Bireyin duygu, düşünce ve davranışlarını etkileme gücüne sahip olan müzik, her yaş grubu bireye uygulanabilen nonfarmakolojik bir yöntemdir. Müzik uygulamalarının, sağlık bakımında güvenli bir uygulama olduğu ve sağlık profesyonelleri tarafından uygulanabileceği belirtilmektedir. Müzik uygulamaları pasif ve aktif olarak yapılabilir. Pasif müzik uygulamalarında, bireyin aktif olarak katılımı gerekmez. Bireyin rahat bir pozisyonda ritim veya sesi dinlemesi sağlanır. Aktif müzikte ise bireyler uygulamalara aktif bir şekilde katılım gösterirler. Şarkı söyleme, şarkı sözü yazma, enstrüman çalma, ritim eşliğinde dans etme aktif müzik uygulama örneklerinden bazılarıdır. Literatürde sağlık profesyonelleri tarafından uygulanan müzik müdahalelerinin çoğunun kulaklıkla müzik dinletmeyi içerdiği belirlenmiştir. Müzik uygulamalarının pediatri hastaları üzerinde etkinliğini değerlendirmek için yapılan çalışmalar incelendiğinde; uygulanan müziğin çocuğun yaşam kalitesini, öz yeterlilik düzeyini, aile ilişkilerini, memnuniyet düzeyini, rahatlığı ve konforunu, bakım çıktılarını olumlu yönde etkilediği saptanmıştır. Ayrıca müziğin çocukta fiziksel aktivite, nörolojik gelişim, dil becerileri, duygusal algı, sosyal beceriler, güvenli bağlanma üzerinde de olumlu etkileri olduğu, ağrı, anksiyete ve stres seviyelerini azalttığı belirlenmiştir. Bu geleneksel derleme çalışmasında, müzik temelli uygulamaların pediatri hastalarında kullanım alanlarından örnekler sunulmuş olup, çocuk sağlığı açısından yararları ve hemşirelik bakımına etkileri ortaya konulmaya çalışılmıştır. Bu çalışma sonucunda, pediatri hastalarıyla çalışan hemşirelerin, müzik uygulamalarını nonfarmakolojik hemşirelik girişimi olarak hemşirelik uygulamalarına dâhil etmesi ve kullanımının yaygınlaştırılması önerilebilir.
Anahtar Kelimeler: Pediatri; geleneksel tıp; müzik; hemşirelik bakımı
Music, which has the power to influence the feelings, thoughts and behaviors of the individual, is a non-pharmacological method that can be applied to all age groups. Music intervention are safe intervention and can be applied by health professionals. It can be made passively and actively. Passive music practices don't require the active participation of the individual. The individual is provided to listen to the rhythm or sound in a comfortable position. In active music, individuals actively participate in practices. Singing, writing lyrics, playing an instrument, dancing are some examples of active music practice. In the literature, most of the music interventions applied by health professionals are performed in the form of listening to music with headphones. When the studies evaluated the effectiveness of music practices on pediatric patients; it has been determined that the music applied to the pediatric age group increases the quality of life, self-efficacy level, family relations, patient satisfaction, provides comfort, improves patient outcomes. It has positive effects on physical activity, neurological development, language skills, emotional perception, social skills, secure attachment, and reduces pain, anxiety and stress levels. In this traditional review article, examples of the use of musicbased practices in pediatric patients were presented, and its benefits in terms of child health and its effects on nursing care were tried to be revealed. As a result of this study, it can be suggested that nurses working with pediatric patients should include music into nursing practices as a nonpharmacological nursing intervention and its use should be widespread.
Keywords: Pediatrics; traditional medicine; music; nursing care
- Poulsen MJ, Coto J. Nursing music protocol and postoperative pain. Pain Manag Nurs. 2018;19(2):172-6. [Crossref] [PubMed]
- Ciğerci Y, Kısacık ÖG, Özyürek P, Çevik C. Nursing music intervention: A systematic mapping study. Complement Ther Clin Pract. 2019;35:109-120. [Crossref] [PubMed]
- Sağlık Bakanlığı [İnternet]. Copyright © 2020 T.C. Sağlık Bakanlığı [Erişim tarihi: 25 Kasım 2020]. Sağlık Hizmetleri Genel Müdürlüğü Geleneksel, Tamamlayıcı ve Fonksiyonel Tıp Uygulamaları Dairesi Başkanlığı. Erişim linki: [Link]
- Crowley J. Music therapy: Nursing interventions with a beat. Nursing Critical Care. 2013;8(2):15-7. [Crossref]
- Zanders ML. Music as therapy versus music in therapy. J Neurosci Nurs. 2018;50(4):218-9. [Crossref] [PubMed]
- Solanki MS, Zafar M, Rastogi R. Music as a therapy: role in psychiatry. Asian J Psychiatr. 2013;6(3):193-9. [Crossref] [PubMed]
- Kor G, Çağhan A. Mim Kemal Öke ve müzik terapi üzerine düşünceleri [Mim Kemal Öke and his thoughts on music therapy]. Afyon Kocatepe Üniversitesi Akademik Müzik Araştırmaları Dergisi. 2016;2(4):1-12. [Crossref]
- Thaut MH. Music as therapy in early history. Prog Brain Res. 2015;217:143-58. [Crossref] [PubMed]
- Packyanathan JS, Lakshmanan R, Jayashri P. Effect of music therapy on anxiety levels on patient undergoing dental extractions. J Family Med Prim Care. 2019;8(12):3854-60. [Crossref] [PubMed] [PMC]
- Stegemann T, Geretsegger M, Phan Quoc E, Riedl H, Smetana M. Music therapy and other music-based interventions in pediatric health care: an overview. Medicines (Basel). 2019;6(1):25. [Crossref] [PubMed] [PMC]
- Dündar SA. Pediatri kliniğindeki hemşire ve doktorların, müziğin klinikte kullanımı hakkındaki düşünceleri [The thoughts of nurses and doctors in pediatric clinics upon the application of music in clinics]. Adnan Menderes Üniversitesi Tıp Fakültesi Dergisi. 2011;12(3):11-5. [Link]
- Cırık V, Efe E. The effect of music therapy in children's health. Journal of Educational & Instructional Studies in the World. 2018;8(2):51-6. [Link]
- Yılmaz B, Can ÜK. Türkiye'de müzik terapi uygulamalarında kullanılan müzikler [The music used in music therapy practice in Turkey]. OPUS Uluslararası Toplum Araştırmaları Dergisi. 2019;13(19):592-620. [Crossref]
- Orlowski DD. Kreatif Müzik Terapi. 1. Baskı. Ankara: Müzik Eğitimi Yayınları; 2018.
- van der Heijden MJ, Oliai Araghi S, Jeekel J, Reiss IK, Hunink MG, van Dijk M. Do hospitalized premature infants benefit from music interventions? A systematic review of randomized controlled trials. PLoS One. 2016;11(9):e0161848. [Crossref] [PubMed] [PMC]
- Wachman EM, Lahav A. The effects of noise on preterm infants in the NICU. Arch Dis Child Fetal Neonatal Ed. 2011;96(4):F305-9. [Crossref] [PubMed]
- Loewy J, Stewart K, Dassler AM, Telsey A, Homel P. The effects of music therapy on vital signs, feeding, and sleep in premature infants. Pediatrics. 2013;131(5):902-18. [Crossref] [PubMed]
- Bieleninik Ł, Ghetti C, Gold C. Music therapy for preterm infants and their parents: a meta-analysis. Pediatrics. 2016;138(3):e20160971. [Crossref] [PubMed]
- Yue W, Han X, Luo J, Zeng Z, Yang M. Effect of music therapy on preterm infants in neonatal intensive care unit: Systematic review and meta-analysis of randomized controlled trials. J Adv Nurs. 2021;77(2):635-52. [Crossref] [PubMed]
- Ettenberger M, Odell-Miller H, Cárdenas CR, Serrano ST, Parker M, Llanos SMC. Music therapy with premature infants and their caregivers in Colombia-a mixed methods pilot study including a randomized trial. In Voices: A World Forum for Music Therapy. 2014;14(2). [Crossref]
- Gooding L. Music therapy in pediatric oncology treatment: Clinical practice guidelines from the research literature. ISME Commission on Music in Special Education, Music Therapy, and Music Medicine. 2012;62:62-71. [Link]
- Facchini M, Ruini C. The role of music therapy in the treatment of children with cancer: A systematic review of literature. Complement Ther Clin Pract. 2021;42:101289. [Crossref] [PubMed]
- Poder TG, Lemieux R. How effective are spiritual care and body manipulation therapies in pediatric oncology? A systematic review of the literature. Glob J Health Sci. 2013;6(2):112-27. [Crossref] [PubMed] [PMC]
- Revuelta-Iniesta R, Wilson ML, White K, Stewart L, McKenzie JM, Wilson DC. Complementary and alternative medicine usage in Scottish children and adolescents during cancer treatment. Complement Ther Clin Pract. 2014;20(4):197-202. [Crossref] [PubMed]
- Haase JE, Robb SL, Burns DS, Stegenga K, Cherven B, Hendricks-Ferguson V, et al. Adolescent/young adult perspectives of a therapeutic music video intervention to improve resilience during hematopoietic stem cell transplant for cancer. J Music Ther. 2020;57(1):3-33. [Crossref] [PubMed] [PMC]
- Robb SL, Burns DS, Stegenga KA, Haut PR, Monahan PO, Meza J, et al. Randomized clinical trial of therapeutic music video intervention for resilience outcomes in adolescents/young adults undergoing hematopoietic stem cell transplant: a report from the Children's Oncology Group. Cancer. 2014;120(6):909-17. [Crossref] [PubMed] [PMC]
- Saghaei S, Mostafazadeh A. The effectiveness of music therapy on anxiety sensitivity and self-efficacy in adolescents with leukemia in Tehran, Iran. International Journal of Body, Mind and Culture. 2019;6(2):112-7. [Link]
- Uggla L, Bonde LO, Svahn BM, Remberger M, Wrangsjö B, Gustafsson B. Music therapy can lower the heart rates of severely sick children. Acta Paediatr. 2016;105(10):1225-30. [Crossref] [PubMed]
- Yinger OS, Gooding LF. A systematic review of music-based interventions for procedural support. J Music Ther. 2015;52(1):1-77. [Crossref] [PubMed]
- Bulut M, Küçük Alemdar D, Bulut A, Şalcı G. The effect of music therapy, hand massage, and kaleidoscope usage on postoperative nausea and vomiting, pain, fear, and stress in children: a randomized controlled trial. J Perianesth Nurs. 2020;35(6):649-57. [Crossref] [PubMed]
- Kim J, Stegemann T. Music listening for children and adolescents in health care contexts: A systematic review. The Arts in Psychotherapy. 2016;51:72-85. [Crossref]
- Shi ZM, Lin GH, Xie Q. Effects of music therapy on mood, language, behavior, and social skills in children with autism: A meta-analysis. Chinese Nursing Research. 2016;3(3):137-41. [Crossref]
- Geretsegger M, Elefant C, Mössler KA, Gold C. Music therapy for people with autism spectrum disorder. Cochrane Database Syst Rev. 2014;2014(6):CD004381. [Crossref] [PubMed] [PMC]
- LaGasse AB. Social outcomes in children with autism spectrum disorder: a review of music therapy outcomes. Patient Relat Outcome Meas. 2017;8:23-32. [Crossref] [PubMed] [PMC]
- Mössler K, Gold C, Aßmus J, Schumacher K, Calvet C, Reimer S, et al. The therapeutic relationship as predictor of change in music therapy with young children with autism spectrum disorder. J Autism Dev Disord. 2019;49(7):2795-809. [Crossref] [PubMed]
- Walicka-Serzysko K, Postek M, Jeneralska N, Cichocka A, Milczewska J, Sands D. The effects of the addition of a new airway clearance device to chest physiotherapy in children with cystic fibrosis pulmonary exacerbations. J Mother Child. 2021;24(3):16-24. [PubMed] [PMC]
- Wilson LM, Morrison L, Robinson KA. Airway clearance techniques for cystic fibrosis: an overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2019;1(1):CD011231. [Crossref] [PubMed] [PMC]
- Calik-Kutukcu E, Saglam M, Vardar-Yagli N, Cakmak A, Inal-Ince D, Bozdemir-Ozel C, et al. Listening to motivational music while walking elicits more positive affective response in patients with cystic fibrosis. Complement Ther Clin Pract. 2016;23:52-8. [Crossref] [PubMed]
- Irons JY, Kuipers K, Petocz P. Exploring the health benefits of singing for young people with cystic fibrosis. International Journal of Therapy and Rehabilitation. 2014;20(3):144-53. [Crossref]
- Montero-Ruiz A, Fuentes LA, Pérez Ruiz E, García-Agua Soler N, Rius-Diaz F, Caro Aguilera P, et al. Effects of music therapy as an adjunct to chest physiotherapy in children with cystic fibrosis: A randomized controlled trial. PLoS One. 2020;15(10):e0241334. [Crossref] [PubMed] [PMC]
- Murrock CJ, Higgins PA. The theory of music, mood and movement to improve health outcomes. J Adv Nurs. 2009;65(10):2249-57. [Crossref] [PubMed] [PMC]
- Parr Vijinski J, Hirst SP, Goopy S. Nursing and music: Considerations of Nightingale's environmental philosophy and phenomenology. Nurs Philos. 2018;19(4):e12223. [Crossref] [PubMed]
- Franzoi MAH, Do Santos JLG, Backes VMS, Ramos FRS. Musical intervention as a nursing care strategy for children with autism spectrum disorder at a psychosocial care center. Texto & Contexto Enfermagem. 2016;25(1):1-8.[Link]
- Bradt J, Dileo C. Music interventions for mechanically ventilated patients. Cochrane Database Syst Rev. 2014;2014(12):CD006902. [Crossref] [PubMed] [PMC]
- Aydin D, Sahiner NC. Effects of music therapy and distraction cards on pain relief during phlebotomy in children. Appl Nurs Res. 2017;33:164-8. [Crossref] [PubMed]
- Karakul A, Bolışık ZB. The effect of music listened to during the recovery period after day surgery on the anxiety state and vital signs of children and adolescents. The Journal of Pediatric Research. 2018;5(2):82-7. [Crossref]
- Kristjánsdóttir Ó, Kristjánsdóttir G. Randomized clinical trial of musical distraction with and without headphones for adolescents' immunization pain. Scand J Caring Sci. 2011;25(1):19-26. [Crossref] [PubMed]
- Nelson K, Adamek M, Kleiber C. Relaxation training and postoperative music therapy for adolescents undergoing spinal fusion surgery. Pain Manag Nurs. 2017;18(1):16-23. [Crossref] [PubMed]
- Robertson AM, Detmer MR. The effects of contingent lullaby music on parent-infant interaction and amount of infant crying in the first six weeks of life. J Pediatr Nurs. 2019;46:33-8. [Crossref] [PubMed]
- Yildiz A, Arikan D. The effects of giving pacifiers to premature infants and making them listen to lullabies on their transition period for total oral feeding and sucking success. J Clin Nurs. 2012;21(5-6):644-56. [Crossref] [PubMed]
- Engwall M, Duppils GS. Music as a nursing intervention for postoperative pain: a systematic review. J Perianesth Nurs. 2009;24(6):370-83. [Crossref] [PubMed]
- Tan X, Yowler CJ, Super DM, Fratianne RB. The interplay of preference, familiarity and psychophysical properties in defining relaxation music. J Music Ther. 2012;49(2):150-79. [Crossref] [PubMed]
- Korhan EA, Uyar M, Eyigör C, Hakverdioğlu Yönt G, Çelik S, Khorshıd L. The effects of music therapy on pain in patients with neuropathic pain. Pain Manag Nurs. 2014;15(1):306-14. [Crossref] [PubMed]
.: Process List