Abstract
ABSTRACTObjective:to evaluate the therapeutic effect of music on anxiety and vital parameters in patients with chronic kidney disease when compared to patients receiving conventional care in hemodialysis clinics. Method:randomized clinical trial conducted in three renal replacement therapy clinics. Sixty people with chronic kidney disease undergoing hemodialysis were randomly allocated to an experimental group and a control group, 30 persons per group). State anxiety was evaluated in both groups by the State-Trait Anxiety Inventory. A t-test was used to verify the effect of the experimental manipulation on the variables. Results:we found a statistically significant difference between the groups regarding the degree of anxiety experienced during hemodialysis sessions. The experimental group presented a statistically significant reduction of anxiety scores (p = 0.03), systolic blood pressure (p < 0.002), diastolic blood pressure (p < 0.002), heart rate (p < 0.01) and respiratory rate (p < 0.006) after listening to music. Conclusion:music represents a potential resource for nursing intervention to reduce state anxiety during hemodialysis sessions. Brazilian Registry of Clinical Trials: RBR-64b7x7.
Highlights
Chronic kidney disease (CKD) is considered a major global public health problem
The purpose of this study was to evaluate the therapeutic effect of music on anxiety and vital parameters in patients with chronic kidney disease when compared to patients receiving conventional care in hemodialysis clinics
The tests for comparison of means showed the statistical relevance of these differences; the mean score obtained by women was 38.1 (SD = 7.7) and, according to the t-test, state anxiety scale was significantly higher (t = 2.98, p = 0.004) than that observed in men, with a mean of 32.3 (SD = 7.4)
Summary
Chronic kidney disease (CKD) is considered a major global public health problem. It begins as a kidney injury that leads to the progressive functional loss of this organ, in which glomerular filtration rates drop to less than 15 ml/min. It is estimated that 10% of the world’s population is affected by CKD(3-4) and in Brazil, it is believed that two million Brazilians have some degree of renal dysfunction(1). CKD is a traumatic disease with significant psychic consequences to the patient’s life. The whole course of treatment is experienced as an arduous and fraught experience that entails different physical, social and emotional limitations. These experiences cause significant changes in family life, as well as loss of autonomy and dependence on the Social Security System(1,4-6)
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