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ORIGINAL ARTICLE
Year : 2019  |  Volume : 14  |  Issue : 4  |  Page : 320-325

The effect of music therapy in critically ill patients admitted to the intensive care unit of a tertiary care center


1 Department of Cardiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
2 Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
3 Department of Opthalamology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

Correspondence Address:
Dr. Nitin Raisinghani
Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_41_20

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Introduction: The role of music in medicine, and specifically, Intensive care medicine is still unclear; however, its role in affecting vital parameters is well known. Thus, in recent years, music has been increasingly used as a therapeutic tool in the treatment of different diseases and in intensive care medicine. Neural plasticity has been believed to explain some of the sensorimotor and cognitive enhancements that have been associated with music therapy. Thus, a study was conducted to see if it can serve as complementary method for treating perioperative stress and for acute and chronic pain management in a critical care setting. Aim and Objectives: The aim is to evaluate the effect of music therapy on clinical parameters in critically ill patients, its role in causation of biochemical parameters, and its effect on the overall outcome in critical care patients. Materials and Methods: The study was a cross-sectional study conducted in the intensive care unit (ICU) of the medicine department, AVBRH, Sawangi, from September 2018 to February 2019. The study involved 120 adult patients aged 18–85 years categorized into 60 cases and 60 controls. Reasons for hospitalizations primarily included sepsis, congestive cardiac failure, acute respiratory distress syndrome, cerebrovascular episodes with complications, and chronic kidney disease with concurrent complications. Cases were administered music therapy in the form of classical piano pieces composed by Mozart, played for 20 min in the morning, afternoon, and evening, while controls received only protocol-based management. Data were entered in Microsoft Office Excel 2010 and analyzed using the IBM SPSS software version 22.0 (Chicago, Illinois, USA). Results: Case category patients were found to have a statistically significant reduction in Glasgow Coma Scale, heart rate, blood pressure, and Hamilton anxiety scale rating on day 1 versus day 5 and in comparison to the control group as well. Case patients were also noted to have a lesser duration of hospital stay and lesser mean morbidity in the ICU compared to controls. Conclusion: Thus, authors believe that music therapy can be a crucial adjuvant to protocol-based management that already exists across critical care settings, and strongly feel that further studies, including a greater number of patients and follow-up evaluations, are needed to confirm promising results observed in this study.


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