Music Therapy for the Hematopoietic Stem Cell Transplant Patients

Background: In a large cancer center, the average in-patient admission for Hematopoietic Stem Cell Transplant (HSCT) patients ranges between three to five weeks based on the type of transplant. HSCT patients may experience not only physiological complications but also psychological, emotional, and spiritual distress during hospitalization. A number of HSCT patients are from out of state and may not have adequate family support throughout the course of hospitalization further aggravating patients’ level of distress. Music Therapy is a complementary treatment that addresses physical, emotional, cognitive, and social needs of individuals. It was introduced to HSCT patients as a supportive measure to assist in alleviating stressors experienced during the hospital stay.

Purpose: A group of HSCT nurses wanted to evaluate the patient perceived benefits of music therapy on HSCT patients during their hospitalization. A secondary aim of this project was to explore the literature regarding music therapy, with the potential for incorporating it as a standard of practice in the care of HSCT patients..

Intervention: After conducting a review of literature on the benefits of music therapy on HSCT patients, HSCT nurses in collaboration with Music Therapists promoted a regular program of music therapy during hospitalization. Music therapy is available to HSCT patients as a weekly group session, incorporated in an existing exercise class three times a week, or on an individual consult basis.  Evaluation:  At the end of each week, participants in music therapy are asked to complete a short survey on their perceptions of the effects of the therapy on a number of factors, including stress, anxiety, sleep, comfort, pain and others.  Results will be used to refine the program and potentially lead to nursing research.

Discussion: Music therapy has been reported to reduce pain and depression, promote rest and relaxation, and enhance patient satisfaction. Given the complexities involved in hematopoietic stem cell transplantation, interdisciplinary collaboration between nurses and music therapists can support the integration of music therapy to enhance patient care outcomes and promote patient satisfaction.