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Parhusip, Yanti Perawaty
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The Effect of Instrumental and Classical Music Therapy on Hemodynamic Changes in Patients with Decreased Consciousness (Coma) in the ICU of RSUD Kaimana Datu, Natalia; Parhusip, Yanti Perawaty; Sanaty, Brandon Azaria
Jurnal EduHealth Vol. 16 No. 02 (2025): Jurnal EduHealt, Edition April - June , 2025
Publisher : Sean Institute

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Abstract

Hemodynamic status is regulated by the medulla oblongata and is influenced by systemic stimulation. In this study, unconscious (comatose) patients in the ICU of RSUD Kaimana received classical and instrumental music therapy as a form of auditory stimulation to support cerebral perfusion and promote hemodynamic stability. This quantitative study employed a quasi-experimental design with a non-equivalent time sample approach. A total of 35 respondents were selected through simple random sampling. The independent variables were classical and instrumental music therapies, while the dependent variables were hemodynamic parameters, including respiratory rate (RR), systolic and diastolic blood pressure, mean arterial pressure (MAP), heart rate (HR), and oxygen saturation (SpO₂). Data were collected through observation and questionnaires and analyzed using the Independent T-Test with SPSS. Before the intervention, the average RR was 25.93 (range: 14–35), systolic blood pressure 116.40 mmHg (98–144), diastolic 70.60 mmHg (52–94), MAP 87.67 mmHg (71–111), SpO₂ 98% (94–100), and HR 98 bpm (64–135). The analysis showed a p-value of 0.001 (< 0.05) for both classical and instrumental music interventions, indicating that H₀ was rejected and H₁ accepted. Thus, both types of music therapy significantly influenced the hemodynamic status of comatose patients in the ICU.