Volume 11, Issue 4 (2023)                   Health Educ Health Promot 2023, 11(4): 591-597 | Back to browse issues page

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Widyaningrum A, Rohmansyah N, Hakim A, Hiruntrakul A. Effects of Music Therapy and Deep Breathing Exercise on Anxiety and Physiological Parameters in Patients with Respiratory Support. Health Educ Health Promot 2023; 11 (4) :591-597
URL: http://hehp.modares.ac.ir/article-5-71439-en.html
1- Department of Primary, School of Teacher Education, University PGRI Semarang, Semarang, Indonesia
2- Department of Physical Education, School of Teacher Education, University PGRI Semarang, Semarang, Indonesia
3- Department of Physical Education, School of Teacher Education, University Tunas Pembangunan, Surakarta, Indonesia
4- Department of Sports and Exercise Science, Faculty of Interdisciplinary Studies, Khon Kaen University, Nong Khai Campus, Thailand
Abstract:   (405 Views)
Aims: The aim of this study was to analyze the effect of a combination of music therapy and breathing exercises on anxiety and physiological parameters in patients using mechanical ventilation.
Materials & Methods: The sample of this randomized controlled trial included 70 patients assigned to a treatment group of 35 patients and a control group of 35 patients. The proposed intervention was a combination of music therapy and deep breathing exercises carried out for 30 minutes twice a day for five days at 09:00 AM and 4:00 PM. In patients receiving mechanical ventilation, the following settings were used: synchronized intermittent mechanical ventilation, adaptive support ventilation, pressure support ventilation, continuous positive airway pressure, and duo positive airway pressure. Measurement of anxiety levels was done by the State-Trait Concern Inventory (Form Y) and assessing physiological parameters, such as blood pressure, mean arterial pressure, heart rate, respiration rate, and oxygen saturation. Data analysis was done using the paired t-test, Wilcoxon test, Mann-Whitney U test, and MANOVA at p<0.05.
Findings: Differences were observed between the two groups in anxiety levels (p=0.001), heart rate (p=0.001), and respiration rate (p=0.001). There were no differences between the two groups in systolic blood pressure (p=0.549), diastolic blood pressure (p=0.891), mean arterial pressure (p=0.571), and oxygen saturation (p=0.827).
Conclusion: The combination of music therapy with deep breathing exercises affects patient anxiety and physiological parameters with minimal risks.
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Article Type: Original Research | Subject: Health Education and Health Behavior
Received: 2023/09/7 | Accepted: 2023/10/21 | Published: 2023/10/30
* Corresponding Author Address: Department of Sports and Exercise Science, Faculty of Interdisciplinary Studies, Khon Kaen University, Nong Khai Campus, Thailand. Posta Code: 40002 (hashir@kku.ac.th)

1. Rohmansyah NA. Understanding of Anxiety theory. J Ilmiah PENJAS. 2017;3(1). [Indonesian] [Link]
2. Aghaie B, Rejeh N, Heravi-Karimooi M, Ebadi A, Moradian ST, Vaismoradi M, et al. Effect of nature-based sound therapy on agitation and anxiety in coronary artery bypass graft patients during the weaning of mechanical ventilation: A randomised clinical trial. Int J Nurs Stud. 2014;51(4):526-38. [Link] [DOI:10.1016/j.ijnurstu.2013.08.003]
3. Lee KC, Chao YH, Yiin JJ, Chiang PY, Chao YF. Effectiveness of different music-playing devices for reducing preoperative anxiety: A clinical control study. Int J Nurs Stud. 2011;48(10):1180-7. [Link] [DOI:10.1016/j.ijnurstu.2011.04.001]
4. Di Nasso L, Nizzardo A, Pace R, Pierleoni F, Pagavino G, Giuliani V. Influences of 432 Hz music on the perception of anxiety during endodontic treatment: A randomized controlled clinical trial. J Endod. 2016;42(9):1338-43. [Link] [DOI:10.1016/j.joen.2016.05.015]
5. Hetland B, Lindquist R, Chlan LL. The influence of music during mechanical ventilation and weaning from mechanical ventilation: A review. Heart Lung. 2015;44(5):416-25. [Link] [DOI:10.1016/j.hrtlng.2015.06.010]
6. Saadatmand V, Rejeh N, Heravi-Karimooi M, Tadrisi SD, Zayeri F, Vaismoradi M, et al. Effect of nature-based sounds' intervention on agitation, anxiety, and stress in patients under mechanical ventilator support: A randomised controlled trial. Int J Nurs Stud. 2013;50(7):895-904. [Link] [DOI:10.1016/j.ijnurstu.2012.11.018]
7. Liang Z, Yeh C, Happ MB, Choi J, Ren D, Hoffmann R, et al. Music intervention during daily weaning trials-A 6 day prospective randomized crossover trial. Complement Ther Med. 2016:29:72-7. [Link] [DOI:10.1016/j.ctim.2016.09.003]
8. Zhang M, Yu J, Shen W, Zhang Y, Xiang Y, Zhang X, et al. A mobile app implementing the international classification of functioning, disability and health rehabilitation set. BMC Med Inform Decis Mak. 2020;20:12. [Link] [DOI:10.1186/s12911-020-1019-1]
9. Liang Z, Choi J, Ren D, Elcokany NM, Hoffman LA, Donahoe MP. Using music to promote weaning from prolonged mechanical ventilation. Am J Respir Crit Care Med. 2013;187:A4968. [Link]
10. Rejeh N, Heravi-Karimooi M, Tadrisi SD, Jahani A, Vaismoradi M, Jordan S. The impact of listening to pleasant natural sounds on anxiety and physiologic parameters in patients undergoing coronary angiography: A pragmatic quasi-randomized-controlled trial. Complement Ther Clin Pract. 2016;25:42-51. [Link] [DOI:10.1016/j.ctcp.2016.08.001]
11. Westerdahl E, Lindmark B, Eriksson T, Friberg Ö, Hedenstierna G, Tenling A. Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery. Chest. 2005;128(5):3482-8. [Link] [DOI:10.1378/chest.128.5.3482]
12. Borge CR, Mengshoel AM, Omenaas E, Moum T, Ekman I, Lein MP, et al. Effects of guided deep breathing on breathlessness and the breathing pattern in chronic obstructive pulmonary disease: A double-blind randomized control study. Patient Educ Couns. 2015;98(2):182-90. [Link] [DOI:10.1016/j.pec.2014.10.017]
13. Siciliano M, Trojano L, Trojsi F, Monsurrò MR, Tedeschi G, Santangelo G. Assessing anxiety and its correlates in amyotrophic lateral sclerosis: The state-trait anxiety inventory. Muscle Nerve. 2019;60(1):47-55. [Link] [DOI:10.1002/mus.26475]
14. Westerdahl E, Lindmark B, Eriksson T, Hedenstierna G, Tenling A. Deep-breathing exercises reduce atelectasis and improve pulmonary function after coronary artery bypass surgery. Chest. 2005;128(5):3482-8. [Link] [DOI:10.1378/chest.128.5.3482]
15. Davis T, Jones P. Music therapy: Decreasing anxiety in the ventilated patient. Dimens Crit Care Nurs. 2012;31(3):159-66. [Link] [DOI:10.1097/DCC.0b013e31824dffc6]
16. Wong HLC, Lopez-Nahas V, Molassiotis A. Effects of music therapy on anxiety in ventilator-dependent patients. Heart Lung. 2001;30(5):376-87. [Link] [DOI:10.1067/mhl.2001.118302]
17. Hayama Y, Inoue T. The effects of deep breathing on "tension-anxiety" and fatigue in cancer patients undergoing adjuvant chemotherapy. Complement Ther Clin Pract. 2012;18(2):94-8. [Link] [DOI:10.1016/j.ctcp.2011.10.001]
18. Silva YR, Li SK, Rickard MJFX. Does the addition of deep breathing exercises to physiotherapy-directed early mobilisation alter patient outcomes following high-risk open upper abdominal surgery? Cluster randomised controlled trial. Physiotherapy. 2013;99(3):187-93. [Link] [DOI:10.1016/j.physio.2012.09.006]
19. Chung LJ, Tsai PS, Liu BY, Chou KR, Lin WH, Shyu YK, et al. Home-based deep breathing for depression in patients with coronary heart disease: A randomised controlled trial. Int J Nurs Stud. 2010;47(11):1346-53. [Link] [DOI:10.1016/j.ijnurstu.2010.03.007]
20. Tresierra-Ayala MÁ, García Rojas A. Association between peripheral arterial disease and diabetic foot ulcers in patients with diabetes mellitus type 2. Medicina Universitaria. 2017;19(76):123-6. [Link] [DOI:10.1016/j.rmu.2017.07.002]
21. Elkins M, Dentice R. Inspiratory muscle training facilitates weaning from mechanical ventilation among patients in the intensive care unit: A systematic review. J Physiother. 2015;61(3):125-34. [Link] [DOI:10.1016/j.jphys.2015.05.016]
22. Kirakli C, Ozdemir I, Ucar ZZ, Cimen P, Kepil S, Ozkan SA. Adaptive support ventilation for faster weaning in COPD: A randomised controlled trial. Eur Respir J. 2011;38(4):774-80. [Link] [DOI:10.1183/09031936.00081510]
23. Genç A, Ikiz AO, Güneri EA, Günerli A. Effect of deep breathing exercises on oxygenation after major head and neck surgery. Otolaryngol Head Neck Surg. 2008;139(2):281-5. [Link] [DOI:10.1016/j.otohns.2008.04.025]
24. Rohmansyah NA, Syahruddin, Rahmadhani W, Hiruntrakul A. The comparison of analogue pain scale, quadriceps muscle, and knee joint among obese women with knee osteoarthritis. Sport Mont. 2021;19(1):59-64. [Link] [DOI:10.26773/smj.210213]
25. Mohamed KAE, El Maraghi S kamal. Role of adaptive support ventilation in weaning of COPD patients. Egyp J Chest Dis Tuberculosis. 2014;63(2):449-54. [Link] [DOI:10.1016/j.ejcdt.2013.12.017]
26. Rohmansyah NA, Hiruntrakul A. Do lipid profiles, body composition, and physical fitness improve after a FIFA 11+ training programme from obese women?. Sport Mont. 2021;19(2):51-7. [Link] [DOI:10.26773/smj.210609]
27. Mawarti S RNHA. Continuous Moderate-Intensity Exercise: Effects on Diabetic Ulcers in Type 2 Diabetes Mellitus. Health Educ Health Promot. 2022;10(3):509-15. [Link]
28. Mawarti S, Rohmansyah NA, Hiruntrakul A. Effect of volleyball training program to improve reaction time. Int J Human Movement Sports Sci. 2021;9(6):1314-8. [Link] [DOI:10.13189/saj.2021.090627]
29. Kurniawan F, Nugroho S, Hidayat R, Hidayat AS, Rohmansyah NZ. Development of web-based learning media in the era of pandemic. Health Educ Health Promot. 2022;10(4):673-8. [Link]
30. Hidasari FP, Rohmansyah NA, Hiruntrakul A, Triansyah A, Bafadal MF. Lifestyle changes during COVID-19 of university staff in Indonesia: A cross-sectional survey. Sport Mont. 2022;20(3):29-34. [Link] [DOI:10.26773/smj.221005]
31. Rohmansyah NA, Prastiwi BK, Zhannisa UH, Setiyawan, Hiruntrakul A. A tool to monitor and evaluate swimming: Development design and compilation of model. Sport Mont. 2020;18(1):107-9. [Link] [DOI:10.26773/smj.200220]
32. Abu Youssef HA, Shalaby AEO, Abd El Hafiz AM, Shaban MM, Hamed HAG. Predictive value of rapid shallow breathing index in relation to the weaning outcome in ICU patients. Egyp J Chest Dis Tuberculosis. 2016;65(2):465-72. [Link] [DOI:10.1016/j.ejcdt.2016.01.009]
33. Adıyeke E, Ozgultekin A, Turan G, Iskender A, Canpolat G, Pektaş A, et al. Non-invasive mechanical ventilation after the successful weaning: A comparison with the venturi mask. Braz J Anesthesiol. 2016;66(6):572-6. [Link] [DOI:10.1016/j.bjane.2014.11.008]
34. Khalil Y, Ibrahim E, Shabaan A, Imam M, Behairy AEL. Assessment of risk factors responsible for difficult weaning from mechanical ventilation in adults. Egyp J Chest Dis Tuberculosis. 2012;61(3):159-66. [Link] [DOI:10.1016/j.ejcdt.2012.10.005]
35. Elbouhy MS, AbdelHalim HA, Hashem AMA. Effect of respiratory muscles training in weaning of mechanically ventilated COPD patients. Egyp J Chest Dis Tuberculosis. 2014;63(3):679-87. [Link] [DOI:10.1016/j.ejcdt.2014.03.008]
36. Mabrouk AA, Mansour OF, El-Aziz AAA, Elhabashy MM, Alasdoudy AA. Evaluation of some predictors for successful weaning from mechanical ventilation. Egyp J Chest Dis Tuberculosis. 2015;64(3):703-7. [Link] [DOI:10.1016/j.ejcdt.2015.03.021]
37. Yin W tao, Song Z yang. An innovative method to calculate oxygen consumption rate. J Cent South Univ. 2019;26(4):873-80. [Link] [DOI:10.1007/s11771-019-4056-0]
38. Brasher PA, McClelland KH, Denehy L, Story I. Does removal of deep breathing exercises from a physiotherapy program including pre-operative education and early mobilisation after cardiac surgery alter patient outcomes?. Aust J Physiother. 2003;49(3):165-73. [Link] [DOI:10.1016/S0004-9514(14)60236-1]

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