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Music listening to reduce stress and anxiety in the ICU
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Koernig, Emily. Music listening to reduce stress and anxiety in the ICU. Retrieved from https://doi.org/doi:10.7282/t3-gbz8-qy16

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TitleMusic listening to reduce stress and anxiety in the ICU
NameKoernig, Emily (author); Casano, Betsy (chair); Rutgers University; RBHS School of Nursing
Date Created2022
Other Date2022-05 (degree)
SubjectNursing, Anxiety, ICU, Music listening, Neuro-ICU, Sedation, Stress
Extent68 pages : illustrations
DescriptionPurpose of Project: This quality improvement project aimed to improve stress and anxiety through the use of music listening in a Neurological ICU (Neuro-ICU).

Methodology: This quality improvement project implemented a pre- and post-test design. The 35 men and women admitted to the Neuro-ICU who met inclusion criteria received a 30-minute, uninterrupted music listening session with music selection of their choice. Pre- and post-intervention heart rate, blood pressure, respiratory rate, pulse oxygenation, pain score, sedation level, and RASS score were recorded, with the intent that all values would improve after the music session completed.

Results: The project enrolled 35 patients who met inclusion criteria. Patients were found to have a statistically significant decrease in heart rate (Z = -2.334, p = 0.020), systolic blood pressure (Z = -3.114, p = 0.002), respiratory rate (Z = -2.163, p = 0.031), and pain (Z = -2.739, p = 0.006). Improved oxygenation post intervention was also found to be statistically significant ( Z = -2.212, p = 0.027). Change in diastolic (Z = -1.038, p = 0.299) and RASS Score (Z = 0.000, p = 1) were found to be not significant. Additionally, out of the five patients who had a change in sedation, four patients’ sedation levels decreased.

Implications for Practice: Results provide further evidence to include music listening as first line treatment to combat anxiety and stress. These results will aid in making formal healthcare policies to ensure clinical practice changes to include music listening as an everyday occurrence in all patient units that utilize medications to treat anxiety and stress. This practice is safe, effective, and cost effective compared to sedative medications.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-gbz8-qy16
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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