The purpose of this study was to investigate the effectiveness of music therapy on pain, plysiological parameters and psychological perceptions of post-heart surgry patients in Intensive Care Unit ICU). A quaxi-experimental design was used in the study. Data were collected in a 1750-bed medical center in northern Taiwan. Sixty-two patients were recruited for this study. Patients were randomly assigned to either treatment or control group. The treatment group patients listened to the relaxing or religious music in ICU while control group patients received only routine care without music therapy. Music therapy was conducted each time for 20 minutes, three times a day, within foryt-eight hours of post heart surgery while patient was awake in ICU. Stress management data were collected before and after each music therapy. The physiological indicators of the patients. Including heart rate, systolic pressure,diastolic pressure, mean arterial pressure, respiratory rate and finger temperature, as the patients’ level of pain and psychological perception of anxiety, depression, anger and tension were collected. The results indicated that music therapy reduced respiration rate, pain and tension levels, increased finger temperature, and improved the psychological perception of “ terrifying ideas or images” of the patients. Patients with first heart surgery had more decreased systolic pressure during music therapy than patients with second or third heart surgery. Patients with forty-five to sixty years old had more pain relief than those age greater than sixty during music therapy. The study also found that forty-five to sixty years old patients had more tension relieved than patients younger than age forty-five with music therapy. Music therapy successfully reduced stress as reflected in pain and other physiological and psychological parameters. Frequency of surgery and age influenced the effects of music therapy. The use of this intervention will improve the quality of care received by the heart surgery patients as well as other patients in pain and stresses.
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