COMPARISON OF EFFECTIVENESS OF A PROGRESSIVE MOBILIZATION AND MOZART MUSIC THERAPY ON NON-INVASIVE HEMODYNAMIC STATUS CHANGES IN PATIENTS WITH HEAD INJURY IN THE INTENSIVE CARE UNIT

Novi Indriani, Bedjo Santoso, Arwani Arwani, Mardiyono Mardiyono


DOI: https://doi.org/10.33546/bnj.359

Abstract


Background: The instability of hemodynamic status in patients with head injury with decreased consciousness has an effect on the increase of intracranial pressure. The recovery of hemodynamic status can be done through nursing intervention either by providing a sensory stimulus (music therapy) or motor stimulus (progressive mobilization).

Objective: To compare the effectiveness of progressive mobilization of level I with Mozart's music therapy on non-invasive hemodynamic status changes in patients with head injury with decreased awareness.

Methods: This was a quasy-experimental study with pretest-posttest design. There were 34 samples selected using consecutive sampling, which 17 samples assigned in a group of progressive mobilization and group of music therapy. Paired t-test and Wilcoxon test were used for paired group, and Independent t-test and Mann-Whitney test for unpaired group.

Results: Progressive mobilization of level I had significant effect on changes in systolic blood pressure (p = 0.0001), diastolic blood pressure (p = 0.002) and MAP (p = 0.019), and no significant effect on heart rate (p = 0.155), respiration (p = 0.895) and oxygen saturation (p = 0.248). Mozart's music therapy had a significant effect on changes in systolic blood pressure (p = 0.0001), diastolic blood pressure (p = 0.0001), respiration (p= 0.032) and oxygen saturation (p = 0.008), but no effect on MAP (p = 0.561). There was a significant difference between the two interventions in the systolic blood pressure and heart rate variables (p <0.05), while the diastolic blood pressure, MAP, respiration and oxygen saturation variables did not show a difference (p> 0.05).

Conclusion: The Mozart's music therapy is more effective on non-invasive hemodynamic status changes in patients with head injury with decreased consciousness compared with progressive mobilization of level I. 


Keywords


Head Injuries, Hemodynamics, Progressive Mobilization, and Mozart Music

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References


Darmayanti, N. N. T., & Oktamianti, P. (2014). Analisis Kompetensi Perawat Ruang Intensif (Intensive Care Unit) Rumah Sakit Umum Tabanan Tahun 2013. Jurnal Sumber Daya Manusia Kesehatan, 1(1).

Hegde, S. (2014). Music-based cognitive remediation therapy for patients with traumatic brain injury. Frontiers in neurology, 5, 34.

Johnson, K. L., & Meyenburg, T. (2009). Physiological rationale and current evidence for therapeutic positioning of critically ill patients. AACN Adv Crit Care, 20(3), 228-240.

Kayana, I. B. A., Maliawan, S., & Kawiyana, I. K. S. (2013). INTRACRANIAL PRESSURE MONITORING TECHNIQUE. E-Jurnal Medika Udayana, 2(3), 480-501.

Kirby, L. A., Oliva, R., & Sahler, O. J. Z. (2010). Music therapy and pain management in pediatric patients undergoing painful procedures: A review of the literature and a call for research. Journal of alternative medicine research, 2(1), 7-16.

Kitong, B. I., Mulyadi, N., & Malara, R. (2014). Pengaruh Tindakan Penghisapan Lendir Endotrakeal Tube (Ett) Terhadap Kadar Saturasi Oksigen Pada Pasien Yang Dirawat Di Ruang Icu Rsup Prof. Dr. Rd Kandou Manado. Jurnal Keperawatan, 2(2).

Kurniawan, S. T. (2015). Pengaruh Nafas Dalam dan Mendengarkan Bacaan Murottal Terhadap Tingkat Nyeri dan Status Hemodinamika pada Pasien Post Orif di RS Karima Utama Kartasura. Universitas Mohamadiyah Yogyakarta.

Leksana, E. (2011). Pengelolaan Hemodinamik. Jurnal CDK 188, 38(7), 537-540.

Lumandung, F. T., Siwu, J. F., & Mallo, J. F. (2014). Gambaran Korban Meninggal Dengan Cedera Kepala Pada Kecelakaan Lalu Lintas Di Bagian Forensik BLU RSUP PROF. Dr. RD Kandou Manado Periode Tahun 2011-2012. e-CliniC, 2(1).

Ningtyas, N. W. R., Pujiastuti, R. R. S. E., & Indriyawati, N. (2017). EFFECTIVENESS OF PROGRESSIVE MOBILIZATION LEVEL I AND II ON HEMODYNAMIC STATUS AND DECUBITUS ULCER RISK IN CRITICALLY ILL PATIENTS. Belitung Nursing Journal, 3(6), 662-669.

Novita, D. (2012). Pengaruh Terapi Musik Terhadap Nyeri Post Operasi Open Reduction And Internal Fixation (ORIF) Di RSUD DR. H Abdul Moeloek Propinsi Lampung. Fakultas Ilmu Keperawatan Universitas Indonesia.

Olviani, Y. (2015). PENGARUH PELAKSANAAN MOBILISASI PROGRESIF LEVEL I TERHADAP NILAI MONITORING HEMODINAMIK NON INVASIF PADA PASIEN CEREBRAL INJURY DI RUANG ICU RSUD ULIN BANJARMASIN TAHUN 2015. Caring, 2(1), 37-48.

Rahmadevita, S. A. M., Rustina, Y., & Syahreni, E. (2013). Memperbaiki Saturasi Oksigen, Frekuensi Denyut Jantung, dan Pernafasan Neonatus yang Menggunakan Ventilasi Mekanik Dengan Terapi Musik. Jurnal Keperawatan Indonesia, 16(3), 154-160.

Rahmanti, A., & Putri, D. K. (2016). Mobilisasi Progresif terhadap Perubahan Tekanan Darah Pasien di Intensive Care Unit (ICU). Jurnal Ilmiah Kesehatan Keperawatan, 12(1).

Rifai, A. (2015). PERUBAHAN STATUS RESPIRASI SETELAH DILAKUKAN MOBILISASI DINI PASIEN INFARK MIOKARD. Interest: Jurnal Ilmu Kesehatan, 4(2).

Rihiantoro, T., Nurachmah, E., & Hariyati, R. T. S. (2008). Pengaruh terapi Musik Terhadap Status Hemodinamika Pada Pasien Koma di Ruang ICU Sebuah Rumah Sakit di Lampung. Jurnal Keperawatan Indonesia, 12(2), 115-120.

Suherly, M., & Meikawati, W. (2012). Perbedaan Tekanan Darah pada Pasien Hipertensi Sebelum dan Sesudah Pemberian Terapi Musik Klasik di RSUD Tugurejo Semarang. STIKES Telogorejo Semarang.

Thaut, M. H., Leins, A. K., Rice, R. R., Argstatter, H., Kenyon, G. P., McIntosh, G. C., . . . Fetter, M. (2007). Rhythmic auditor y stimulation improves gait more than NDT/Bobath training in near-ambulatory patients early poststroke: a single-blind, randomized trial. Neurorehabilitation and Neural Repair, 21(5), 455-459.

Vollman, K. M. (2010). Introduction to progressive mobility. Critical Care Nurse, 30(2), S3-S5.

Widaryati, W. (2016). PENGARUH TERAPI MUROTAL AL QUR’AN TERHADAP HEMODINAMIK DAN GCS PASIEN CEDERA KEPALA. Universitas' Aisyiah Yogyakarta.


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