The Effect of Music and Massage on the Pain Scales and Vital Signs of ICU Patients with Hemodialysis Catheter

Gülseren Elay; Mesut Özkaya

doi:10.5152/eurjther.2020.20075

Authors

Gülseren Elay Department of Intensive Care, Gaziantep University Medical Intensive Care Unit, Gaziantep https://orcid.org/0000-0003-2166-0545
Mesut Özkaya Department of Endocrinology, Dr. Ersin Arslan Research Hospital, Gaziantep https://orcid.org/0000-0003-2616-5885

DOI:

https://doi.org/10.5152/eurjther.2020.20075

Keywords:

Complementary medicine, hemodialysis, intensive care unit, massage, music, pain

Abstract

Objective: Uncontrolled pain with any ICU patient may affect the course of medical applications negatively. Insertion of a hemodialysis (HD) catheter is a painful process. The main aim of this study is to evaluate the effect of music and massage on the pain level during hemodialysis catheterization.
Methods: This randomized controlled prospective trial was conducted on 220 patients who were hospitalized between January 2020 and July 2020 due to emergence of HD. Fifty-eight patients were listened to music with headphones while another 58 were hand massaged and another 56 were listened to music during hand massaging, and 50 patients were monitored without any extra applications.
Results: The average APACHE-2 (Acute Physiology and Chronic Health Evaluation) score of the patients was 19.57±8.98. The respiratory rate and heart rate of Music&massage (Mm) group was lower than the starting (p=0.027, p=0.043). There was a decrease in BPS (Behavioral Pain Scale) of intubated Mm and music group (p=0.001, p= 0000). Considering non-intubated patients, Mm, only music and only massage groups showed a significant decline in terms of WONG (Wong-Baker faces pain rating scale) (p=0.000, p=0.001, p=0.000). The Mm group showed that patients were more sedatized in terms of RASS (Richmond Agitation-Sedatation Scale) (p=0.046).
Conclusion: Use of music and massage during HD catheterization in ICU has contributed to improved vital signs and less pain along with more sedatized patients.

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