A systematic review of the comparative effects of sound and music interventions for intensive care unit patients' outcomes.
Journal: Australian critical care : official journal of the Confederation of Australian Critical Care Nurses
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Affiliated Institutions:
Faculty of Nursing, University of Alberta, Neurosciences Rehabilitation & Vision Strategic Clinical Network™, Edmonton Clinic Health Academy, Edmonton, AB, TG C, Canada. Electronic address: papathan@ualberta.ca.
Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, AB, TG C, Canada. Electronic address: upant@ualberta.ca.
Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, AB, TG C, Canada. Electronic address: shaista@ualberta.ca.
Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, AB, TG C, Canada. Electronic address: npunjani@ualberta.ca.
Faculty of Rehabilitation Medicine, University of Alberta, - Corbett Hall, Edmonton, AB, TG G, Canada. Electronic address: yuluan@ualberta.ca.
University of Alberta, Faculty of Arts, Department of Music, Canada. Electronic address: tbrulott@ualberta.ca.
Faculty of Nursing, University of Alberta, Edmonton Clinic Health Academy, Edmonton, AB, TG C, Canada. Electronic address: krooti@ualberta.ca.
Geoffrey and Robyn Sperber Health Sciences Library, University of Alberta, Edmonton Clinic Health Academy, Edmonton AB, TG C, Canada. Electronic address: liz.dennett@ualberta.ca.
Rutherford Humanities & Social Sciences Library, - Rutherford Library South, University of Alberta, Edmonton, AB, TG J, Canada. Electronic address: lucinda.johnston@ualberta.ca.
Critical Care Medicine, Neurocritical Care (UCNS), Neurointensivist/Scientist, Neurosciences ICU, The University of Alberta, Royal Alexandra Hospital ICU, Hospital Neurosciences ICU, CSC Royal Alexandra Hospital, Kingsway Avenue, Edmonton, AB, TH-V, Canada.
University of Calgary, Division of Physical Medicine and Rehabilitation, Department of Clinical Neurosciences, Hotchkiss Brain Institute, Mathison Centre for Mental Health Research & Education, South Health Campus, Canada. Electronic address: splamond@ucalgary.ca.
Department of Music, Canadian Centre for Ethnomusicology (CCE), Department of Performing Arts, Faculty of Communication and Media Studies, University for Development Studies, Ghana; Department of Music, Faculty of Arts, University of Alberta, - Fine Arts Building, Edmonton, AB, TG C, Canada. Electronic address: michaelf@ualberta.ca.
Abstract summary
Despite syntheses of evidence showing efficacy of music intervention for improving psychological and physiological outcomes in critically ill patients, interventions that include nonmusic sounds have not been addressed in reviews of evidence. It is unclear if nonmusic sounds in the intensive care unit (ICU) can confer benefits similar to those of music.The aim of this study was to summarise and contrast available evidence on the effect of music and nonmusic sound interventions for the physiological and psychological outcomes of ICU patients based on the results of randomised controlled trials.This systematic review was directed by a protocol based on the Methodological Expectations of Cochrane Intervention Reviews. Quality of studies was assessed with the Cochrane risk of bias assessment tool. Searches were performed in the following databases: MEDLINE, Embase, APA PsycInfo, CINAHL Plus with Full Text, Academic Search Complete, RILM Abstracts of Music Literature, Web of Science, and Scopus.We identified 59 articles meeting the inclusion criteria, 37 involving music and 22 involving nonmusic sound interventions, with one study comparing music and sound. The identified studies were representative of a general ICU population, regardless of patients' ability to communicate. Our review demonstrated that both slow-tempo music and sound interventions can significantly (i) decrease pain; (ii) improve sleep; (iii) regulate cortisol levels; (iv) reduce sedative and analgesic need; and (v) reduce stress/anxiety and improve relaxation when compared with standard care and noise reduction. Moreover, compared to nonmusic sound interventions, there is more evidence that music interventions have an effect on stress biomarkers, vital signs, and haemodynamic measures.These results raise the possibility that different auditory interventions may have varying degrees of effectiveness for specific patient outcomes in the ICU. More investigation is needed to clarify if nonmusic sound interventions may be equivalent or not to music interventions for the management of discrete symptoms in ICU patients.The protocol was registered on Open Science Framework in November 6 2023 (https://doi.org/10.17605/OSF.IO/45F6E).
Authors & Co-authors:
Papathanassoglou Elizabeth E
Pant Usha U
Meghani Shaista S
Saleem Punjani Neelam N
Wang Yuluan Y
Brulotte Tiffany T
Vyas Krooti K
Dennett Liz L
Johnston Lucinda L
Kutsogiannis Demetrios James DJ
Plamondon Stephanie S
Frishkopf Michael M
Study Outcome
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