The Effect of Music and Massage on the Pain Scales and Vital Signs of ICU Patients with Hemodialysis Catheter

Abstract

Objective: Uncontrolled pain with any ICU patient may affect the course of medical applications negatively. Insertion of ahemodialysis (HD) catheter is a painful process. The main aim of this study is to evaluate the effect of music and massage onthe pain level during hemodialysis catheterization.Methods: This randomized controlled prospective trial was conducted on 220 patients who were hospitalized between January 2020 and July 2020 due to emergence of HD. Fifty-eight patients were listened to music with headphones while another58 were hand massaged and another 56 were listened to music during hand massaging, and 50 patients were monitoredwithout any extra applications.Results: The average APACHE-2 (Acute Physiology and Chronic Health Evaluation) score of the patients was 19.57±8.98. Therespiratory rate and heart rate of Music&massage (Mm) group was lower than the starting (p=0.027, p=0.043). There was adecrease in BPS (Behavioral Pain Scale) of intubated Mm and music group (p=0.001, p= 0000). Considering non-intubatedpatients, Mm, only music and only massage groups showed a significant decline in terms of WONG (Wong-Baker faces painrating scale) (p=0.000, p=0.001, p=0.000). The Mm group showed that patients were more sedatized in terms of RASS (Richmond Agitation-Sedatation Scale) (p=0.046).Conclusion: Use of music and massage during HD catheterization in ICU has contributed to improved vital signs and lesspain along with more sedatized patients.