Music intervention during daily weaning trials—A 6 day prospective randomized crossover trial

Zhan Liang, Dianxu Ren, Ji Yeon Choi, Mary Beth Happ, Marylyn Hravnak, Leslie A. Hoffman

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Purpose To examine the effect of patient-selected music intervention during daily weaning trials for patients on prolonged mechanical ventilation. Methods Using a crossover repeated measures design, patients were randomized to music vs no music on the first intervention day. Provision of music was alternated for 6 days, resulting in 3 music and 3 no music days. During weaning trials on music days, data were obtained for 30 min prior to music listening and continued for 60 min while patients listened to selected music (total 90 min). On no music days, data were collected for 90 min. Outcome measures were heart rate (HR), respiratory rate (RR), oxygen saturation (SpO2), blood pressure (BP), dyspnea and anxiety assessed with a visual analog scale (VAS-D, VAS-A) and weaning duration (mean h per day on music and non-music days). Results Of 31 patients randomized, 23 completed the 6-day intervention. When comparisons were made between the 3 music and 3 no music days, there were significant decreases in RR and VAS-D and a significant increase in daily weaning duration on music days (p < 0.05). A multivariate mixed-effects model analysis that included patients who completed ≥2 days of the intervention (n = 28) demonstrated significant decreases in HR, RR, VAS-A, and VAS-D and a significant increase in daily weaning duration on music days (p < 0.05). Conclusions Providing patient selected music during daily weaning trials is a simple, low-cost, potentially beneficial intervention for patients on prolonged mechanical ventilation. Further study is indicated to test ability of this intervention to promote weaning success and benefits earlier in the weaning process.

Original languageEnglish (US)
Pages (from-to)72-77
Number of pages6
JournalComplementary Therapies in Medicine
Volume29
DOIs
StatePublished - Dec 1 2016
Externally publishedYes

Keywords

  • Anxiety
  • Dyspnea
  • Music intervention
  • Prolonged mechanical ventilation
  • Weaning

ASJC Scopus subject areas

  • Complementary and Manual Therapy
  • Complementary and alternative medicine
  • Advanced and Specialized Nursing

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