Music intervention during daily weaning trials—A 6 day prospective randomized crossover trial |
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Institution: | 1. Department of Psychiatry and Institute of Behavioral Science in Medicine, College of Medicine, Yonsei University, Gangnam Severance Hospital, Seoul, South Korea;2. Department of Medical System Engineering (DMSE), Gwangju Institute of Science and Technology (GIST), Gwangju, South Korea;3. Department of Anesthesiology, College of Medicine, Yonsei University, Seoul, South Korea;4. Department of Psychiatry, Glory Hospital, Incheon, South Korea;2. Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand;3. Department of Pharmacotherapy, University of Utah College of Pharmacy;5. The Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute; School of Pharmacy; University of Washington |
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Abstract: | PurposeTo examine the effect of patient-selected music intervention during daily weaning trials for patients on prolonged mechanical ventilation.MethodsUsing 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).ResultsOf 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).ConclusionsProviding 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. |
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Keywords: | Music intervention Prolonged mechanical ventilation Weaning Anxiety Dyspnea |
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