Rivera CMJ, Valero VPM, Vega NJC, Lozada HEE

Language: Spanish
References: 9
Page: 90-92
PDF size: 146.68 Kb.

ABSTRACT

Introduction: reports of non-pharmacological interventions seem to benefit critical care patients without side effects, within these interventions the music-based one. Objective: to study the effect of active music therapy in critical care patients from second and third level care units. Through monitoring / recording of physiological parameters. Material and methods: prospective study of two groups 1) Third Level Unit (17-bed ICU) Second Level Unit (10-bed ICU), study population shows convenience of 10 adult patients (five third level and five second level), for the third level unit level, participants received a 30-minute music therapy session consistent with the Marconi Union ^® Weightless song administered at 15 decibels with soft headphones for each patient for five days; for the second level of care, the musical selection was Stryker intouch^® bed setting in bed, for 30 minutes, for five days. During the session, heart rate, non-invasive blood pressure, coupling to mechanical ventilation were monitored, defined as no more than 5 breaths outside the programmed per minute, with no cough event and Pmax no greater than 40. Results: after the interventions, significant decreases were identified in the patients of a second level ICU in the heart rate (HR) from 95.6 (13.48) to 81.52 (10.15), p < 0.001; in the systolic arterial pressure (SAP) of 120.04 (11.24) to 109.72 (10.05), p < 0.001; in diastolic arterial pressure (DAP) from 72.72 (6.97) to 66.7 (5.74), p = 0.0007; and in asynchronies they decreased from 2 (2-4) to 0 (0-1), p < 0.001. In the patients in a third-level ICU, the reductions that were identified were in the HR from 85.4 (7.02) to 76.6 (5.56), p < 0.001; in the SAP from 111.18 (10.36) to 112 (10.36), p = 0.48; in the DAP from 75.08 (3.36) to 68.64 (7), p = 0.0001; and in asynchronies from 1 (1-3) to 0 (0-1) p < 0.0001. Conclusions: music therapy as a non-pharmacological intervention showed significant decreases in physiological variables. More studies of this type with a greater number of patients are required to demonstrate this type of results in a larger population.

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