Effect of music therapy on cortisol as a stress biomarker in children undergoing IV-line insertion
Penulis/Author
Idyatul Hasanah (1); Dr. dr. Sri Mulatsih, M.P.H., Sp.A(K). (2); Dr. Fitri Haryanti, S.Kp., M.Kes. (3); dr. Zikrul Haikal, Sp.BA (4)
Tanggal/Date
1 2020
Kata Kunci/Keyword
Abstrak/Abstract
Abstract
Objective:
An IV-line insertion can often provoke stress
that can lead to an increase in cortisol levels. Comple-
mentary medication such as music therapy is needed to
overcome the increase in cortisol levels. We conducted
this study to determine the effect of music therapy on
salivary cortisol levels in children with leukaemia under-
going IV-line insertion.
Method:
This was a pre-experimental study with a pre-
and post-test design. We analysed the salivary cortisol
levels in 30 children with leukaemia undergoing IV-Line
insertion from January until February 2018. Music was
played using earphones after the completion of the IV-
line insertion procedure. The salivary cortisol levels
were analysed by an enzyme-linked immunosorbent assay
(ELISA) test. Changes in cortisol levels were considered
clinically significant if the differences were
0.05 ng/ml.
The Wilcoxon test was used to test the effect of music
therapy on cortisol levels and a
p
-value of
<
0.05 was
considered statistically significant.
Result:
Levels of cortisol before and after the music
therapy had a median (min
e
max) of 4.14 (0.25
e
9.89)
and 3.47 (0.16
e
15.31), respectively. The median differ-
ence of cortisol levels was 0.67 ng/ml. This change of
0.05 ng/ml indicates the clinical effect of music therapy
on cortisol levels. Though the music therapy did not
significantly affect salivary cortisol levels (
p
ΒΌ
0.99), this
study revealed the clinical effect of music therapy in
reducing cortisol levels.
Conclusions:
This study did not indicate a statistically
significant effect of music therapy on cortisol levels of
children with leukaemia during an IV-line insertion.
However, the study findings reflect the clinical effect of
music therapy in reducing cortisol levels.
Keywords:
Cortisol; Leukaemia; Music therapy; Stress
Rumpun Ilmu
Ilmu Keperawatan
Bahasa Asli/Original Language
English
Level
Internasional
Status
Dokumen Karya
No
Judul
Tipe Dokumen
Aksi
1
FHLK 3 Effect of music therapy on cortisol as a stress biomarker in children undergoing IV-line insertion.pdf
[PAK] Cek Similarity
2
14S-Effect of music therapy on cortisol as a stress biomarker in children undergoing IV-line insertion.pdf