Journal List > Korean J Health Promot > v.17(2) > 1089908

Ji and Jo: Effects of Music Therapy on Subjective Stress Response, Salivary Cortisol, and Fatigue for Intensive Care Nurses

Abstract

Background

The purpose of this study was to verify the effects of music therapy on subjective stress response, salivary cortisol and fatigue for nurses working in intensive care unit (ICU).

Methods

This study employed non-equivalent control group pretest–posttest design on quasi experimental basis. Subjects were 52 nurses (26 experimental and control group respectively) who have been working at ICU of Gil Hospital in Incheon, Korea. Data were collected from August 4 to October 6, 2014. Experimental group have listened to their 4-7 favorite musics individually once for 30 minutes after day-work.

Results

In experimental group, subjective stress response (t=5.02, P<0.001), salivary cortisol (t=2.08, P=0.042), and fatigue (t=5.66, P<0.001) have decreased significantly comparing to the control group.

Conclusions

This study has confirmed especially through objective physiological index of salivary cortisol that listening the favorite music for nurses in ICU was an effective and objective managerial measure to resolve their job stress and fatigue.

Figures and Tables

Table 1

The genre of music preferred by experimental group (n=26)

kjhp-17-119-i001

Values are presented as number (%).

Table 2

Homogeneity test for general characteristics between experimental and control group (n=52)

kjhp-17-119-i002

Abbreviations: SD, standard variation; ICU, intensive care unit; MICU, medicine intensive care unit; SICU, surgery intensive care unit; NSICU, neuro surgery intensive care unit; HICU, heart surgery intensive care unit; TICU, trauma intensive care unit; NICU neonatal intensive care unit.

Values are presented as number (%) otherwise indicated.

aFisher's exact test.

Table 3

Homogeneity test for musical characteristics between experimental and control group (n=52)

kjhp-17-119-i003

Values are presented as number (%).

aFisher's exact test

Table 4

Homogeneity test for dependent variables between experimental and control group (n=52)

kjhp-17-119-i004

Values are presented as mean±standard variation.

Table 5

Difference test for subjective stress response, salivary cortisol (nmol/L) and fatigue between experimental and control group (n=52)

kjhp-17-119-i005

Values are presented as mean (standard variation).

Notes

This article is the condensed edition of Hyun Hee Ji's dissertation at College of Nursing, Gachon University.

References

1. Ministry of Health and Welfare. Ministry of health and welfare statistical yearbook 2016 (11-1352000-000137-10). Sejong: Ministry of Health and Welfare;2016. p. 12–13.
2. Kim JS, Kim CJ. Association of job stress with health-promoting behaviors and health status in clinical nurses. Korean J Occup Health Nurs. 2016; 25(4):311–319.
3. Park HS, Gang EH. A study on job stress and the coping of ICU nurses. J Korean Acad Nurs. 2007; 37(5):810–821.
4. Park AS, Kwon IS, Cho YC. Fatigue symptoms and related factors among general hospital nurse. J Korea Acad Ind Coop Soc. 2009; 10(8):2164–2172.
5. Bozovic D, Racic M, Ivkovic N. Salivary cortisol level as a biological marker of stress reaction. Med Arch. 2013; 67(5):374–377.
6. Kim SH. Bio markers for stress research. Korean J Stress Res. 2004; 12(1):45–50.
7. Moustaka E, Maria M, Constantinidis TC. Measuring occupational stress and HRA axis dys regulation among healthy workers by salivary cortisol levels. Br J Med Med Res. 2015; 6(11):1040–1051.
8. Yoon GS, Kim SY. Influences of job stress and burn out on turnover intention of nurses. J Korean Acad Nurs Adm. 2010; 16(4):507–516.
9. Choi BC. Music therapy. Seoul: Hakjisa;2003.
10. Davis WB, Thaut MH. The influence of preferred relaxing music on measures of state anxiety, relaxation, and physiological response. J Music Ther. 1989; 26(4):168–187.
11. Jeong HC. The effect of music therapy on the physiological and psychological status of women college students based on their preference of music. J Korean Acad Adult Nurs. 2008; 20(2):321–330.
12. Park HG, Lee JY. A meta-analysis of the music therapy research to reduce stress. Korean J Music Ther. 2014; 16(1):29–47.
13. Ahn MN, Ahn HY. The effects of music intervention on pain among critically ill patients with ventilatory support. J Korean Biol Nurs Sci. 2013; 15(4):247–256.
14. Bae YS. The effects of music therapy in fatigue and anxiety in hemodialysis patients [dissertation]. Busan: Dongeui University;2009. Korean.
15. Choi HY, Yi YJ. Effects of music therapy on anxiety, depression and fatigue in cancer patients undergoing intensity modulated radiotherapy. Asian Oncol Nurs. 2013; 13(4):175–183.
16. Hong MS. The effects of music therapy on patients with post operative pain. J Korean Acad Adult Nurs. 1989; 1(1):57–71.
17. Lee EH. The effect of self-selected music listening on mood and stress change for last-stage cancer patients [dissertation]. Seoul: Myongji University;2010. Korean.
18. Park JH. The effect of music therapy on anxiety and pain, vital sign, cortisol of elderly cataract surgical patients [dissertation]. Incheon: Gachon University;2014. Korean.
19. Seo EJ. The effect of music therapy on the job stress and anxiety of the clinical nurse [dissertations]. Asan: Soonchunyang University;2009. Korean.
20. Marchand A, Duran P, Lupien S. Work hour and cortisol variation from non-working to working days. Int Arch Occup Environ Health. 2013; 86(5):553–559.
21. Parker DF, Decotiis TA. Organizational determinants of job stress. Organ Behav Hum Decis Process. 1983; 32(2):160–177.
22. Kim SY. Comparison of job as professionalism job satisfaction conflict involving performance of duty, job stress and burn-out [dissertation]. Seoul: Kyunghee University;2009. Korean.
23. Koh KB, Park JK, Kim CH. Development of the stress response inventory. J Korean Neuropsychiatr Assoc. 2000; 39(4):707–719.
24. Lee S, Suh M. Exploring subjective stress, sleep and diurnal variation of salivary cortisol in korea female adult. J Korean Biol Nurs Sci. 2016; 18(1):9–16.
25. Kim SJ, Sung MS. Subjective symptoms in fatigue in hospital nurses. J Korean Acad Nurs. 1998; 28(4):908–919.
26. Thoma MV, La Marca R, Brönnimann R, Finkel L, Ehlert U, Nater UM. The effect of music on the human stress response. PLoS One. 2013; 8(8):e70156.
27. Seol KO. The diurnal cortisol regulation rhythm and internalizing problems of children in institutive care and adopted children in Korea. Korean J Dev Psychol. 2012; 25(3):73–87.
28. Kim SY, Kwon IS, Cho YS. Relationship between job stress and fatigue symptoms among nurses in a university hospital. J Korea Acad Ind Coop Soc. 2012; 13(4):1759–1768.
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