Title

Effects of music therapy on the level of anxiety of patients undergoing hemodialysis

Date of Completion

2005

Document Type

Thesis

Degree Name

Bachelor of Science in Nursing

Keywords

Renal Dialysis, Anxiety, Music Therapy

Abstract

The study utilized a quasi-experimental research design, which involved 15 subjects with no age limit. The research settings were De La Salle University Medical Center, Asia Medic Diagnostic and Specialty Center, Bacoor Dialysis Center, and University of Perpetual Help Rizal Hospital-Hemodialysis Department. The Overt Anxiety Response Rating Scale (OARRS) and the Vital Signs Anxiety Response Rating Scale (VSARRS) formulated by Laurente (1995) were used as observation guides in this study. Data was analyzed through frequency distribution and t-test. The following conclusions were drawn: 1) The level of anxiety of respondents before hemodialysis without music therapy was low based on the observation of their gestures/verbalization, movement and vital signs. The respondents experienced no anxiety after hemodialysis without music therapy upon observation of their gestures/verbalization and movements. They had low anxiety based on their vital signs; 2) The level of anxiety of respondents was low before hemodialysis with music therapy based on the observation of their gestures/verbalization and vital signs. They had no anxiety upon observation of their movements. After hemodialysis with music therapy, the respondents had no anxiety based upon observation of their gestures/verbalization and movements. They experienced moderate anxiety based on their vital signs; 3) There was no significant difference between patients undergoing hemodialysis with and without music therapy before treatment. There was no significant difference between patients undergoing hemodialysis with and without music therapy after treatment. Generally, no significant difference was found between the level of anxiety of patients before and after hemodialysis treatment with or without music therapy. Among the factors that may have affected the result could include the patient’s perception of illness. Intervention measures that were implemented probably had no effect on the patient’s level of anxiety due to the perceived thought of having a devastating condition that could worsen in time. The patients may be in a stressful situation due to financial constraints and family concerns. The different environmental settings of the hemodialysis unit where data gathering was conducted, duration of the hemodialysis procedure, duration and frequency of the music therapy employed, the presence of staff nurses and other health team members and the diagnoses of the patients may have affected the results.

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