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Cao M, Zhang Z. Adjuvant music therapy for patients with hypertension: a meta-analysis and systematic review. BMC Complement Med Ther 2023; 23:110. [PMID: 37024863 PMCID: PMC10077636 DOI: 10.1186/s12906-023-03929-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 03/20/2023] [Indexed: 04/08/2023] Open
Abstract
BACKGROUND High blood pressure, anxiety, depression and sleep disorder is very common in patients with hypertension. We aimed to perform a meta-analysis to evaluate the effects of adjuvant music therapy for patients with hypertension, to provide insights to the clinical management of hypertension. METHODS Two authors searched PubMed, Embase, Web of Science, the Cochrane Library, Chinese National Knowledge Infrastructure, China Biomedical Literature Database, Wanfang Databases for randomized controlled trials (RCTs) on the role of music therapy in hypertension up to Oct 15, 2022. RevMan 5.3 software was used for meta-analysis. RESULTS A total of 20 RCTs including 2306 patients were finally included. 1154 patients received music therapy. Meta-analysis showed that music therapy can effectively reduce the systolic blood pressure(MD = - 9.00, 95%CI: - 11.99~- 6.00), diastolic blood pressure(MD = -6.53, 95%CI: -9.12~- 3.93), heart rate (MD = -3.76, 95%CI: -7.32~- 0.20), self-rating anxiety scale (SAS) score(MD =-8.55, 95%CI: -12.04~-4.12), self-rating depression scale (SDS) score(MD = -9.17, 95%CI: -13.85~-5.18), Hamilton anxiety scale (HAMA), score(MD = -3.37, 95%CI: - 5.38~- 1.36), PSQI score(MD =-1.61, 95%CI:-2.30~- 0.93) compared with routine therapy in patients with hypertension(all P < 0.05). No publication bias in the synthesized outcomes were found (all P > 0.05). CONCLUSION Music therapy can effectively control blood pressure and heart rate, reduce anxiety and depression levels, and improve sleep quality in hypertensive patients. Limited by the quantity and quality of included studies, the above conclusions need to be verified by more high-quality studies.
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Affiliation(s)
- Min Cao
- Shaoxing University Yuanpei College, No. 2799 Qunxian Zhong Road, Yuecheng District, Shaoxing, Zhejiang, China.
| | - Zhiyuan Zhang
- Shaoxing University Yuanpei College, No. 2799 Qunxian Zhong Road, Yuecheng District, Shaoxing, Zhejiang, China.
- Hunan international econonmics university, Hunan, China.
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Effect of Indian Music as an Auditory Stimulus on Physiological Measures of Stress, Anxiety, Cardiovascular and Autonomic Responses in Humans-A Randomized Controlled Trial. Eur J Investig Health Psychol Educ 2022; 12:1535-1558. [PMID: 36286092 PMCID: PMC9601678 DOI: 10.3390/ejihpe12100108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Revised: 09/26/2022] [Accepted: 10/17/2022] [Indexed: 11/06/2022] Open
Abstract
Among the different anthropogenic stimuli humans are exposed to, the psychological and cardiovascular effects of auditory stimuli are less understood. This study aims to explore the possible range of change after a single session of auditory stimulation with three different ‘Modes’ of musical stimuli (MS) on anxiety, biomarkers of stress, and cardiovascular parameters among healthy young individuals. In this randomized control trial, 140 healthy young adults, aged 18−30 years, were randomly assigned to three MS groups (Mode/Raga Miyan ki Todi, Malkauns, and Puriya) and one control group (natural sounds). The outcome measurements of the State-Trait Anxiety Inventory, salivary alpha-amylase (sAA), salivary cortisol (sCort), blood pressure, and heart rate variability (HRV) were collected at three time points: before (M1), during (M2), and after the intervention (M3). State anxiety was reduced significantly with raga Puriya (p = 0.018), followed by raga Malkauns and raga Miyan Ki Todi. All the groups showed a significant reduction in sAA. Raga Miyan ki Todi and Puriya caused an arousal effect (as evidenced by HRV) during the intervention and significant relaxation after the intervention (both p < 0.005). Raga Malkauns and the control group had a sustained rise in parasympathetic activity over 30 min. Future studies should try to use other modes and features to develop a better scientific foundation for the use of Indian music in medicine.
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Gyamfi J, Vieira D, Iwelunmor J, Watkins BX, Williams O, Peprah E, Ogedegbe G, Allegrante JP. Assessing descriptions of scalability for hypertension control interventions implemented in low-and middle-income countries: A systematic review. PLoS One 2022; 17:e0272071. [PMID: 35901114 PMCID: PMC9333290 DOI: 10.1371/journal.pone.0272071] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 07/12/2022] [Indexed: 11/20/2022] Open
Abstract
Background The prevalence of hypertension continues to rise in low- and middle-income- countries (LMICs) where scalable, evidence-based interventions (EBIs) that are designed to reduce morbidity and mortality attributed to hypertension have yet to be fully adopted or disseminated. We sought to evaluate evidence from published randomized controlled trials using EBIs for hypertension control implemented in LMICs, and identify the WHO/ExpandNet scale-up components that are relevant for consideration during “scale-up” implementation planning. Methods Systematic review of RCTs reporting EBIs for hypertension control implemented in LMICs that stated “scale-up” or a variation of scale-up; using the following data sources PubMed/Medline, Web of Science Biosis Citation Index (BCI), CINAHL, EMBASE, Global Health, Google Scholar, PsycINFO; the grey literature and clinicaltrials.gov from inception through June 2021 without any restrictions on publication date. Two reviewers independently assessed studies for inclusion, conducted data extraction using the WHO/ExpandNet Scale-up components as a guide and assessed the risk of bias using the Cochrane risk-of-bias tool. We provide intervention characteristics for each EBI, BP results, and other relevant scale-up descriptions. Main results Thirty-one RCTs were identified and reviewed. Studies reported clinically significant differences in BP, with 23 studies reporting statistically significant mean differences in BP (p < .05) following implementation. Only six studies provided descriptions that captured all of the nine WHO/ExpandNet components. Multi-component interventions, including drug therapy and health education, provided the most benefit to participants. The studies were yet to be scaled and we observed limited reporting on translation of the interventions into existing institutional policy (n = 11), cost-effectiveness analyses (n = 2), and sustainability measurements (n = 3). Conclusion This study highlights the limited data on intervention scalability for hypertension control in LMICs and demonstrates the need for better scale-up metrics and processes for this setting. Trial registration Registration PROSPERO (CRD42019117750).
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Affiliation(s)
- Joyce Gyamfi
- Teachers College, Columbia University, New York, NY, United States of America
- NYU School of Global Public Health, New York, NY, United States of America
- * E-mail:
| | - Dorice Vieira
- NYU School of Global Public Health, New York, NY, United States of America
- NYU Health Sciences Library, New York, NY, United States of America
- NYU Grossman School of Medicine, NYU Langone Health, New York, NY, United States of America
| | - Juliet Iwelunmor
- College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO, United States of America
| | | | - Olajide Williams
- Columbia University Medical Center, New York, NY, United States of America
| | - Emmanuel Peprah
- NYU School of Global Public Health, New York, NY, United States of America
| | - Gbenga Ogedegbe
- NYU Grossman School of Medicine, NYU Langone Health, New York, NY, United States of America
| | - John P. Allegrante
- Teachers College, Columbia University, New York, NY, United States of America
- Mailman School of Public Health, Columbia University, New York, NY, United States of America
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Lorber M, Divjak S. Music Therapy as an Intervention to Reduce Blood Pressure and Anxiety Levels in Older Adults With Hypertension: A Randomized Controlled Trial. Res Gerontol Nurs 2022; 15:85-92. [PMID: 35312440 DOI: 10.3928/19404921-20220218-03] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Hypertension is a serious medical condition, the frequency of which increases significantly with age; has a negative impact on certain health complications; and increases the rate of mortality. Music therapy as a nonpharmacological treatment has many positive effects on an individual's body and mind. A randomized controlled trial was used to evaluate the effects of music therapy on blood pressure, heart rate, and anxiety levels in older adults with hypertension living in a nursing home. Sixty older adults were randomly divided into experimental and control groups (n = 30 each). Significant reductions in systolic blood pressure, heart rate, and anxiety levels were found in older adults with hypertension receiving music therapy compared with the control group. The current study confirms music therapy as a safe, noninvasive, nonpharmacological, and cost-effective intervention for reducing blood pressure, heart rate, and anxiety levels in older adults with hypertension. [Research in Gerontological Nursing, 15(2), 85-92.].
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Yaghmour M, Sarada P, Roach S, Kadar I, Pesheva Z, Chaari A, Bendriss G. EEG Correlates of Middle Eastern Music Improvisations on the Ney Instrument. Front Psychol 2021; 12:701761. [PMID: 34671287 PMCID: PMC8520950 DOI: 10.3389/fpsyg.2021.701761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Accepted: 09/14/2021] [Indexed: 11/27/2022] Open
Abstract
The cognitive sciences have witnessed a growing interest in cognitive and neural basis of human creativity. Music improvisations constitute an ideal paradigm to study creativity, but the underlying cognitive processes remain poorly understood. In addition, studies on music improvisations using scales other than the major and minor chords are scarce. Middle Eastern Music is characterized by the additional use of microtones, resulting in a tonal–spatial system called Maqam. No EEG correlates have been proposed yet for the eight most commonly used maqams. The Ney, an end-blown flute that is popular and widely used in the Middle East was used by a professional musician to perform 24 improvisations at low, medium, and high tempos. Using the EMOTIV EPOC+, a 14-channel wireless EEG headset, brainwaves were recorded and quantified before and during improvisations. Pairwise comparisons were calculated using IBM-SPSS and a principal component analysis was used to evaluate the variability between the maqams. A significant increase of low frequency bands theta power and alpha power were observed at the frontal left and temporal left area as well as a significant increase in higher frequency bands beta-high bands and gamma at the right temporal and left parietal area. This study reveals the first EEG observations of the eight most commonly used maqam and is proposing EEG signatures for various maqams.
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Affiliation(s)
| | | | - Sarah Roach
- Premedical Division, Weill Cornell Medicine Qatar, Doha, Qatar
| | | | | | - Ali Chaari
- Premedical Division, Weill Cornell Medicine Qatar, Doha, Qatar
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Yetasook A, Terrell J, de Virgilio C. Creating a harmonious operating room: The role of music and other sounds. SURGERY IN PRACTICE AND SCIENCE 2021. [DOI: 10.1016/j.sipas.2021.100035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Sari FS, Fitriani W, Mustikasari IK, Rosyada I, Kusumawati HN, Sulisetyawati SD, Wulandari IS, Fitriana RN, Irdianty MS. Effect of Musical Therapy Langgam Jawa on Pre-chemotherapy Anxiety of Cancer Patients. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.6755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Anxiety occurs in cancer patients who are undergoing chemotherapy for the 1st time. Excessive anxiety which occurred in the pre-chemotherapy phase can contribute to the failure of chemotherapy programs. One of attempts to reduce anxiety is providing musical therapy Langgam Jawa.
AIM: The purpose of the research is to identify the effect of musical therapy Langgam Jawa to pre-chemotherapy anxiety score.
METHODS: The research used quasi-experimental design which involved pre-posttest with control group. The research was conducted at a hospital in Central Java. The population was cancer patients who undergoing chemotherapy for the 1st time and experienced pre-chemotherapy anxiety. Samples were selected with purposive sampling technique that met inclusion criteria. Subjects were 42 respondents consisting of 21 in each group obtained by simple random sampling technique. Health education and deep breathing exercise were provided to the control group, while the treatment group obtained health education, deep breathing exercise, and musical therapy Langgam Jawa. The measurement of pre-chemotherapy anxiety in the cancer patients was using State-Trait Anxiety Inventory. An independent t-test performed the analysis.
RESULTS: The results showed that pre-chemotherapy anxiety score decreases significantly in those two groups (p-value: 0.001; α: 0.05). The treatment group showed a higher decrease of pre-chemotherapy anxiety than the control group.
CONCLUSION: The finding highlights musical therapy Langgam Jawa is effective to reduce pre-chemotherapy anxiety of cancer patients. It is recommended to apply musical therapy Langgam Jawa for cancer patients who’re undergoing chemotherapy.
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Kim HS, Kang JS. Effect of a group music intervention on cognitive function and mental health outcomes among nursing home residents: A randomized controlled pilot study. Geriatr Nurs 2021; 42:650-656. [PMID: 33823423 DOI: 10.1016/j.gerinurse.2021.03.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2020] [Revised: 03/11/2021] [Accepted: 03/12/2021] [Indexed: 10/21/2022]
Abstract
The purpose of this study was to determine the effect of a group music intervention with rhythmic exercises program on cognitive function and mental health outcomes among Korean nursing home residents . A randomized controlled study design was employed, in which the experimental group (n = 20) received a biweekly group music intervention with rhythmic exercises program and a regular activities program for 12 weeks, and the control group (n = 20) received only a regular activities program provided by the nursing home. We measured cognitive function and mental health outcomes using the Mini-Mental State Examination-Korean Version (MMSE-K), Geriatric Depression Scale Short Form-Korean Version (GDSSF-K), Geriatric Anxiety Inventory-Korean Version (GAI-K), and Life Satisfaction Scale. ANCOVA was performed to examine the effect of the group music intervention on the study variables. The results suggested that the group music intervention with rhythmic exercises program improved cognitive function, depression, anxiety, and life satisfaction.
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Affiliation(s)
- Hyun-Sil Kim
- Department of Nursing, Daegu Haany University, 136, Sincheondae-ro, Susung-gu, Daegu 42158, South Korea.
| | - Jin-Suk Kang
- Department of Health & Social Welfare for the Elderly, Daegu Haany University, Graduate School, Gyeongsan city, Gyeongsanbuk-do 38610, South Korea.
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Gurbuz-Dogan RN, Ali A, Candy B, King M. The effectiveness of Sufi music for mental health outcomes. A systematic review and meta-analysis of 21 randomised trials. Complement Ther Med 2021; 57:102664. [PMID: 33465384 DOI: 10.1016/j.ctim.2021.102664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2019] [Revised: 12/28/2020] [Accepted: 01/12/2021] [Indexed: 10/22/2022] Open
Abstract
BACKGROUND There is some evidence that Sufi music therapy might improve physical and mental well-being; however, no systematic review or meta-analysis has pooled and critiqued the evidence. The aim of this systematic review was to evaluate the effects of Sufi music therapy on mental health outcomes. METHODS We searched Medline, PsycINFO, the Web of Science, Science Direct, PsycARTICLES, Cochrane Library, SCOPUS, CINAHL Plus, AMED, and ULAKBIM databases, and the reference lists of the studies found. Papers published in academic peer-reviewed journals were included, as well as from other sources such as chapters in edited books, the grey literature, or conference presentations. Articles published up to March 2020 in Turkish and English were included. Our primary outcome of interest was anxiety and secondary outcomes of interest were other mental health outcomes such as depression. To assess the methodological quality of the articles, the Cochrane Risk of Bias Tool was used. The quality of evidence was assessed using the GRADEpro GDT system. RESULTS This search yielded 21 clinical trials that were eligible for inclusion. A meta-analysis, using a random effects model, of 18 randomised controlled trials involving 1454 participants showed that Sufi music therapy with makams, compared with treatment as usual (TAU) or a no-music control group, reduced symptoms of anxiety in the short term in patients undergoing an operation or treatments such as chemotherapy or haemodialysis (standardised mean difference SMD= -1.15, 95 % CI, -1.64 to -0.65; very low-quality evidence). The evidence of Sufi music with makam's effect on anxiety is rated as very low. Qualitative synthesis of secondary outcomes revealed significant effects for depression, positive symptoms in schizophrenia, stress, which however were based on fewer studies. Trials were of moderate methodological quality, and there was significant heterogeneity across the studies. CONCLUSION Sufi music may reduce anxiety of patients undergoing medical procedures like haemodialysis, coronary artery surgery, angiography, colonoscopy, bone marrow aspiration and biopsy procedures. Evidence from single studies suggests effects on depression and stress as well. However, due to methodological limitations of the studies, further, higher quality studies are required in other cultures.
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Affiliation(s)
| | - A Ali
- Division of Psychiatry, University College London, London, UK
| | - B Candy
- Division of Psychiatry, University College London, London, UK
| | - M King
- Division of Psychiatry, University College London, London, UK
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Ho CY, Wexberg P, Schneider B, Stöllberger C. Effect of music on patients with cardiovascular diseases and during cardiovascular interventions : A systematic review. Wien Klin Wochenschr 2020; 133:790-801. [PMID: 33296028 DOI: 10.1007/s00508-020-01782-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Accepted: 11/17/2020] [Indexed: 10/22/2022]
Abstract
BACKGROUND The therapeutic effects of music have been known for thousands of years. Recently, studies with music interventions in patients with cardiovascular diseases yielded controversial results. The aim of this review is to provide an overview of the effects of receptive music intervention on the cardiovascular system. METHODS We searched in PubMed, SCOPUS and CENTRAL for publications between January 1980 and May 2018. Primary endpoints were heart rate, heart rate variability and blood pressure. Secondary endpoints comprised respiratory rate, anxiety and pain. The quality of the studies was assessed by using the CONSORT statement and the Cochrane risk of bias assessment tool. A meta-analysis and subgroup analyses concerning music style, gender and region were planned. RESULTS A total of 29 studies comprising 2579 patients were included and 18 studies with 1758 patients investigated the effect of music on patients undergoing coronary angiography or open heart surgery. Other studies applied music to children with congenital heart diseases, pregnant women with hypertension or patients with unstable angina. Due to high methodological study heterogeneity, a meta-analysis was not performed. The study quality was assessed as medium to low. In ten studies with higher quality comprising 1054 patients, music intervention was not associated with significant changes in the cardiovascular endpoints compared to the control group. The subgroup analyses did not demonstrate any relevant results. CONCLUSION Currently no definite effect of receptive music intervention on the cardiovascular system can be verified. Further research is needed to assess music as an inexpensive and easy applicable form of therapy.
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Affiliation(s)
- Chen-Yu Ho
- Klinik Landstraße, Juchgasse 25, 1030, Vienna, Austria. .,, Liechtensteinstr. 8/12, 1090, Vienna, Austria.
| | - Paul Wexberg
- Klinik Landstraße, Juchgasse 25, 1030, Vienna, Austria
| | - Birke Schneider
- Sana Kliniken Lübeck, Kahlhorststr. 17, 23562, Lübeck, Germany
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Orak Y, Bakacak SM, Yaylali A, Tolun FI, Kiran H, Boran OF, Kurt AH, Doganer A. Effects of music therapy on pain and oxidative stress in oocyte pick-up: A randomized clinical trial. BRAZILIAN JOURNAL OF ANESTHESIOLOGY (ENGLISH EDITION) 2020. [PMID: 32829925 PMCID: PMC9373249 DOI: 10.1016/j.bjane.2020.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Background and objective The aim was to investigate the effects of Turkish classical music on pain and oxidative stress in patients undergoing oocyte pick-up. Methods The study was a randomized, controlled trial. The groups included Group NM (Non-Music), control group; Group PM, which comprised patients who listened to music before the operation; and Group CM, which comprised patients who listened to music both before and during the operation. Blood was drawn prior to the operation to measure the oxidative stress values. Pain, hemodynamic parameters, oxidative stress values were assessed postoperatively. Results The number of patients requiring additional propofol was higher in Group PM than in Groups NM and CM (p = 0.003). The postoperative Visual Analog Scale (VAS) score were lower in Groups PM and CM than in Group NM (p = 0.001, p = 0.007) in the 1st and 60th minutes. The postoperative VAS score was lower in Group CM than in Group NM (p = 0.045) in the 5th minute. The postoperative additional analgesic requirements were lower in Groups PM and CM than in Group NM (p = 0.045). The postoperative blood glutathione peroxidase values were significantly higher in Groups PM and CM than in Group NM (p = 0.001). The postoperative catalase values were significantly higher in Groups PM and CM than in Group NM (p = 0.008 and p < 0.001). The preoperative malondialdehyde values were significantly lower in Groups PM and CM than in Group NM. The preoperative nitric oxide values were higher in Groups PM and CM than in Group NM (p < 0.001), whereas the postoperative nitric oxide values were lower in Groups PM and CM than in Group NM (p < 0.001). Conclusion Turkish classical music has beneficial effects on pain and oxidative stress in oocyte pick-up patients.
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Affiliation(s)
- Yavuz Orak
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Onikişubat, Turquia.
| | - Suleyman Murat Bakacak
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Obstetrics and Gynecology, Onikişubat, Turquia
| | - Asli Yaylali
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Histology Department, Onikişubat, Turquia
| | - Fatma Inanc Tolun
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Biochemistry, Onikişubat, Turquia
| | - Hakan Kiran
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Obstetrics and Gynecology, Onikişubat, Turquia
| | - Omer Faruk Boran
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Onikişubat, Turquia
| | - Akif Hakan Kurt
- Bolu Abant Izzet Baysal University, Faculty of Medicine, Medical Pharmacology, Bolu, Turquia
| | - Adem Doganer
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Biostatistics and Medical Informatics, Onikişubat, Turquia
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[Effects of music therapy on pain and oxidative stress in oocyte pick-up: a randomized clinical trial]. Rev Bras Anestesiol 2020; 70:491-499. [PMID: 32829925 DOI: 10.1016/j.bjan.2020.04.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 04/13/2020] [Accepted: 04/17/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND AND OBJECTIVE The aim was to investigate the effects of Turkish classical music on pain and oxidative stress in patients undergoing oocyte pick-up. METHODS The study was a randomized, controlled trial. The groups included were Group NM (Non-Music), control group; Group PM, which comprised patients who listened to music before the operation; and Group CM, which comprised patients who listened to music both before and during the operation. Blood was drawn prior to the operation to measure the oxidative stress values. Pain, hemodynamic parameters, oxidative stress values were assessed postoperatively. RESULTS The number of patients requiring additional propofol was higher in Group PM than in Groups NM and CM (p=0.003). The postoperative Visual Analog Scale (VAS) score were lower in Groups PM and CM than in Group NM (p=0.001, p=0.007) in the 1st and 60th minutes. The postoperative VAS score was lower in Group CM than in Group NM (p=0.045) in the 5th minute. The postoperative additional analgesic requirements were lower in Groups PM and CM than in Group NM (p=0.045). The postoperative blood glutathione peroxidase values were significantly higher in Groups PM and CM than in Group NM (p=0.001). The postoperative catalase values were significantly higher in Groups PM and CM than in Group NM (p=0.008 and p ≤0.001). The preoperative malondialdehyde values were significantly lower in Groups PM and CM than in Group NM. The preoperative nitric oxide values were higher in Groups PM and CM than in Group NM (p ≤0.001), whereas the postoperative nitric oxide values were lower in Groups PM and CM than in Group NM (p ≤0.001). CONCLUSION Turkish classical music has beneficial effects on pain and oxidative stress in oocyte pick-up patients.
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Abstract
PURPOSE OF REVIEW Resistant hypertension is defined as blood pressure above patient goal despite three different antihypertensive agents at optimal dose including a diuretic. Resistant hypertension is increasingly common issue in clinical practice and it is a major risk factor of cardiovascular disease. RECENT FINDINGS All patients with resistant hypertension should be evaluated for possible correctable factors associated with pseudoresistance, such as poor adherence, white coat hypertension and suboptimal measurement of blood pressure. In patients with resistant hypertension, thiazide diuretics should be considered as one of the first agents, in addition to mineralocorticoids receptor antagonist. SUMMARY Resistant hypertension can be associated with secondary cause that is why treatment can be challenging and should always include lifestyle modification and evaluation for possible secondary causes, in addition to adding a fourth agent or considering newer interventional therapies, such as renal denervation or other device-based options.
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Ergin E, Çinar Yücel Ş. The Effect of Music on the Comfort and Anxiety of Older Adults Living in a Nursing Home in Turkey. JOURNAL OF RELIGION AND HEALTH 2019; 58:1401-1414. [PMID: 30968235 DOI: 10.1007/s10943-019-00811-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The study was designed as a randomized controlled experimental study with a pretest/posttest and a control group. The study sample comprised 56 seniors who resided in a nursing home. The study data were collected using the "Mini-Mental State Examination," "Identification Form," "General Comfort Questionnaire," and "Beck Anxiety Inventory." While the mean scores obtained from the General Comfort Questionnaire by the participants in the experimental group demonstrated significant differences (p < 0.05), those obtained by the participants in the control group did not (p > 0.05). The mean scores obtained from the Beck Anxiety Inventory by the participants in the experimental group after a 3-week music intervention were significantly higher than their pre-study scores (p < 0.05); however, no significant increase was observed in the control group (p < 0.05).It was determined that music reduced anxiety experienced by the older adults since it improved their comfort.
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Affiliation(s)
- Eda Ergin
- Department of Fundamentals Nursing, Faculty of Health Sciences, Manisa Celal Bayar University, 45000, Manisa, Turkey.
| | - Şebnem Çinar Yücel
- Department of Fundamentals Nursing, Faculty of Nursing, Ege University, 35000, Izmir, Turkey
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Ilgaz A, Gözüm S. Advancing Well-Being and Health of Elderly with Integrative Nursing Principles. Florence Nightingale Hemsire Derg 2019; 27:201-210. [PMID: 34267974 PMCID: PMC8127598 DOI: 10.26650/fnjn437700] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Accepted: 02/25/2019] [Indexed: 12/02/2022] Open
Abstract
There is a need for holistic care for the survival of the elderly, to increase their independence in their daily life activities, to improve their health and their well-being in order to ensure a healthy aging. Integrative nursing principles are a field of application of holistic philosophy and may be a guide to health professionals in improving the health of individuals, families and communities. These principles were first announced in 2014, and have been described as a health approach that takes the individual, family and society as a whole together with their environment and relationships and adopts the principle of using all the healing methods in health care. Integrative nursing principles can be used as a guide to holistic assessment and improvement of the health of the elderly. Interventions who take care of them with the environment they live in (home visits), support their existing healing process (focusing to patient during nursing care), benefit from the healing effect of the nature (spending time in nature), strengthen the relationship (mobilization of the social environment) and use all evidence-based healing methods (yoga, tai chi) should be included in the care of elderly individuals. Health professionals should learn integrative nursing principles and care for these principles in order to improve the health and well-being of the elderly. Giving care according to integrative nursing principles can increase the quality of life of the elderly and reduce health spending.
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Affiliation(s)
- Ayşegül Ilgaz
- Department of Public Health Nursing, Akdeniz University Faculty of Nursing, Antalya, Turkey
| | - Sebahat Gözüm
- Department of Public Health Nursing, Akdeniz University Faculty of Nursing, Antalya, Turkey
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Kühlmann AYR, de Rooij A, Hunink MGM, De Zeeuw CI, Jeekel J. Music Affects Rodents: A Systematic Review of Experimental Research. Front Behav Neurosci 2019; 12:301. [PMID: 30618659 PMCID: PMC6302112 DOI: 10.3389/fnbeh.2018.00301] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Accepted: 11/20/2018] [Indexed: 01/01/2023] Open
Abstract
Background: There is rapidly emerging interest in music interventions in healthcare. Music interventions are widely applicable, inexpensive, without side effects, and easy to use. It is not precisely known how they exert positive effects on health outcomes. Experimental studies in animal models might reveal more about the pathophysiological mechanisms of music interventions. Methods: We performed a systematic review of experimental research in rodents. The electronic databases EMBASE, Medline(ovidSP), Web-Of-Science, PsycINFO, Cinahl, PubMed publisher, Cochrane, and Google scholar were searched for publications between January 1st 1960 and April 22nd 2017. Eligible were English-written, full-text publications on experimental research in rodents comparing music vs. a control situation. Outcomes were categorized in four domains: brain structure and neuro-chemistry; behavior; immunology; and physiology. Additionally, an overview was generated representing the effects of various types of music on outcomes. Bias in studies was assessed with the SYRCLE Risk of Bias tool. A meta-analysis was not feasible due to heterogeneous outcomes and lack of original outcome data. Results: Forty-two studies were included. Music-exposed rodents showed statistically significant increases in neuro-chemistry, such as higher BDNF levels, as well as an enhanced propensity for neurogenesis and neuroplasticity. Furthermore, music exposure was linked with statistically significantly improved spatial and auditory learning, reduced anxiety-related behavior, and increased immune responses. Various statistically significant changes occurred in physiological parameters such as blood pressure and (para)sympathetic nerve activity following music interventions. The majority of studies investigated classical music interventions, but other types of music exerted positive effects on outcomes as well. The SYRCLE risk of bias assessment revealed unclear risk of bias in all studies. Conclusions: Music interventions seem to improve brain structure and neuro-chemistry; behavior; immunology; and physiology in rodents. Further research is necessary to explore and optimize the effect of music interventions, and to evaluate its effects in humans.
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Affiliation(s)
- A Y Rosalie Kühlmann
- Department of Pediatric Surgery, Erasmus University Medical Center - Sophia Children's Hospital, Rotterdam, Netherlands
| | - Aniek de Rooij
- Department of Neuroscience, Erasmus University Medical Center, Rotterdam, Netherlands
| | - M G Myriam Hunink
- Department of Radiology and Epidemiology, Erasmus University Medical Center, Rotterdam, Netherlands
| | - Chris I De Zeeuw
- Department of Neuroscience, Erasmus University Medical Center, Rotterdam, Netherlands.,Netherlands Institute for Neuroscience, Royal Netherlands Academy of Arts & Sciences, Amsterdam, Netherlands
| | - Johannes Jeekel
- Department of Neuroscience, Erasmus University Medical Center, Rotterdam, Netherlands
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Gok Ugur H, Orak OS, Yaman Aktas Y, Enginyurt O, Saglambilen O. [Effects of Music Therapy on the Care Burden of In-Home Caregivers and Physiological Parameters of Their In-Home Dementia Patients: A Randomized Controlled Trial]. Complement Med Res 2018; 26:22-30. [PMID: 30497077 DOI: 10.1159/000490348] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
OBJECTIVES This study was conducted to explore the effects of classical Turkish music therapy on both the caregiver burden and physiological parameters of patients with dementia. METHODS The study was a randomized controlled trial. It was conducted with dementia patients (n = 75) and their caregivers who were registered at in-home care services of the General Secretariat of the Association of Public Hospitals in Ordu. The study sample consisted of 30 control and 30 music group patients and their caregivers who satisfied the inclusion criteria for the study conducted between April 2015 and April 2016. The primary outcome of the study was to measure the care burden of in-home caregivers, and the secondary outcome was to measure physiological parameters, including systolic and diastolic blood pressure, heart rate, and respiration rate in patients with dementia. RESULTS The mean scores of the post-test caregiver burden in the music group were found to be significantly lower than those of the control group (t = -4.478, p = 0.001). The differences in the post-test systolic and diastolic blood pressures between the patient groups were found to be statistically significant (t = -4.603, p = 0.001; t = -2.656, p = 0.010). CONCLUSIONS Classical Turkish music intervention in in-home dementia patients decreased the care burden of caregivers and the patients' blood pressures were brought under control. In parallel with these results, it is recommended that more studies to reveal the effects of classical Turkish music on care burden should be conducted.
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Citlik-Saritas S, Saritas S, Cevik-Akyil R, Isik K. The effects of Turkish classical music on physiological parameters, pain and analgesic use in patients with myocardial infarction: A non-randomized controlled study. Eur J Integr Med 2018. [DOI: 10.1016/j.eujim.2018.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Im-oun S, Kotruchin P, Thinsug P, Mitsungnern T, Techa-atik P, Pongchaiyakul C. Effect of Thai instrumental folk music on blood pressure: A randomized controlled trial in stage-2 hypertensive patients. Complement Ther Med 2018; 39:43-48. [DOI: 10.1016/j.ctim.2018.05.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Revised: 05/02/2018] [Accepted: 05/25/2018] [Indexed: 12/18/2022] Open
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The Effect of Music on Dyspnea Severity, Anxiety, and Hemodynamic Parameters in Patients With Dyspnea. J Hosp Palliat Nurs 2018; 20:81-87. [DOI: 10.1097/njh.0000000000000403] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Daykin N, Mansfield L, Meads C, Julier G, Tomlinson A, Payne A, Grigsby Duffy L, Lane J, D'Innocenzo G, Burnett A, Kay T, Dolan P, Testoni S, Victor C. What works for wellbeing? A systematic review of wellbeing outcomes for music and singing in adults. Perspect Public Health 2017; 138:39-46. [PMID: 29130840 PMCID: PMC5753835 DOI: 10.1177/1757913917740391] [Citation(s) in RCA: 80] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Aims: The role of arts and music in supporting subjective wellbeing (SWB) is increasingly recognised. Robust evidence is needed to support policy and practice. This article reports on the first of four reviews of Culture, Sport and Wellbeing (CSW) commissioned by the Economic and Social Research Council (ESRC)-funded What Works Centre for Wellbeing (https://whatworkswellbeing.org/). Objective: To identify SWB outcomes for music and singing in adults. Methods: Comprehensive literature searches were conducted in PsychInfo, Medline, ERIC, Arts and Humanities, Social Science and Science Citation Indexes, Scopus, PILOTS and CINAHL databases. From 5,397 records identified, 61 relevant records were assessed using GRADE and CERQual schema. Results: A wide range of wellbeing measures was used, with no consistency in how SWB was measured across the studies. A wide range of activities was reported, most commonly music listening and regular group singing. Music has been associated with reduced anxiety in young adults, enhanced mood and purpose in adults and mental wellbeing, quality of life, self-awareness and coping in people with diagnosed health conditions. Music and singing have been shown to be effective in enhancing morale and reducing risk of depression in older people. Few studies address SWB in people with dementia. While there are a few studies of music with marginalised communities, participants in community choirs tend to be female, white and relatively well educated. Research challenges include recruiting participants with baseline wellbeing scores that are low enough to record any significant or noteworthy change following a music or singing intervention. Conclusions: There is reliable evidence for positive effects of music and singing on wellbeing in adults. There remains a need for research with sub-groups who are at greater risk of lower levels of wellbeing, and on the processes by which wellbeing outcomes are, or are not, achieved.
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Affiliation(s)
- Norma Daykin
- Centre for the Arts as Wellbeing, University of Winchester, Winchester SO22 4NR, UK
| | - Louise Mansfield
- Doctor, Welfare, Health and Wellbeing, Institute for Environment, Health and Societies, Brunel University, London, Uxbridge, UK
| | | | - Guy Julier
- Professor, College of Arts and Humanities, University of Brighton, Brighton, UK
| | - Alan Tomlinson
- Professor, College of Arts and Humanities, University of Brighton, Brighton, UK
| | | | - Lily Grigsby Duffy
- Welfare, Health and Wellbeing, Institute for Environment, Health and Societies, Brunel University London, Uxbridge, UK
| | - Jack Lane
- College of Arts and Humanities, University of Brighton, Brighton, UK
| | - Giorgia D'Innocenzo
- Welfare, Health and Wellbeing, Institute for Environment, Health and Societies, Brunel University London, Uxbridge, UK
| | | | - Tess Kay
- Professor, Welfare, Health and Wellbeing, Institute for Environment, Health and Societies, Brunel University London, Uxbridge, UK
| | - Paul Dolan
- London School of Economics and Political Science, London, UK
| | - Stefano Testoni
- London School of Economics and Political Science, London, UK
| | - Christina Victor
- Professor, Ageing Studies, Institute for Environment Health and Societies, Brunel University London, Uxbridge, UK
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22
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Toker E, Kömürcü N. Effect of Turkish classical music on prenatal anxiety and satisfaction: A randomized controlled trial in pregnant women with pre-eclampsia. Complement Ther Med 2017; 30:1-9. [DOI: 10.1016/j.ctim.2016.11.005] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2016] [Revised: 10/20/2016] [Accepted: 11/17/2016] [Indexed: 11/24/2022] Open
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Zhan HR, Hong ZS, Chen YS, Hong HY, Weng ZB, Yang ZB, Shi JL, Chen ZB. Non-invasive treatment to grade 1 essential hypertension by percutaneous laser and electric pulse to acupoint with music: A randomized controlled trial. Chin J Integr Med 2016; 22:696-703. [PMID: 27614452 DOI: 10.1007/s11655-016-2502-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2014] [Indexed: 11/25/2022]
Abstract
OBJECTIVE To study a non-drug therapy for hypertension disease by combining percutaneous laser and electric pulse stimulation to acupoint with music, and to test the efficiency of the combining treatment to grade 1 essential hypertension. METHODS A total of 174 patients with grade 1 essential hypertension were randomly assigned to 3 groups with a random number table after Chinese medicine (CM) syndrome differentiation: the photoelectric and musical treatment group (Group 1, with a self-developed multi-mode audio frequency pulse photoelectric therapeutic apparatus), acupuncture group (Group 2), and oral placebo group (Group 3), 58 cases per group. The curative effect of each group was evaluated by the changes of blood pressure and CM syndrome integral before and after treatment. RESULTS Compared with Group 3, there were significant decrease of blood pressure and CM syndrome integral in Group 1 and Group 2 (P<0.01). Compared with Group 2, Group 1 showed the highest decrease in systolic pressure (P<0.017). The total effective rate of anti-hypertension in Group 1 (91.38%, 53/58) was significantly higher than that in Group 2 (74.13%, 43/58) and Group 3 (18.97%, 11/58, P<0.05 or P<0.01); and that in Group 2 was also significantly higher than that in Group 3 (P<0.01). There were significant difference in the total effective rate of CM syndrome integral in both Group 1 (93.10%, 54/58) and Group 2 (84.48%, 49/58) as compared with Group 3 (17.24%, 10/58, P<0.01), while there was no significant difference between Group 1 and Group 2 (P>0.05). CONCLUSIONS The multi-mode audio frequency pulse photoelectric therapeutic apparatus, combining music, laser and electric pulse stimulation, is clinically useful for grade 1 essential hypertension. This "three in one" therapy method is non-invasive, easy and simple to handle. It is expected to be popularized as a new alternative treatment.
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Affiliation(s)
- Hong-Rui Zhan
- Department of Physical Medicine and Rehabilitation, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong Province, 519000, China
| | - Zhong-Si Hong
- Department of Infectious Diseases, The Fifth Affiliated Hospital of Sun Yatsen University, Zhuhai, Guangdong Province, 519000, China
| | - Yi-Shen Chen
- Department of Pharmacy, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong Province, 519000, China
| | - Hai-Yu Hong
- Department of Otorhinolaryngology, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong Province, 519000, China
| | - Ze-Bin Weng
- Department of General Surgery, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong Province, 519000, China
| | - Zhang-Bin Yang
- Department of Traditional Chinese Medicine, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong Province, 519000, China.
| | - Jing-Li Shi
- Department of Traditional Chinese Medicine, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong Province, 519000, China
| | - Zhong-Ben Chen
- Department of Biomedical Engineering, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, 510080, China
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Iyendo TO. Exploring the effect of sound and music on health in hospital settings: A narrative review. Int J Nurs Stud 2016; 63:82-100. [PMID: 27611092 DOI: 10.1016/j.ijnurstu.2016.08.008] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 08/13/2016] [Accepted: 08/14/2016] [Indexed: 12/31/2022]
Abstract
BACKGROUND Sound in hospital space has traditionally been considered in negative terms as both intrusive and unwanted, and based mainly on sound levels. However, sound level is only one aspect of the soundscape. There is strong evidence that exploring the positive aspect of sound in a hospital context can evoke positive feelings in both patients and nurses. Music psychology studies have also shown that music intervention in health care can have a positive effect on patient's emotions and recuperating processes. In this way, hospital spaces have the potential to reduce anxiety and stress, and make patients feel comfortable and secure. This paper describes a review of the literature exploring sound perception and its effect on health care. DATA SOURCES AND REVIEW METHODS This review sorted the literature and main issues into themes concerning sound in health care spaces; sound, stress and health; positive soundscape; psychological perspective of music and emotion; music as a complementary medicine for improving health care; contradicting arguments concerning the use of music in health care; and implications for clinical practice. Using Web of Science, PubMed, Scopus, ProQuest Central, MEDLINE, and Google, a literature search on sound levels, sound sources and the impression of a soundscape was conducted. The review focused on the role and use of music on health care in clinical environments. In addition, other pertinent related materials in shaping the understanding of the field were retrieved, scanned and added into this review. RESULTS The result indicated that not all noises give a negative impression within healthcare soundscapes. Listening to soothing music was shown to reduce stress, blood pressure and post-operative trauma when compared to silence. Much of the sound conveys meaningful information that is positive for both patients and nurses, in terms of soft wind, bird twitter, and ocean sounds. CONCLUSIONS Music perception was demonstrated to bring about positive change in patient-reported outcomes such as eliciting positive emotion, and decreasing the levels of stressful conditions. Whilst sound holds both negative and positive aspects of the hospital ecosystem and may be stressful, it also possesses a soothing quality that induces positive feelings in patients. Conceptualizing the nature of sound in the hospital context as a soundscape, rather than merely noise can permit a subtler and socially useful understanding of the role of sound and music in the hospital setting, thereby creating a means for improving the hospital experience for patients and nurses.
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Affiliation(s)
- Timothy Onosahwo Iyendo
- Department of Architecture, Eastern Mediterranean University, Gazimağusa, North Cyprus, Via Mersin 10, Turkey.
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25
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Kühlmann AYR, Etnel JRG, Roos-Hesselink JW, Jeekel J, Bogers AJJC, Takkenberg JJM. Systematic review and meta-analysis of music interventions in hypertension treatment: a quest for answers. BMC Cardiovasc Disord 2016; 16:69. [PMID: 27095510 PMCID: PMC4837643 DOI: 10.1186/s12872-016-0244-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Accepted: 04/13/2016] [Indexed: 01/01/2023] Open
Abstract
Background Adverse effects, treatment resistance and high costs associated with pharmacological treatment of hypertension have led to growing interest in non-pharmacological complementary therapies such as music interventions. This meta-analysis aims to provide an overview of reported evidence on the efficacy of music interventions in the treatment of hypertension. Methods A systematic literature search was conducted for publications on the effect of music interventions on blood pressure in adult hypertensive subjects published between January 1990-June 2014. Randomized controlled trials with a follow-up duration ≥28 days were included. Blood pressure measures were pooled using inverse variance weighting. Results Of the 1689 abstracts reviewed, 10 randomized controlled trials were included. Random-effects pooling of the music intervention groups showed a trend toward a decrease in mean systolic blood pressure (SBP) from 144 mmHg(95 % CI:137–152) to 134 mmHg(95 % CI:124–144), and in mean diastolic blood pressure (DBP) from 84 mmHg(95 % CI:78–89) to 78 mmHg(95 % CI:73–84). Fixed-effect analysis of a subgroup of 3 trials with valid control groups showed a significant decrease in pooled mean SBP and DBP in both intervention and control groups. A comparison between music intervention groups and control groups was not possible due to unavailable measures of dispersion. Conclusions This systematic review and meta-analysis revealed a trend towards a decrease in blood pressure in hypertensive patients who received music interventions, but failed to establish a cause-effect relationship between music interventions and blood pressure reduction. Considering the potential value of this safe, low-cost intervention, well-designed, high quality and sufficiently powered randomized studies assessing the efficacy of music interventions in the treatment of hypertension are warranted. Electronic supplementary material The online version of this article (doi:10.1186/s12872-016-0244-0) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Anne Y R Kühlmann
- Department of Pediatric Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Jonathan R G Etnel
- Department of Cardiothoracic Surgery, Erasmus University Medical Center, P.O. Box 2040, 3000CA, Rotterdam, The Netherlands
| | | | - Johannes Jeekel
- Department of Neuroscience, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Ad J J C Bogers
- Department of Cardiothoracic Surgery, Erasmus University Medical Center, P.O. Box 2040, 3000CA, Rotterdam, The Netherlands
| | - Johanna J M Takkenberg
- Department of Cardiothoracic Surgery, Erasmus University Medical Center, P.O. Box 2040, 3000CA, Rotterdam, The Netherlands.
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do Amaral MAS, Neto MG, de Queiroz JG, Martins-Filho PRS, Saquetto MB, Oliveira Carvalho V. Effect of music therapy on blood pressure of individuals with hypertension: A systematic review and Meta-analysis. Int J Cardiol 2016; 214:461-4. [PMID: 27096963 DOI: 10.1016/j.ijcard.2016.03.197] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2016] [Accepted: 03/27/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND Studies have reported the benefits of music on blood pressure in hypertensive patients, however there is no meta-analysis. We performed a meta-analysis to investigate the effects of music in hypertensive patients. METHODS Pubmed, Scopus, LILACS, IBECS, MEDLINE and SciELO via Virtual Health Library (Bireme) (from the earliest date available to February 2016) for controlled trials that evaluated the effects of music on systolic and diastolic blood pressure in hypertensive patients. Weighted mean differences (WMD) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I(2) test. RESULTS Three studies met the eligibility criteria. Music resulted in improvement in systolic blood pressure WMD (-6.58 95% CI: -9.38 to -3.79), compared with control group. A nonsignificant difference in diastolic blood pressure was found for participants in the music group compared with control group. CONCLUSIONS Music may improve systolic blood pressure and should be considered as a component of care of hypertensive patients.
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Affiliation(s)
- Mayra Alves Soares do Amaral
- Department of Physical Therapy and Post-Graduate Program in Health Sciences, Federal University of Sergipe - UFS, Brazil; The GREAT Group (GRupo de Estudos em ATividade física), Brazil.
| | - Mansueto Gomes Neto
- The GREAT Group (GRupo de Estudos em ATividade física), Brazil; Department of Biofunction, Health Sciences Institute, Federal University of Bahia - UFBA, Brazil
| | | | | | - Micheli Bernardone Saquetto
- The GREAT Group (GRupo de Estudos em ATividade física), Brazil; Department of Biofunction, Health Sciences Institute, Federal University of Bahia - UFBA, Brazil
| | - Vitor Oliveira Carvalho
- Department of Physical Therapy and Post-Graduate Program in Health Sciences, Federal University of Sergipe - UFS, Brazil; The GREAT Group (GRupo de Estudos em ATividade física), Brazil
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Kunikullaya KU, Goturu J, Muradi V, Hukkeri PA, Kunnavil R, Doreswamy V, Prakash VS, Murthy NS. Music versus lifestyle on the autonomic nervous system of prehypertensives and hypertensives--a randomized control trial. Complement Ther Med 2015; 23:733-40. [PMID: 26365454 DOI: 10.1016/j.ctim.2015.08.003] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2015] [Revised: 07/24/2015] [Accepted: 08/01/2015] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES Ragas of Indian music are said to be beneficial in normalizing blood pressure (BP). The objective of this study was to evaluate the effect of passive listening to relaxing raga on the autonomic functions of hypertensives and prehypertensives and provide scientific evidence. METHODS Ethical clearance was obtained from the institutional review board. A prospective, randomized controlled trial was done on hundred prehypertensives/stage I hypertensives, randomly divided into two groups (n=50 in each). Group 1 received music intervention along with lifestyle modifications while Group 2 received only lifestyle modifications (according to Joint national committee VII guidelines). Group 1 listened to raga bhimpalas played on flute for 15min daily for at least 5 days/week for 3 months. The main outcome measures were heart rate variability (HRV) (Power lab 15T, AD Instruments), BP and stress levels (State Trait anxiety inventory score). All HRV variables were log transformed for analysis. Statistical analysis was done using SPSS version 18.0 with P<0.05 being considered statistically significant. RESULTS Group 1 exhibited significant reduction in stress levels, diastolic BP and systolic BP decreased in Group 2 after intervention. Insignificant rise in parasympathetic parameters of HRV (SDNN, RMSSD, HF ms(2), HF nu) was seen after intervention in both the groups. We found significantly increased parasympathetic and lower sympathetic parameters (LF ms(2), LF nu, LF/HF) in Group 1 and 2 males and females of Group 2. The results suggest that females of Group 1 were least compliant with the given intervention. CONCLUSIONS Passive listening to Indian music along with conventional lifestyle modifications has a role in normalizing BP through autonomic function modification and thus can be used as a complementary therapy along with other lifestyle modifications.
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Affiliation(s)
- Kirthana Ubrangala Kunikullaya
- Department of Physiology, M.S. Ramaiah Medical College and teaching hospitals, MSR Nagar, MSRIT Post, Bangalore, Karnataka, India.
| | - Jaisri Goturu
- Department of Physiology, M.S. Ramaiah Medical College and teaching hospitals, MSR Nagar, MSRIT Post, Bangalore, Karnataka, India
| | - Vijayadas Muradi
- Department of Physiology, M.S. Ramaiah Medical College and teaching hospitals, MSR Nagar, MSRIT Post, Bangalore, Karnataka, India
| | - Preethi Avinash Hukkeri
- Department of Physiology, M.S. Ramaiah Medical College and teaching hospitals, MSR Nagar, MSRIT Post, Bangalore, Karnataka, India
| | - Radhika Kunnavil
- Department of Community Medicine, M.S. Ramaiah Medical College and teaching hospitals, MSR Nagar, MSRIT Post, Bangalore, Karnataka, India
| | - Venkatesh Doreswamy
- Department of Physiology, M.S. Ramaiah Medical College and teaching hospitals, MSR Nagar, MSRIT Post, Bangalore, Karnataka, India
| | - Vadagenahalli S Prakash
- Department of Cardiology, M.S. Ramaiah Medical College and teaching hospitals, MSR Nagar, MSRIT Post, Bangalore, Karnataka, India
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Kunikullaya KU, Goturu J, Muradi V, Hukkeri PA, Kunnavil R, Doreswamy V, Prakash VS, Murthy NS. Combination of music with lifestyle modification versus lifestyle modification alone on blood pressure reduction - A randomized controlled trial. Complement Ther Clin Pract 2015; 23:102-9. [PMID: 26007202 DOI: 10.1016/j.ctcp.2015.05.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2015] [Accepted: 05/06/2015] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To evaluate the change in blood pressure (BP) after 3 months of music intervention combined with lifestyle modifications, in comparison with conventional lifestyle modifications. METHODS A Prospective randomized control trial was conducted on hundred prehypertensives or stage I hypertensives who were randomly divided into two groups (n = 50 each). Both the groups were given lifestyle modifications while one had added music intervention (raga bhimpalas) for 3 months. Main outcome measures were 24 h ambulatory BP monitoring, stress levels, and biomarkers of hypertension. RESULTS Mean (SD) of diastolic BP (DBP) pre and post intervention were overall = 85.1(6.8) and 83(8.7){P = 0.004}, awake = 87.7(7.6) and 85.9(9.2){P = 0.021}. Regression analysis showed association between diastolic BP change and post-intervention stress score in the music intervention group. Significant change in BP was seen among those who were prehypertensives prior to intervention. CONCLUSION Music decreased DBP and when used as an adjunct benefitted subjects with initial BP in prehypertension range.
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Affiliation(s)
| | - Jaisri Goturu
- Department of Physiology, M S Ramaiah Medical College and Group of Hospitals, Bangalore, Karnataka, India
| | - Vijayadas Muradi
- Department of Physiology, M S Ramaiah Medical College and Group of Hospitals, Bangalore, Karnataka, India
| | - Preethi Avinash Hukkeri
- Department of Physiology, M S Ramaiah Medical College and Group of Hospitals, Bangalore, Karnataka, India
| | - Radhika Kunnavil
- Department of Community Medicine, M S Ramaiah Medical College and Group of Hospitals, Bangalore, Karnataka, India
| | - Venkatesh Doreswamy
- Department of Physiology, M S Ramaiah Medical College and Group of Hospitals, Bangalore, Karnataka, India
| | - Vadagenahalli S Prakash
- Department of Cardiology, M S Ramaiah Medical College and Group of Hospitals, Bangalore, Karnataka, India
| | - Nandagudi Srinivasa Murthy
- Department of Division of Research and Patents, Gokula Education Foundation, Bangalore, Karnataka, India
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Martins-Meneses DT, Antunes HKM, de Oliveira NRC, Medeiros A. Mat Pilates training reduced clinical and ambulatory blood pressure in hypertensive women using antihypertensive medications. Int J Cardiol 2015; 179:262-8. [DOI: 10.1016/j.ijcard.2014.11.064] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2014] [Accepted: 11/05/2014] [Indexed: 11/25/2022]
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Parlar Kilic S, Karadag G, Oyucu S, Kale O, Zengin S, Ozdemir E, Korhan EA. Effect of music on pain, anxiety, and patient satisfaction in patients who present to the emergency department in Turkey. Jpn J Nurs Sci 2014; 12:44-53. [DOI: 10.1111/jjns.12047] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2013] [Accepted: 12/16/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Serap Parlar Kilic
- Department of Nursing; Faculty of Health Sciences; Division of Medical Nursing; Gaziantep University; Gaziantep Turkey
| | - Gulendam Karadag
- Department of Nursing; Faculty of Health Sciences; Division of Public Health Nursing; Gaziantep University; Gaziantep Turkey
| | - Serpil Oyucu
- Department of Emergency Medicine; Şahinbey Research and Application Hospital; Gaziantep University; Gaziantep Turkey
| | - Ozlem Kale
- Department of Emergency Medicine; Şahinbey Research and Application Hospital; Gaziantep University; Gaziantep Turkey
| | - Suat Zengin
- Department of Emergency Medicine; Faculty of Medicine; Gaziantep University; Gaziantep Turkey
| | - Emine Ozdemir
- Department of Emergency Medicine; Şahinbey Research and Application Hospital; Gaziantep University; Gaziantep Turkey
| | - Esra Akin Korhan
- Department of Fundamentals of Nursing; Faculty of Health Sciences; Izmir Katip Celebi University; Izmir Turkey
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Tanriverdi O, Aydemir NF. Perspectives of medical oncologists regarding music therapy for patients with cancer in Turkey - can musicology be integrated into psycho-oncology? Asian Pac J Cancer Prev 2014; 14:6537-40. [PMID: 24377564 DOI: 10.7314/apjcp.2013.14.11.6537] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Music therapy is a common complementary and alternative therapy in addition to medical treatment for patients with cancer. If music therapy, which is known has a positive effect on human emotions and behaviors, is a useful additional therapy, it should be more integrated into pyscho-oncology. In this study, we aimed to determine medical oncologist attitudes to music therapy for patients with cancer and knowledge about musicology and music therapy in Turkey. MATERIALS AND METHODS This survey study included questions about participant attitudes and knowledge regarding music therapy as well as demographic characteristics. The population of the study were 402 physicians working in medical oncology in Turkey and the sample covered 112 participants in the the survey. For statistical analyses the chi-square test, Fischer exact test, and Mann-Whitney U analysis are applied. RESULTS In our study the rate for medical oncologists who were interested in music therapy was 28% (n=112). Some 30% (n=34) of medical oncologists recommended music therapy for their patients and 55% (n=61) recommended music therapy to prevent anxiety in patients with cancer. CONCLUSIONS In this study, for more harmony with patients and in order to ensure management of adverse effect, it was concluded that music therapy should be regrded as an additional therapy in oncology clinics.
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Affiliation(s)
- Ozgur Tanriverdi
- Department of Medical Oncology, Education and Research Hospital, Mugla Sitki Kocman University, Mugla, Turkey E-mail :
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