Akademik Veri Yönetim Sistemi
EPUAP 2024, Lausanne, İsviçre, 25 - 27 Eylül 2024, ss.157-158, (Özet Bildiri)
Introduction: Dressing pain is pain experienced during the process of applying or removing
a dressing to a wound. Music therapy is known to significantly reduce pain, anxiety and muscle
tension levels during dressing changes. The aim of this study was to evaluate the effect of music
therapy on dressing pain in unconscious intensive care patients with pressure injury.
Methods: The study was a one-group quasi-experimental design. The study was conducted
with 39 patients in the intensive care unit of a hospital in Istanbul. Each patient received two
dressings, totaling 78 dressings. Music therapy was applied in one of the dressing and no
application was applied in the other. Behavioral pain score and vital signs of the patients were
measured before, during and after dressing. Adult patients with stage 2-3-4 pressure injuries,
Glasgow coma score of 8 points or more, intubated patients with stable hemodynamic status
were included in the study. Patients with infected wounds, deep sedation, hearing and
neurological problems were excluded. The type of music preferred by the patients was played
with special headphones at 60 decibels. Ethical permissions were obtained to conduct the
research
Results: The mean age of the patients was 73.23±1.44 years and 56% were female. The most
preferred music genres were Turkish folk music and Turkish classical music. The post-dressing
diastolic blood pressure (p=0.038) and the mean arterial blood pressure was higher (p=0.034)
in patients who received the traditional method. There was no statistically significant difference
other vital signs (p>0.05). The behavioral pain level was lower in the musictherapy method
(p<0.001).
Conclusions: Musictherapy may be effective in reducing dressing pain in unconscious patients.
Incorporating musictherapy can provide a holistic approach, ensuring that patients are both
physically and emotionally comfortable. However, individual preferences and sensitivities
should be taken into account when implementing musictherapy interventions.