Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

The Effects of Self-Selected Music on Anxiety and Pain during Burn Dressing Changes

선호 음악요법이 화상환자의 드레싱 시 상태불안과 통증에 미치는 효과

  • Son, Jung-Tae (Department of Nursing, College of Medicine, Catholic University of Daegu) ;
  • Kim, Sun-Hwa (Department of Nursing, Catholic Medical Center, Daegu Metropolitan City)
  • 손정태 (대구카톨릭대학교 의과대학 간호학과) ;
  • 김선화 (대구카톨릭대학병원 간호부)
  • Published : 2006.02.01
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to examine the effects of music therapy on state anxiety and pain among patients undergoing burn dressing changes. Method: A convenience sample of 32 adult burn patients who were eligible and provided consent were included in the study which was a quasi-experimental study of a nonequivalent control group pretest-posttest design. Fifteen patients in the control group received the routine burn dressing changes but 17 patients in the experimental group listened to self-selected music through headphones connected to a CD player during burn dressing changes for three days. All subjects of the music group chose the type of music that would relax them. Before and after burn dressing changes, subjects completed the State Anxiety Inventory and self-report of pain scores. Result: There was a significant reduction in state anxiety before and after burn dressing changes in those who received music therapy in contrast to those who did not receive music therapy. The music group reported lower pain scores before and after burn dressing changes than did the non-music group. Conclusion: These findings indicate that music therapy composed of self-selected music is a valuable intervention for the treatment of pain and anxiety in patients undergoing burn dressing changes.

Keywords

References

  1. Ashburn, M. A. (1995). Bum pain : The management of procedure related pain. J Burn Care Rehabil, 16, 365-371 https://doi.org/10.1097/00004630-199505001-00006
  2. Choinere, M., & Latarjet, J. (1995). Pain in bum patients. Burns, 21(5), 344-348 https://doi.org/10.1016/0305-4179(95)00003-8
  3. Choiniere, M., Auger F. A., & Latarjet, J. (1994). Visual analogue thermometer : A valid and useful instrument for measuring pain in burned patients. Burns, 20(3), 229-235 https://doi.org/10.1016/0305-4179(94)90188-0
  4. Choniere, M., Malzack, P., Rononeau, J., Girard, N., & Paquin, M. J. (1989). The pain of bum: characteristics and correlates. J of Trauma, 29(11), 1531-1539 https://doi.org/10.1097/00005373-198911000-00013
  5. Fratianne, R. B., Prensner, J. D., Huston, M. J., Super, D. M., Yowler, C. J., & Standley, J. M. (2001). The effect of music-based imagery and musical alternate engagement on the bum debridement process. J Burn Care Rehabil, 22(1), 47-53 https://doi.org/10.1097/00004630-200101000-00010
  6. Geisser, M. E., Bingham, H. G., & Robinson, M. E. (1995). Pain and anxiety during bum dressing changes : Concordance between patient's and nurse's ratings and relation to medication administration and patient variables. J Burn Care Rehabil, 16(2), 165-171
  7. Gerdner, L. A., & Buckwalter, K. C. (1999). Music therapy : Nursing interventions. Mosby, 451-468
  8. Hartsock, J. (1982). The effects of music on levels of depression in orthopedic patients on prolonged bedrest. Unpublished master's thesis, University of Iowa, Iowa City
  9. Hong, M. S. (1989). The effects of music therapy on patients with post operative pain. J Korean Acad Adul Nurs, 1(1), 57-71
  10. Hong, S. T. (1994). The effects of music therapy on vital sign changes of operational patients. J Korean Acad Nurs, 24(3), 377-388
  11. IASP (1986). Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Pain, supplement 3
  12. Kang, H. Y. (1998). The effects of music therapy on the state anxiety, pain in dental patients. J Korean Acad Soci Nurs Edu, 4(2), 147-158
  13. Kim, J. A. (1994). Effects of music therapy on pain and depression of musculoskeletal trauma patients. J Rheumatol Health, 1(1), 48-70
  14. Kim, J. T., & Sin, D. G. (1978). A study based on the standardization of the STAI for korea. Choisineuihag, 21(11), 1220-1223
  15. Kim, K. S., Kim, D. Y., M. D, Kim, K. S., M. D, Lee, S. Y., M. D, Cho, B. H., M. D, & So. H. S. (2000). The effects of music therapy on reduction of pain, anxiety and vital sign in the exchange of bum wound dressing. J Korean Burn Soc, 3(2), 89-100
  16. Kozier, Erb, Berman, & Snyder (2004). Fundamentals of Nursing, 7th. ed., Prentice Hill Co., p.1142
  17. Lee, H. R. (2003), Effects of relaxing music on stress response of patients with acute myocardial infarction. J Korean Acad Nurs, 33(6), 693-704 https://doi.org/10.4040/jkan.2003.33.6.693
  18. Lim, M. R. (2003). The effect of preparatory information and deep breathing relaxation on the level of anxiety and physiologic variables of patients undergoing bronchoscopy. Master's thesis, Catholic University of Daegu, Korea
  19. Maultsby, M. (1977). Combining music therapy with rational behavior therapy. J Music Ther, 14(2), 89-96 https://doi.org/10.1093/jmt/14.2.89
  20. McCain, D., & Sutherland, S. (1998). Nursing essentials : Skin graft for patients with burns. Am J Nurs, 98(7), 34-39
  21. Miller, A. C., Hickman, L. C., & Lemasters, G. K. (1992). A distraction technique for control of burn pain. J Burn Care Rehabil, 13, 576-80 https://doi.org/10.1097/00004630-199209000-00012
  22. Park, Y. S., & Kim, E. H. (2001). A study on pain and anxiety of burn patients. J Korean Community Health Nurs Acad Soc, 15(1), 83-95
  23. Patterson, D. R., Ptacek, J. T., Carrougher, G. J., & Sharar, S. R. (1997). Lorazepam as an adjunct opioid analgesic in the treatment of burn pain. Pain, 72, 367-374 https://doi.org/10.1016/S0304-3959(97)00064-X
  24. Perry, S., & Heidrich, G. (1982). Management of pain during debridement : A survey of US burn units. Pain, 13, 267-279 https://doi.org/10.1016/0304-3959(82)90016-1
  25. Prensner, J. D., Yowler, C. J., Smith, L. F., Steele, A. L., & Fratianne, R. B. (2001). Music therapy for assistance with pain and anxiety management in burn treatment. J Burn Care Rehabil, 22, 83-88 https://doi.org/10.1097/00004630-200101000-00019
  26. Spielberger, C. D. (1975). Anxiety: state trate process in stress and anxiety. Fds., C.D. Spielberger and I.G. Sarason, Vol 1, Newyork : John Wiley and Sons., 3-26
  27. Updike, P. A., & Charles, D. M. (1987). Physiological and emotional responses to taped music program of preoperative patients awaiting plastic surgery. Ann Plast Surg, 19(1), 29-33 https://doi.org/10.1097/00000637-198707000-00004
  28. Weinberg, K., Birdsall, C., Vail. D., Marano, M. A., Petrone, S. J., & Mansour, E. H. (2000). Pain and anxiety with burn dressing changes : Patient self-report. J Burn Care Rehabil, 21(2), 157-161 https://doi.org/10.1097/00004630-200021020-00013