Live music during haemodialysis: A multiple methods randomised controlled pilot study

IF 1.5 4区医学 Q3 NURSING

Journal of renal care Pub Date : 2022-12-04 DOI:10.1111/jorc.12453

Margrethe Langer Bro PhD, Jeanette Finderup PhD, Rineke Smilde PhD, Pia Dreyer PhD, Bibi Gram PhD

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引用次数: 0

Abstract

Background

Fatigue is an immense problem among patients undergoing haemodialysis and is associated with anxiety and depression. Live music used in different hospital settings has shown promising effects, but the feasibility and potential effectiveness of live music during haemodialysis are unknown.

Objectives

To evaluate the feasibility, the participants' musical experience and potential effectiveness of live music on patients’ levels of fatigue, relaxation, anxiety, depression, treatment satisfaction and work engagement among nurses.

Design

A pilot randomised controlled trial evaluated with a multiple methods design.

Participants

Two clusters of 12 patients were each randomised to receive either 30 min of live music once a week during haemodialysis or usual care over a period of 6 weeks.

Measurements

The primary outcome was patients' immediate fatigue. Other outcomes were patients' long-term and post-dialysis fatigue, relaxation, anxiety, depression, treatment satisfaction and work engagement among nurses. Observations and semi-structured interviews with patients, nurses and musicians were conducted to gain an in-depth understanding of the musical experience as well as feasibility.

Results

The study was feasible and detected significant differences on immediate fatigue (p < 0.001) and anxiety (p < 0.012) in the intervention group compared to controls. Among 17 nurses, a significant difference was found in Dedication (p < 0.024). Furthermore, live music gave patients an uplifting experience, bringing joy and relaxation and the nurses experienced a sense of quietness in a stressful day.

Conclusions

Providing live music performed by professional musicians in a haemodialysis setting is feasible and showed a significant effect on immediate fatigue and anxiety compared to controls.

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血液透析期间的现场音乐：多方法随机对照试验研究。

背景：疲劳是血液透析患者面临的一个巨大问题，并与焦虑和抑郁有关。在不同的医院环境中使用现场音乐已显示出良好的效果，但在血液透析期间使用现场音乐的可行性和潜在效果尚不清楚：评估现场音乐的可行性、参与者的音乐体验以及对患者疲劳程度、放松程度、焦虑程度、抑郁程度、治疗满意度和护士工作参与度的潜在效果：设计：试验性随机对照试验，采用多种方法进行评估：两组各 12 名患者被随机分配到血液透析期间每周一次 30 分钟的现场音乐或为期 6 周的常规护理中：主要结果是患者的即时疲劳度。其他结果包括患者的长期疲劳和透析后疲劳、放松、焦虑、抑郁、治疗满意度和护士的工作参与度。对患者、护士和音乐家进行了观察和半结构化访谈，以深入了解音乐体验和可行性：结果：这项研究是可行的，并在即时疲劳方面发现了显著差异（P在血液透析环境中提供由专业音乐家演奏的现场音乐是可行的，而且与对照组相比，对缓解即时疲劳和焦虑有显著效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.