Nature sound for pain, how effective will it be? a literature review

Afifah Salsabila(1*), Sri Endang Windiarti(2), Arwani Arwani(3)

(1) Poltekkes Kemenkes Semarang
(2) Poltekkes Kemenkes Semarang
(3) Poltekkes Kemenkes Semarang
(*) Corresponding Author


Pain is one of the reasons for patients to visit the emergency room and is frequently encountered in primary care, outpatient, and inpatient settings. Nature sounds and music is one of the solutions to ease the intensity of pain. This literature review aimed to observe the results of natural pain intervention studies. The literature search for this literature review used Science Direct, PubMed, and Google Scholar. The criteria for this literature review are articles published in the last 5 years (2020-2024), articles in Indonesian and English in national or internationally renowned journals, and scientific articles. Featured articles are articles that the author can download or open. Finally, 5 articles suitable for analysis were obtained. The results showed that providing natural interventions with or without a combination can reduce patients' pain. Not only does it reduce pain, but the natural sound intervention is also useful in reducing stress, anxiety and pain-related patient and systolic blood pressure and heart rate.


nature sound; pain; nursing intervention

Full Text:



Michaelides A, Zis P. Depression, anxiety and acute pain: links and management challenges. Postgraduate Medicine 2019;131:438–44.

Chou R, Wagner J, Ahmed AY, Blazina I, Brodt E, Buckley DI, et al. Treatments for Acute Pain: A Systematic Review. 2020.

Varndell W, Fry M, Elliott D. Pain assessment and interventions by nurses in the emergency department: A national survey. Journal of Clinical Nursing 2020;29:2352–62.

Harja KP, Roosheroe AG, Simadibrata CL, Helianthi DR. The Role of Acupuncture in Reducing Pain Scale Scoring in Geriatric Patients with Acute Pain: A Literature Review. Medical Acupuncture 2022;34:107–14.

Small C, Laycock H. Acute postoperative pain management. British Journal of Surgery 2020;107:e70–80.

Lunde SJ, Vuust P, Garza-Villarreal EA, Vase L. Music-induced analgesia: how does music relieve pain? Pain 2019;160:989–93.

Nishida K, Oyama-Higa M. The Influence of Listening to Nature Sounds on Mental Health BT. In: Pham TD, Ichikawa K, Oyama-Higa M, Coomans D, Jiang X, editors. Biomedical Informatics and Technology, Berlin, Heidelberg: Springer Berlin Heidelberg; 2014, p. 319–23.

Wahyuni S, Komariah N, Novita N. Perbedaan nyeri persalinan pada ibu yang mendapatkan terapi murottal qur’an dan musik klasik di klinik bersalin kota palembang. JPP (Jurnal Kesehatan Poltekkes Palembang) 2019;14:107–12.

Setyowati A, Ta’adi T, Sulistyowati DID. The effectiveness of the combination of nature sound and foot massage against pain post-appendectomy patients. Media Keperawatan Indonesia 2023;6:224.

Korkut S, Ülker T, Çidem A, Şahin S. The effect of progressive muscle relaxation and nature sounds on blood pressure measurement skills, anxiety levels, and vital signs in nursing students. Perspectives in Psychiatric Care 2021;57:1782–90.

Kutenai HJ, Jafari H, Shafipour V, Zarghami M, Moosazadeh M. Comparison of the effects of Benson relaxation technique and nature sounds on pain, anxiety, and body image in burn-injured patients admitted to the burn ICU: A single-blind randomized clinical trial. Burns 2023;49:1439–47.

Lepping RJ, McMillan ML, Chadwick AL, Mansour ZM, Martin LE, Gustafson KM. Autonomic nervous system markers of music-elicited analgesia in people with fibromyalgia: A double-blind randomized pilot study. Frontiers in Pain Research 2022;3.

Fatehimoghadam S, Molavynejad S, Rokhafroz D, Seyedian SM, Sharhani A. Effect of Nature-Based Sound Therapy on Stress and Physiological Parameters in Patients with Myocardial Infarction. Iranian Journal of Nursing and Midwifery Research 2023;28:436–42.

Dayoub EJ, Jena AB. Does Pain Lead to Tachycardia? Revisiting the Association Between Self-reported Pain and Heart Rate in a National Sample of Urgent Emergency Department Visits. Mayo Clinic Proceedings 2015;90:1165–6.

Terkelsen AJ, Mølgaard H, Hansen J, Andersen OK, Jensen TS. Acute pain increases heart rate: Differential mechanisms during rest and mental stress. Autonomic Neuroscience 2005;121:101–9.

Akarsu K, Koç A, Ertuğ N. The effect of nature sounds and earplugs on anxiety in patients following percutaneous coronary intervention: A randomized controlled trial. European Journal of Cardiovascular Nursing 2019;18:651–7.

Honzel E, Murthi S, Brawn-Cinani B, Colloca G, Kier C, Varshney A, et al. Virtual reality, music, and pain: developing the premise for an interdisciplinary approach to pain management. Pain 2019;160:1909–19.

Farzaneh M, Abbasijahromi A, Saadatmand V, Parandavar N, Dowlatkhah HR, Bahmanjahromi A. Comparative Effect of Nature-Based Sounds Intervention and Headphones Intervention on Pain Severity After Cesarean Section: A Prospective Double-Blind Randomized Trial. Anesthesiology and Pain Medicine 2019;In Press.

Darcy PM, Taylor J, Mackay L, Ellis NJ, Gidlow CJ. Understanding the Role of Nature Engagement in Supporting Health and Wellbeing during COVID-19. International Journal of Environmental Research and Public Health 2022;19:3908.

Saadatmand V, Rejeh N, Heravi-Karimooi M, Tadrisi SD, Vaismoradi M, Jordan S. Effects of Natural Sounds on Pain: A Randomized Controlled Trial with Patients Receiving Mechanical Ventilation Support. Pain Management Nursing 2015;16:483–92.

Lechtzin N, Busse AM, Smith MT, Grossman S, Nesbit S, Diette GB. A Randomized Trial of Nature Scenery and Sounds Versus Urban Scenery and Sounds to Reduce Pain in Adults Undergoing Bone Marrow Aspirate and Biopsy. The Journal of Alternative and Complementary Medicine 2010;16:965–72.

Vincent E, Battisto D, Grimes L, McCubbin J. The Effects of Nature Images on Pain in a Simulated Hospital Patient Room. HERD: Health Environments Research & Design Journal 2010;3:42–55.

Nasari M, Ghezeljeh T, Haghani H. Effects of nature sounds on sleep quality among patients hospitalized in coronary care units: A randomized controlled clinical trial. Nursing and Midwifery Studies 2018;7:18.

Falkner B. Effects of the 2017 clinical practice guidelines on hypertension in children and adolescents: A commentary. International Journal of Cardiology Hypertension 2019;2:100014.

Liszio S, Graf L, Masuch M. The relaxing effect of virtual nature: immersive technology provides relief in acute stress situations. Annu Rev Cyberther Telemed 2018;16:87–93.

Stanhope J, Breed MF, Weinstein P. Exposure to greenspaces could reduce the high global burden of pain. Environmental Research 2020;187:109641.

Article Metrics

Abstract view : 117 times
PDF - 1 times



  • There are currently no refbacks.

Copyright (c) 2024 Afifah Salsabila, Sri Endang Windiarti, Arwani Arwani

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:



View My Stats 

Universitas Muhammadiyah Semarang and PPNI Jawa Tengah

Kedungmundu Raya No. 18 Semarang NRC Building Universitas Muhammadiyah Semarang

Phone: 02476740287
Fax: 02476740287
Email: [email protected]