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- Title
Use of person-centred music to manage wound dressing-related pain: a mixed method case study.
- Authors
Paulander, Ann-Sofie; Lindholm, Christina; Torgrip, Ralf; Kumlin, Maria; Eulau, Louise
- Abstract
Objective: To determine whether person-centred music (PCMusic) contributes to reducing pain during painful leg ulcer dressing change procedures indicated by: decreased levels of indicators related to stress; decreased pain scores; and a more favourable treatment climate during the dressing change procedure. Method: A case study of a 51-year-old female patient with chronic inherited disease weakening her connective tissues. Quantitative data entailed temporal measurements of stress indicators including: heart pulse rate; oxygen saturation (SpO2); saliva cortisol; and a visual analogue scale (VAS). Qualitative data comprised phenomenological treatment descriptions and patient/licensed practical nurse (LPN) questionnaires. Results: The patient's body temperature remained steady throughout all treatments. Blood pressure was excluded due to missing data. No significant pulse rate differences in relation to music/no music could be observed during treatment. Comparing PCMusic to the patient's own other music (POOM), the pulse rate was greater in both magnitude and variation when the patient listened to POOM. Oxygen saturation showed no significant difference between PCMusic and music/no music. No significant difference was observed pre-/post-debridement with music. Similarly, no significant difference was observed pre-/postdebridement with no music. Treatment with no music showed the highest VAS score; PCMusic treatments had the lowest scores. Qualitative data showed that both patient and LPNs found that PCMusic decreased pain during dressing change. Conclusion: The results of this case study indicate that PCMusic is a suitable complementary treatment to decrease patient pain. Patients' general health status is important when using quantitative stress/pain marker measurements. For cohort selection in future studies, we suggest healthy patients undergoing slightly painful or unpleasant treatments, patients in postoperative care and obstetric care. Declaration of interest: The authors have no conflicts of interest to declare. Funding for this study was provided by Sophiahemmet University, Stockholm, Sweden.
- Subjects
SWEDEN; SALIVA analysis; OXYGEN saturation; NURSES; WOUND healing; POSTOPERATIVE care; LEG ulcers; HEALTH status indicators; T-test (Statistics); MUSIC therapy; BANDAGES &; bandaging; QUESTIONNAIRES; HYDROCORTISONE; TREATMENT duration; DESCRIPTIVE statistics; PATIENT-centered care; HEART beat; CHRONIC diseases; BODY temperature; PAIN management; PAIN; PSYCHOLOGICAL stress; RESEARCH methodology; QUALITY of life; SURGICAL dressings; BLOOD pressure; PHENOMENOLOGY; COMPARATIVE studies; HEALTH care teams; CONNECTIVE tissues
- Publication
Journal of Wound Care, 2024, Vol 33, Issue Sup4a, p130
- ISSN
0969-0700
- Publication type
Article
- DOI
10.12968/jowc.2024.33.sup4a.cxxx