Lorek Magdalena, Bąk Dominika, Kwiecień-Jaguś Katarzyna, Mędrzycka-Dąbrowska Wioletta
Student Scientific Club of Anesthesia and Intensive Care, Medical University of Gdansk, 80-211 Gdansk, Poland.
Department of Anesthesiology Nursing & Intensive Care, Faculty of Health Sciences, Medical University of Gdansk, 80-211 Gdansk, Poland.
Healthcare (Basel). 2023 Jun 8;11(12):1687. doi: 10.3390/healthcare11121687.
Music is an intriguing but relatively under-researched intervention with many potential benefits for mechanically ventilated patients. The review aimed to assess the impact of listening to music as a non-pharmacological intervention on the physiological, psychological, and social responses of patients in an intensive care unit.
The literature review was conducted in the fourth quarter of 2022. The overview included papers found in Science Direct, EBSCO, PubMed, Ovid, Scopus, and original research papers published in English meeting the PICOS criteria. Articles published between 2010 and 2022 meeting the inclusion criteria were included for further analysis.
Music significantly affects vital parameters: decreases the heart rate, blood pressure, and breathing; reduces pain intensity. The analyses confirmed that music affects anxiety levels, reduces sleep disturbances and delirium occurrence, and improves cognitive function. The effectiveness of the intervention is influenced by the choice of music.
There is evidence of the beneficial effects of music on a patient's physiological, psychological, and social responses. Music therapy is highly effective in reducing anxiety and pain and stabilizes physiological parameters, i.e., the heart rate and respiratory rate, after music sessions in mechanically ventilated patients. Studies show that music reduces agitation in confused patients, improves mood, and facilitates communication.
音乐是一种有趣但研究相对较少的干预措施，对机械通气患者有诸多潜在益处。本综述旨在评估听音乐作为一种非药物干预措施对重症监护病房患者生理、心理和社会反应的影响。
文献综述于2022年第四季度进行。综述涵盖了在科学Direct、EBSCO、PubMed、Ovid、Scopus上检索到的论文，以及符合PICOS标准的英文原创研究论文。纳入2010年至2022年期间发表且符合纳入标准的文章进行进一步分析。
音乐对生命体征参数有显著影响：降低心率、血压和呼吸频率；减轻疼痛强度。分析证实，音乐影响焦虑水平，减少睡眠障碍和谵妄的发生，并改善认知功能。干预效果受音乐选择的影响。
有证据表明音乐对患者的生理、心理和社会反应具有有益影响。音乐疗法在减轻焦虑和疼痛方面非常有效，并且在机械通气患者听音乐后能稳定生理参数，即心率和呼吸频率。研究表明，音乐可减少意识模糊患者的躁动，改善情绪，并促进沟通。
