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Effects of live music during hemodialysis treatments in pediatric patients

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Abstract

Background

Engaging chronically ill pediatric patients with live music has been associated with improved physiological and psychological well-being. However, the impact of live music during hemodialysis treatments has yet to be assessed, in particular in pediatric patients. This study focuses on the effects of live music therapy during chronic hemodialysis treatment.

Methods

An experimental design with randomization was applied in this pilot study. A total of 16 participants with kidney failure requiring hemodialysis participated in the study. In addition to their usual care (N = 96 measurements), the patients in the experimental group listened to 30 min of live music during their hemodialysis procedure. The control group was observed for 30 min while they received their usual care (N = 96 measurements) and were exposed to a series of animated videos that were broadcast in the common room where hemodialysis treatment is performed. Data concerning heart rate, blood pressure, and levels of depression and anxiety were collected for analysis.

Results

Live music significantly reduced heart rate (p < 0.05), systolic pressure (p < 0.05) and diastolic pressure (p < 0.05). The findings also highlighted that, after listening to live music, there was a significant decrease in anxiety and depression (p < 0.05).

Conclusions

In our small study sample, live music improved some physiological and psychological indices in pediatric hemodialysis patients. Further research evaluating larger samples with longitudinal follow-up is required.

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Data availability

Data supporting the findings of this study are available from the corresponding author [antonella.silletti@opbg.net] on request.

References

  1. Abassi MR, Safavi A, Haghverdi M et al (2016) sleep disorders in ESRD patients undergoing hemodialysis. Acta Med Iran 54:176–184

    PubMed  Google Scholar 

  2. Girsberger M, Trinh E, Chan CT (2020) Ventricular ejection fraction over time in patients on intensive home hemodialysis: a retrospective cohort study. Hemodial Int 24:290–298

    Article  PubMed  Google Scholar 

  3. Agarwal R, Nissenson AR, Batlle D, Coyne DW, Trout JR, Warnock DG (2003) Prevalence, treatment, and control of hypertension in chronic hemodialysis patients in the United States. Am J Med 115:291–297

    Article  PubMed  Google Scholar 

  4. Murtagh FEM, Addington-Hall J, Higginson IJ (2007) The prevalence of symptoms in end-stage renal disease: A systematic review. Adv Chronic Kid Dis 14:82–99

    Article  Google Scholar 

  5. Taskapan H, Ates F, Kaya B, Emul M, Kaya M, Taskapan C, Sahin I (2005) Psychiatric disorders and large interdialytic weight gain in patients on chronic haemodialysis. Nephrology 10:15–20

    Article  PubMed  Google Scholar 

  6. Sarafidis PA, Persu A, Agarwal R, Burnier M, de Leeuw P, Ferro C, Halimi JM, Heine G, Jadoul M, Jarraya F, Kanbay M, Mallamaci F, Mark PB, Ortiz A, Parati G, Pontremoli R, Rossignol P, Ruilope L, Van der Niepen P, Vanholder R, Verharr MC, Wiecek A, Wuerzner G, London GM, Zoccali C (2017) Hypertension in dialysis patients: a consensus document by the European Renal and Cardiovascular Medicine (EURECA-m) working group of the European Renal Association - European Dialysis and Transplant Association (ERA-EDTA) and the Hypertension and the Kidney working group of the European Society of Hypertension (ESH). J Hypertens 35(4):657–676. https://doi.org/10.1097/HJH.0000000000001283

    Article  CAS  PubMed  Google Scholar 

  7. O’Lone E, Viecelli AK, Craig JC et al (2020) Establishing core cardiovascular outcome measures for trials in hemodialysis: report of an international consensus workshop. Am J Kid 76:109–120

    Article  Google Scholar 

  8. Lai S, Bagordo D, Perrotta AM, Gigante A, Gasperini ML, Muscaritoli M, Mazzaferro S, Cianci R (2020) Autonomic dysfunction in kidney diseases. Eur Rev Med Pharmacol Sci 24(16):8458–8468. https://doi.org/10.26355/eurrev_202008_22643

    Article  CAS  PubMed  Google Scholar 

  9. Kidney disease: Improving Global Outcomes (KDIGO) CKD Work Group KDIGO (2012) Clinical Practice Guideline for Evaluation and Management of Chronic Kidney Disease. Kidney Int. 2013 3(l):1–150

  10. Fructuoso MR, Castro R, Oliveira I, Prata C, Morgado T (2011) Quality of life in chronic kidney disease. Nefrologia 31:91–96. https://doi.org/10.3265/Nefrologia.10483

    Article  CAS  PubMed  Google Scholar 

  11. Zalai D, Szeifert L, Novak M (2012) Psychological distress and depression in patients with chronic kidney disease. Semin Dial 25:428–438

    Article  PubMed  Google Scholar 

  12. Halen NV, Cukor D, Constantiner M, Kimmel PL (2012) Depression and mortality in end-stage renal disease. Curr Psychiatry Rep 14:36–44

    Article  PubMed  Google Scholar 

  13. García-Llana H, Remor E, Del Peso G, Selgas R (2014) The role of depression, anxiety, stress and adherence to treatment in dialysis patients’ health-related quality of life: a systematic review of the literature. Nefrologia 34:637–657

    PubMed  Google Scholar 

  14. Pompili M, Venturini P, Montebovi F, Forte A, Palermo M, Lamis DA, Serafini G, Amore M, Girardi P (2013) Suicide risk in dialysis: Review of current literature. Int J Psychiatry Med 46:85–108

    Article  PubMed  Google Scholar 

  15. Kim Y, Evangelista LS, Park YG (2015) Anxiolytic effects of music interventions in patients receiving incenter hemodialysis: a systematic review and meta-analysis. Nephrol Nurs J 42:339–347

    CAS  PubMed  PubMed Central  Google Scholar 

  16. Cantekin I, Tan M (2013) The influence of music therapy on perceived stressors and anxiety levels of hemodialysis patients. RenFail 35:105–109. https://doi.org/10.3109/0886022X.2012.736294.[PubMed][CrossRef][GoogleScholar]

    Article  Google Scholar 

  17. Hou YC, Lin YJ, Lu KC, Chiang CC, Chang CC, Yang LK (2017) Music therapy-induced changes in salivary cortisol level are predictive of cardiovascular mortality in patients under maintenance hemodialysis. Ther Clin Risk Manag 13:263–272. https://doi.org/10.2147/TCRM.S127555

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Burrai F, Micheluzzi V, Zito MP, Giurdanella P, Sisti D (2014) Effects of live saxophone music on physiological parameters, pain mood and itching levels in patients undergoing hemodialysis. J Ren Care 40:249–256

    Article  PubMed  Google Scholar 

  19. Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16:606–613

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Tsai FJ, Huang YH, Liu HC, Huang KY, Huang YH, Liu SI (2014) Patient Health Questionnaire for school-based depression screening among Chinese adolescents. Pediatrics 133:e402–e409. https://doi.org/10.1542/peds.2013-0204

    Article  PubMed  Google Scholar 

  21. Lowe B, Decker O, Muller S, Brahler E, Schellberg D, Herzog W (2008) Validation and standardization of the generalized anxiety disorder screener (GAD-7) in the general population. Med Care 46:266–274

    Article  PubMed  Google Scholar 

  22. Ghods AA, Abforosh NH, Ghorbani R et al (2015) The effect of topical application of lavender essential oil on the intensity of pain caused by the insertion of dialysis needles in hemodialysis patients: a randomized clinical trial. Compl Ther Med 23:325–330

    Article  Google Scholar 

  23. Mapes DL, Lopes AA, Satayathum S, McCullough KP, Goodkin DA, Locatelli F, Port FK (2003) Healthrelated quality of life as a predictor of mortality and hospitalization: The dialysis outcomes and practice patterns study (DOPPS). Kidney Int 64:339–349

    Article  PubMed  Google Scholar 

  24. Lin YJ, Lu KC, Chen CM, Chang CC (2012) The effects of music as therapy on the overall well-being of elderly patients on maintenance hemodialysis. Biol Res Nurs 14(3):277–285. https://doi.org/10.1177/1099800411413259

    Article  PubMed  Google Scholar 

  25. Tanquerel M, Broux F, Louillet F, De Blasi G (2018) L’Artiste en milieu hospitalier : une expérience musicale en hémodialyse pédiatrique [The Artist at the hospital: A musical experience in pediatric hemodialysis]. Arch Pediatr 25(4):251–255. https://doi.org/10.1016/j.arcped.2018.03.003

    Article  CAS  PubMed  Google Scholar 

  26. Cao M, Zhang Z (2023) Adjuvant music therapy for patients with hypertension: a meta-analysis and systematic review. BMC Compl Med Ther 23(1):110. https://doi.org/10.1186/s12906-023-03929-6

    Article  Google Scholar 

  27. Vlachopoulos C, Aggelakas A, Ioakeimidis N, Xaplanteris P, Terentes-Printzios D, Abdelrasoul M, Lazaros G, Tousoulis D (2015) (2015) Music decreases aortic stiffness and wave reflections. Atherosclerosis 240(1):184–189

    Article  CAS  PubMed  Google Scholar 

  28. Watkins GR (1997) Music therapy: proposed physiological mechanisms and clinical implications. Clin Nurse Spec 11(2):43–50

    Article  CAS  PubMed  Google Scholar 

  29. Niu JF, Zhao XF, Hu HT, Wang JJ, Liu YL, Lu DH (2019) Should acupuncture, biofeed- back, massage, Qi gong, relaxation therapy, device-guided breathing, yoga and tai chi be used to reduce blood pressure? recommendations based on high-quality systematic reviews. Compl Ther Med 42:322–331

    Article  Google Scholar 

  30. Lorber M, Divjak S (2022) Music therapy as an intervention to reduce blood pressure and anxiety levels in older adults with hypertension: a Randomized Controlled Trial. Res Gerontol Nurs 15(2):85–92

    Article  PubMed  Google Scholar 

  31. Mir IA, Chowdhury M, Islam RM, Ling GY, Chowdhury A, Hasan ZM, Higashi Y (2021) Relaxing music reduces blood pressure and heart rate among pre-hypertensive-sive young adults: a randomized control trial. J Clin Hypertens 23(2):317–322

    Article  CAS  Google Scholar 

  32. Yu JY, Huang DF, Li Y, Zhang YT (2009) Implementation of MP3 player for music therapy on hypertension. Annu Int Conf IEEE Eng Med Biol Soc 2009:6444–6447

    CAS  PubMed  Google Scholar 

  33. Guerrier G, Bernabei F, Lehmann M, Pellegrini M, Giannaccare G, Rothschild PR (2021) Efficacy of preoperative music intervention on Pain and anxiety in patients undergoing cataract surgery. Front Pharmacol 12:748296

    Article  PubMed  PubMed Central  Google Scholar 

  34. Teng XF, Wong MY, Zhang YT (2007) The effect of music on hypertensive patients. Annu Int Conf IEEE Eng Med Biol Soc 2007:4649–4651

    CAS  PubMed  Google Scholar 

  35. Namdar H, Taban Sadeghi M, Sabourimoghaddam H, Sadeghi B, Ezzati D (2014) Effects of music on cardiovascular responses in men with essential hypertension compared with healthy men based on introversion and extraversion. J Cardiovasc Thorac Res 6(3):185–189

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

The invaluable cooperation of the dialysis nursing team of Bambino Gesù Children's Hospital is gratefully acknowledged. The research project is dedicated to a participant in the group who was able to enjoy the musical treatment in her last months of life

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Authors and Affiliations

  1. Unit of Clinical Psychology, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

    Antonella Silletti & Teresa Grimaldi Capitello

  2. Nephrology, Dialysis an Transplantation Unit, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

    Antonella Silletti & Isabella Guzzo

  3. Hospitality and Family Services, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

    Adriano Mastrolorenzo

  4. Unit of Epidemiology, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy

    Simone Piga & Marta Ciofi degli Atti

Authors
  1. Antonella Silletti
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  2. Isabella Guzzo
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  3. Adriano Mastrolorenzo
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  4. Simone Piga
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  5. Marta Ciofi degli Atti
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Correspondence to Antonella Silletti.

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All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study and from their parents.

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Silletti, A., Guzzo, I., Mastrolorenzo, A. et al. Effects of live music during hemodialysis treatments in pediatric patients. J Nephrol 36, 2071–2079 (2023). https://doi.org/10.1007/s40620-023-01717-6

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  • DOI: https://doi.org/10.1007/s40620-023-01717-6

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