The Effect of Music Therapy and Murottal Therapy on Anxiety Patient In The Intensive Care Unit: A Case Report
Pengaruh Terapi Musik dan Terapi Murotal pada Pasien Ansietas di Ruang Perawatan Intensif: Case Report
Keywords:
Music therapy, Murotal therapy, Anxiety, Critical careAbstract
Anxiety is an emotion that is often experienced by patients who admitted to the ICU. Anxiety occurs due to the ofenvironmental stressors, multiple invasive actions, feelings of loneliness and fear of death. There are severalcomplementary therapies that are feasible to be administered to reduce anxiety levels, such as music therapy and murotaltherapy. The purpose of this study was to identify the application of music therapy and murotal therapy to reduce anxietyin patients treated in the intensive care. The study design used a case study on 1 respondent with the criteria of patientsbeing treated in the ICU > 48 hours on a ventilator, with compos mentis awareness. This study was conducted for 5 days.The results showed that there was a decrease in the level of anxiety of patients who were treated before and after givenmusic therapy and murotal therapy . Before the intervention was applied, Mrs. I anxiety score is 86 (moderate) and afterbeing administered for 5 days, the anxiety of the respondent decreased with score of 62 (mild). The pain level in Mrs. Ibased on Behavior Pain Scale (BPS) has decreased from scale of 6 (moderate) to scale od 3 (mild). Based on these twomeasuring instruments, the vital signs which previously rose within the upper normal limit decreased to within the normalrange. Based on the data this intervention is considered effective in relieving anxiety, pain, and making vital signs stablewithin the normal range experienced by critical care patient.Downloads
References
Ames, N., Shuford, R., Yang, L., Moriyama, B., Frey, M., Wilson, F. Wallen, G. R. (2017). Music Listening Among Postoperative Patients in the Intensive Care Unit?: A Randomized Controlled Trial with Mixed-Methods Analysis. SAGE. https://doi.org/10.1177/1178633717716 455
Bulechek, G.M., Butcher H.K., Dotcherman J.M.(2018).Nursing Interventions Classification (NIC) 7th Indonesian Edition.Elsevier. Singapore
Bradt J, Dileo C. (2015). Cochrane review: music interventions for mechanically ventilated patients. J Evid Based Med 8:56.
Bradt J, Dileo C, Magill L, et al. (2016). Music interventions for improving psychological and physical outcomes in cancer patients. Cochrane Database Syst Rev 8:CD006911.
Berman, A., Snyder, S., & Frandsen, G. (2016). Kozier & Erbs Fundamental of Nursing Concept, Process and Practice (10th ed.). USA: Pearson Education, Inc..
Baumgarten, M., & Poulsen, I. (2015). Patients’ experiences of being mechanically ventilated in an ICU: A qualitative metasynthesis. Scandinavian Journal of Caring Sciences, 29(2), 205–214. https://doi.org/10.1111/scs.12177
Chen, L., Wang, F., Li, J., Cui, L., Liu, X., Han, C., . . . Ji, D. (2021). Use of music to enhance sleep and psychological outcomes in critically ill patients: A protocol for a systematic review and meta-analysis. BMJ Open, 11(5) doi:http://dx.doi.org/10.1136/bmjopen-2020-037561
Chahal, J. K., Sharma, P., & Rawat, H. C. L. (2021). Effect of music therapy on ICU induced anxiety and physiological parameters among ICU patients: An experimental study in a tertiary care hospital of India. Clinical Epidemiology and Global Health, 11, 100716
Chang et al .(2012). Spiritual Needs and Spiritual Care for Veterans at End Of Life and Their Families. Am J Hosp Palliat Care. 29(8):610-617
Ci?erci Y, & Özbay?r T. (2016). The Effects of Music Therapy on Anxiety , Pain And The Amount of Analgesics Following Coronary Artery Surgery. Turk Gogus Kalp Dama. 24(1), 44–50. https://doi.org/10.5606/tgkdc.dergisi.20 16.12136
Forooghy, M., Tabrizi, E. M., & Hajizadeh, E. (2015). Effect of Musik Therapy on Patients Anxiety and Hemodynamic Parameters During Coronary Angioplasty: A Randomized Controlled Trial. European Journal Oncology Nursing Society Newsletter Fall 4: 221- 228
Gabela, E. Sampurno, Joko. (2014). Analisis Fraktal Sinyal Berbagai Jenis Musik. Prisma Fisika. 2(3), 67-73
Giske, T., & Cone, P. H. (2015). Discerning The Healing Path–How Nurses Assist Patient Spirituality In Diverse Health Care Settings. Journal of Clinical Nursing, 24(19-20), 2926-2935
Golino, B. A. J., Leone, R., Gollenberg, A., Christopher, C., Stanger, D., Davis, T. M., Ann, M. (2019). Impact Of An Active Music Therapy Intervention On Intensive Care Patients. American Journal of Critical Care. 28(1), 48–55 https://doi.org/10.4037/ajcc20192
Gufron, M., Widada, W., & Putri, F. (2019). Pengaruh Pembekalan Kesejahteraan Spiritual Terhadap Tingkat Kecemasan Keluarga Pasien di Ruang Intensive Care Unit (Icu) Rsd Dr. Soebandi Jember. The Indonesian Journal of Health Science, 11(1), 91-99.
Han L, Li JP, Sit JWH, et al. (2014). Effects of music intervention on physiological stress response and anxiety level of mechanically ventilated patients in China: a randomised controlled trial. J Clin Nurs 19:978–87.
Hansen, I. P., Langhorn, L., & Dreyer, P. (2017). Effects of Music During Daytime Rest in the Intensive Care Unit. British Association of Critical Nurses. 1–7. https://doi.org/10.1111/nicc.12324
Herdiana, Y., & Djamil, M. (2021). The Effectiveness of Recitation Al-Qur’an Intervention and Deep Breathing Exercise on Improving Vital Sign and anxiety Level among Congestive Heart Failure (CHF) Patients. International Journal of Nursing and Health Services (IJNHS), 4(1), 9-16.
Hetland B et al.(2015). The influence of music during mechanical ventilation and weaning from mechanical ventilation: a review. Heart Lung 44:416–25.
Ho, J. Q., Nguyen, C. D., Lopes, R., Ezeji-Okoye, S. C., & Kuschner, W. G. (2018). Spiritual Care in the Intensive Care Unit: A Narrative Review. J Intensive Care Med, 33(5), 279-287. doi:10.1177/0885066617712677
Jacq, G., Melot, K., Bezou, M., Foucault, L., Courau-Courtois, J., Cavelot, S., … Legriel, S. (2018). Music for pain relief of mechanically ventilated patients: A pilot study. PloS one, 13(11), e0207174. doi:10.1371/journal.pone.0207174.
Jioe, H. S., & Suwarman, S. (2018). Penilaian Nyeri di Ruang Perawatan Intensif. Majalah Anestesia dan Critical Care, 36(1), 26-3
Kahil.(2018). Pengaruh Terapi Murotal AlQur’an Melalui Media Audio Terhadap Waktu Pulih Sadar Post Op Laparatomi General Anastesi Di Ruang Pemulihan RSUD Dr. H. Abdul Moelek Provinsi Lampung, Karya Tulis Ilmiah Tanjungkarang
Kose et al. (2016). Factors Affecting Anxiety and Depression Symptoms in Relatives of Intensive Care Unit Patients. J Intensive Care Med, 31(9), 611-617. doi:10.1177/0885066615595791
Keliat, B. A. (2011). Manajemen kasus gangguan jiwa. Jakarta: EGC.
Lee, C., Lee, C., Hsu, M., Lai, C., Sung, Y., Lin, C., Lin, L. (2016). Effects of Music Intervention on State Anxiety and Physiological Indices in Patients Undergoing Mechanical Ventilation in the Intensive Care Unit?: A Randomized Controlled Trial, SAGE (110). https://doi.org/10.1177/1099800416669 601
Liang, Z., Ren, D., Choi, J., Happ, M. B., Hravnak, M., & Hoffman, L. A. (2016). Music intervention during daily weaning trials—A 6 day prospective randomized crossover trial. Complementary therapies in medicine, 29, 72-77.
Mamier, I., Taylor, E. J., & Winslow, B. W. (2019). Nurse Spiritual Care: Prevalence and Correlates. West J Nurs Res, 41(4), 537-554. doi:10.1177/0193945918776328
Maxen et al. (2021). Dyspnea in Patients Receiving Mechanical Ventilation. Reference Module in Biomedical Sciences. https://remote-lib.ui.ac.id:2075/10.1016/B978-0-08-102723-3.00220-1
May, A. D. (2021). The nature and prevalence of anxiety in the intensive care unit: Risk factors, patient outcomes, and trends in psychological care (Order No. 28496738). Available from ProQuest Dissertations & Theses Global. (2546613549). Retrieved from https://www.proquest.com/dissertations-theses/nature-prevalence-anxiety-intensive-care-unit/docview/2546613549/se-2?accountid=17242
McSherry, W., & Jamieson, S. (2013). The Qualitative Findings From An Online Survey Investigating Nurses’ Perceptions Of Spirituality And Spiritual Care. Journal of Clinical Nursing, 22, 3170-3182. doi:10.1111/jocn.12411
Mofredj A, Alaya S, Tassaioust K, et al. (2016) Music therapy, a review of the potential therapeutic benefits for the critically ill. J Crit Care 35:195–9.
Morris, S. M. (2019). The Experience of Music Therapy During the Weaning Process of Patients Receiving Invasive Mechanical Ventilation.
Pangestika et al. (2020). Pengaruh Musik Alfa terhadap Intensitas Nyeri Pasien dengan Ventilator di Intensive Care Unit (ICU). Jurnal Ilmu Keperawatan dan Kebidanan, 11(1), 134-139.
Park, J. Y., & Park, S. (2019). Effects of two music therapy methods on agitation and anxiety among patients weaning off mechanical ventilation: a pilot study. Journal of Korean Academy of Fundamentals of Nursing, 26(2), 136-143.
Permana, B., Nurhayati, N., Amelia, C. N., & Lindayani, L. (2021). The Effectiveness Of Al-Qur’ An Murrotal Therapy On Reducing Pain Among Postoperative Patients: A Systematic Review. Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 7(1), 54-65.
Tim Pokja SLKI DPP PPNI.(2019). Standar Luaran Keperawatan Indonesia. Edisi 1. Jakarta : PPNI
Tim Pokja SIKI DPP PPNI. (2018). Standar Intervensi Keperawatan Indonesia. Edisi 1. Jakarta : PPN
Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia. Edisi 1. Jakarta : PPNI
Stuart, G. W. (2014). Principles And Practice Of Psychiatric Nursing. Elsevier Health Sciences.
Videbeck, S. L. (2011). Psychiatric-Mental Health Nursing (Fifth ed.). Philadelphia: Lippimcott Williams & Wilkins.
Wade D.M., Moon Z., Windgassen S.S., Harrison A.M., Morris L., & Weinman J.A. (2016). Non-pharmacological interventions to reduce ICU-related psychological distress: A systematic review. Minerva Anestesiologica, 82(4), 465–478.
World Health Organization. (2016). World Health Statistic 2015. USA: WHO
Yanhong, Z et al. (2013). Clinical research of the effect of music therapy on ICU patients with loneliness, anxiety and depression. China Health Industry
Yuliani, D. R., Widyawati, M. N., Rahayu, D. L., Widiastuti, A., & Rusmini, R. (2018). Terapi Murottal Sebagai Upaya Menurunkan Kecemasan Dan Tekanan Darah Pada Ibu Hamil Dengan Preeklampsia: Literature Review Dilengkapi Studi Kasus. Jurnal Kebidanan, 8(2), 79-98.
Yusuf, A., Nihayati, H. E., Iswari, M. F., & Okviansanti, F. (2016). Kebutuhan spiritual: konsep dan aplikasi dalam asuhan keperawatan. In (pp. 1-316): Mitra Wacana Media
Published
Issue
Section
Copyright (c) 2023 Journal of Health and Cardiovascular Nursing
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
