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Use of Music and Voice Stimulus on Patients With Disorders of Consciousness

Giesbrecht Puggina, Ana Cláudia; Paes da Silva, Maria Júlia; Ferreira Santos, Jair Lício

Journal of Neuroscience Nursing: February 2011 - Volume 43 - Issue 1 - p E8-E16
doi: 10.1097/JNN.0b013e3182029778

ABSTRACT The objectives of this study were to check music and voice message influence on vital signs and facial expressions of patients with disorders of consciousness and to connect the existence of patient's responses with the Glasgow Coma Scale or with the Ramsay Sedation Scale. The method was a single-blinded randomized controlled clinical trial with 30 patients, from two intensive care units, being divided into two groups (control and experimental). Their relatives recorded a voice message and chose a song according to the patient's preference. The patients were submitted to three sessions for three consecutive days. Significant statistical alterations of the vital signs were noted during the message playback (oxygen saturation-Day 1 and Day 3; respiratory frequency-Day 3) and with facial expression, on Day 1, during both music and message. The conclusion was that the voice message was a stronger stimulus than the music.

This study examined the influence of music and recorded voice messages on patients with disorders of consciousness.

Maria Júlia Paes da Silva, PhD RN, is a full professor at the School of Nursing, University of São Paulo (EE-USP), São Paulo, Brazil.

Jair Lício Ferreira Santos, PhD B, is a biostatistician and a full professor at the Social Medicine Department, Faculty of Medicine of Ribeirão Preto, University of São Paulo (FMRP-USP), São Paulo, Brazil.

Questions or comments about this article may be directed to Ana Cláudia Giesbrecht Puggina, MBS RN, at She is a postgraduate student at the School of Nursing, University of São Paulo (EE-USP), and a professor at the Faculty of Medicine of Jundiaí, São Paulo, Brazil.

© 2011 American Association of Neuroscience Nurses