EFFECT OF MUSIC THERAPY ON HEMODYNAMIC CHANGES IN CHILDREN WITH LEUKEMIA

  • idyatul Hasanah Fakultas Ilmu Kesehatan, Universitas Nahdlatul Wathan Mataram
Keywords: Music Therapy, Hemodynamics, Children, Leukemia.

Abstract

Background: Children with leukemia undergo various series of medical procedures during treatment. This can trigger physical and psychological responses in children. The physical reaction that may occur is hemodynamic changes. Music therapy is one of the complementary therapies that can be used to overcome these physical and psychological responses. This study aims to examine the effect of music therapy on hemodynamics in children with leukemia.

Methods: This is a pre-experimental study with a one-group pre-test and post-test design. All children with leukemia who met the criteria underwent treatment in the ODC room of RSUP dr. Sardjito Yogyakarta, became the respondent. Hemodynamic measurements were taken before and after a music therapy session. Data were analyzed by paired t-test.

Results: There were 30 children with leukemia who met the criteria. The mean systolic blood pressure before and after music therapy were 104±12.60 and 100±14.06 (p= 0.02). The mean diastolic blood pressure before and after music therapy were 67±10.65 and 65±10.83 (p=0.30). The mean pulse rate before and after music therapy were 92±16.19 and 87±16.75 (p=0.10), respectively.

Conclusion: Music therapy can significantly reduce systolic blood pressure in pediatric patients with leukemia undergoing treatment but does not affect diastolic blood pressure and pulse rate.

References

Dvorak HF. Tumors: Wounds That Do Not Heal—Redux. Cancer Immunology Research. 2015 Jan 1;3(1):1–11.
2. Hockenberry MJ, McCarthy K, Taylor O, Scarberry M, Franklin Q, Louis CU, et al. Managing Painful Procedures in Children With Cancer. Journal of Pediatric Hematology/Oncology. 2011 Mar;33(2):119–27.
3. Leibring I, Anderzén-Carlsson A. Fear and Coping in Children 5–9?years old Treated for Acute Lymphoblastic Leukemia - A Longitudinal Interview Study. Journal of Pediatric Nursing. 2019 May 1;46:e29–36.
4. Giordano F, Zanchi B, de Leonardis F, Rutigliano C, Esposito F, Brienza N, et al. The influence of music therapy on preoperative anxiety in pediatric oncology patients undergoing invasive procedures. Arts in Psychotherapy. 2020;68(March):101649.
5. Cook EL, Silverman MJ. Effects of music therapy on spirituality with patients on a medical oncology/hematology unit: A mixed-methods approach. The Arts in Psychotherapy. 2013 Apr;40(2):239–44.
6. Uggla L, Bonde LO, Svahn BM, Remberger M, Wrangsjö B, Gustafsson B. Music therapy can lower the heart rates of severely sick children. Acta Paediatrica, International Journal of Paediatrics. 2016;105(10):1225–30.
7. Clark BA, Siden H, Straatman L. An Integrative Approach to Music Therapy in Pediatric Palliative Care. Journal of Palliative Care. 2014 Sep 19;30(3):179–87.
8. Weaver CE, Dwiggins A, McCormick K, Fesler M, Goyal SD. Rhythmic Entrainment: A Music Therapy Intervention to Elicit Relaxation and Decrease Anxiety for the Bone Marrow Transplant Recipient. Biology of Blood and Marrow Transplantation. 2015 Feb;21(2):S177.
9. Lawson L, Glennon C, Fiscus V, Harrell V, Krause K, Moore A, et al. Effects of Making Art and Listening to Music on Symptoms Related to Blood and Marrow Transplantation. Oncology Nursing Forum. 2016 Mar 1;43(2):E56–63.
10. Salimpoor VN, Benovoy M, Larcher K, Dagher A, Zatorre RJ. Anatomically distinct dopamine release during anticipation and experience of peak emotion to music. Nature Neuroscience. 2011;14(2):257–64.
11. Huang Y, Xu N, Huang S. Impact of Music Therapy on Preoperative Anxiety and Degree of Cooperation With Anesthesia Induction in Children With Simple Congenital Heart Disease. Journal of PeriAnesthesia Nursing. 2020;(xxxx):8–11.
12. Colwell CM, Edwards R, Hernandez E, Brees K. Impact of music therapy interventions (listening, composition, orff-based) on the physiological and psychosocial behaviors of hospitalized children: A feasibility study. Journal of Pediatric Nursing. 2013;28(3):249–57.
13. Kasjono HS, Yasril. Tekhnik Sampling Untuk Penelitian Kesehatan. Yogyakarta: Graha Ilmu; 2005.
14. Robb SL, Carpenter JS, Burns DS. Reporting Guidelines for Music-based Interventions. Journal of Health Psychology. 2010;16(2):342–52.
15. Vaajoki A, Kankkunen P, Pietilä A-M, Vehviläinen-Julkunen K. Music As A Nursing Intervention: Effects of Music Listening on Blood Pressure, Heart Rate, And Respiratory Rate in Abdominal Surgery Patients. Nursing and Health Sciences. 2011;13:412–8.
16. Zeydi AE, Jafari H, Khani S, Esmaeili R, Baradari AG, Nursing M, et al. The Effect of Music on the Vital Signs and SpO2 of Patients after Open Heart Surgery: A Randomized Clinical Trial. 2011;21(82):73–82.
17. Ferrer AJ. The Effect of Live Music on Decreasing Anxiety in Patients Undergoing Chemotherapy Treatment. Journal of Music Therapy. 2007;3:242–55.
18. Çetinkaya F, A?iret GD, Yilmaz CK, ?nci S. Effect of listening to music on anxiety and physiological parameters during coronary angiography: A randomized clinical trial. European Journal of Integrative Medicine. 2018;23(July):37–42.
19. Im-oun S, Kotruchin P, Thinsug P, Mitsungnern T. Complementary Therapies in Medicine E ff ect of Thai instrumental folk music on blood pressure?: A randomized controlled trial in stage-2 hypertensive patients. Complementary Therapies in Medicine. 2018;39(May):43–8.
20. Sherwood L. Fundamental of Human Physiology. 4th ed. Sherwood L, editor. Belmont: Brooks/Cole; 2012.
21. Koelsch S. Effects of music listening on cortisol levels and propofol consumption during spinal anesthesia. Frontiers in Psychology. 2011;2(April):1–9.
22. Loomba RS, Shah PH, Chandrasekar S, Arora R, Molnar J. Effects of Music on Systolic Blood Pressure, Diastolic Blood Pressure, And Heart Rate: A Meta-Analysis. Indian Heart Journal. 2012;64(3):309–13.
23. Korhan EA, Khorshid L, Uyar M. The Effect of Music Therapy on Physiological Signs of Anxiety in Patients Receiving Mechanical Ventilatory Support. Journal of Clinical Nursing. 2011;20:1026–34.
24. Naylor KT, Kingsnorth S, Lamont A, Mckeever P, Macarthur C. The Effectiveness of Music in Pediatric Healthcare: A Systematic Review of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine. 2011;19–21.
25. Nguyen TN, Nilsson S, Hellström A-L, Bengtson A. Music Therapy to Reduce Pain and Anxiety in Children With Cancer Undergoing Lumbar Puncture: A Randomized Clinical Trial. Journal of Pediatric Oncology Nursing. 2010;27:146–55.
26. Bulut M, Küçük Alemdar D, Bulut A, ?alc? G. The Effect of Music Therapy, Hand Massage, and Kaleidoscope Usage on Postoperative Nausea and Vomiting, Pain, Fear, and Stress in Children: A Randomized Controlled Trial. Journal of Perianesthesia Nursing. 2020;35(6):649–57.
Published
2021-12-18