Patients Undergoing Hemodialysis in the Bangkok Metropolitan Administration Hospitals. Music and Medicine. 2013;5(3):188-93. DOI: 10.1177/1943862113495700 [DOI]
44. Zachariah L, Gopalkrishnan S. Impact of music therapy during hemodialysis on selected physiological parameters of patients undergoing hemodialysis in selected hospitals. Int J Comprehens Nurs. 2014;1(2):9-14.
45. Chung Y. The effects of music therapy on stress, anxiety, depression, and immune function in the hemodialysis patients. Doctor's thesis, Catholic University, Seoul, Korea. 2004.
46. Emami Zeydi A, Jafari H, Khani S, Esmaeili R, Gholipour Baradari A. The effect of music on the vital signs and SpO2 of patients after open heart surgery: a randomized clinical trial. J Mazandaran Univ Med Sci. 2011;21(82):73-82.
47. Chlan L. Effectiveness of a music therapy intervention on relaxation and anxiety for patients receiving ventilatory assistance. Heart & Lung: The Journal of Acute and Critical Care. 1998;27(3):169-76. DOI: 10.1016/s0147-9563(98)90004-8 [DOI]
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M Z, SAH P, Z F, K K. The Effect of Music Therapy on Comfort Level and Some Vital Signs of Patients Undergoing Hemodialysismodialysis. MCS. 2017; 3 (4) :221-232
URL: http://mcs.ajaums.ac.ir/article-1-149-en.html


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