Impact of music therapy and hand massage in the pediatric intensive care unit on pain, fear and stress: Randomized controlled trial
Abstract
PURPOSE
This study was performed with the aim of assessing the effect of music therapy and hand massage on pain, fear and stress among 12-18 year-old adolescents treated in the pediatric intensive care unit (PICU).
DESIGN
This study was a randomized controlled trial, with single-blind design.
METHODS
The adolescents were divided into groups with 33 receiving hand massage, 33 receiving music therapy and 33 in the control group. Collection of data used the Wong-Baker FACES (WB-FACES) Pain Rating Scale, Children's Fear Scale (CFS) and blood cortisol levels.
FINDINGS
In the study, adolescents in the music therapy group had lower mean points for WB-FACES before, during and after the procedure by a significant level compared to the control group (p 0.05).
CONCLUSIONS
It was determined that hand massage and music therapy were more effective than standard care at reducing pain and fear levels during blood drawing among 12-18-year-old adolescents in the PICU.
PRACTICE IMPLICATIONS
Nurses may use music therapy and hand massage to manage fear and pain related to blood drawing in the PICU.
How strong is the evidence?
Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design.
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