The effect of music intervention in stress response to cardiac surgery in a randomized clinical trial
Nilsson U
Heart & lung : the journal of critical care · 125 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2008-10-06 · Heart Lung · vol. 38 · número 3 · págs. 201–207
- Editorial
- Elsevier BV
- Citado
- 241 citas · más que el 98% de estudios similares · 11.3× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 33 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Neuroscience and Music Perception · Cardiac Health and Mental Health
- Palabras clave
- music intervention, stress response, cardiac surgery, coronary artery bypass grafting, aortic valve replacement, serum cortisol, postoperative care, relaxing music, anxiety, pain, heart rate, hemodynamic parameters, oxygen saturation
- MeSH
- humans, pain, hydrocortisone, pain measurement, bed rest, music therapy, cardiac surgical procedures, postoperative period, analysis of variance, adaptation, psychological, stress, psychological, anxiety, oxygen consumption, heart rate, aged, middle aged, female, male, hemodynamics, respiratory physiological phenomena
1 autor
- Ulrica G. Nilsson🇸🇪 · autor de correspondenciaÖrebro University Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To evaluate the effect of bed rest with music on the first postoperative day to decrease stress for patients who have undergone heart surgery.
Methods
A repeated-measures randomized controlled trial was used. The study took place in a cardiothoracic intermediary unit of a university hospital in Sweden. Fifty-eight patients who had undergone open coronary artery bypass grafting or aortic valve replacement surgery were included. Stress response was assessed by determining the serum cortisol, heart rate, respiratory rate, mean arterial pressure, arterial oxygen tension, arterial oxygen saturation, and subjective pain and anxiety levels. At 12:00 noon on postoperative day 1, patients were allocated to receive 30 minutes of uninterrupted bed rest with music and then 30 minutes of bed rest or alternatively 60 minutes of uninterrupted bed rest. The music was soft and relaxing, included different melodies in new-age style, played with a volume at 50 to 60 dB, and distributed through a music pillow connected to an MP3 player.
Results
After 30 minutes of bed rest, there was a significant difference in s-cortisol levels between the groups; 484. 4 mmol/L in the music group versus 618.8 mmol/L in the control group (P < .02). However, this difference in s-cortisol levels was not found 30 minutes later (ie, after a total of 60 minutes). There was no difference in heart rate, respiratory rate, mean arterial pressure, arterial oxygen tension, arterial oxygen saturation, and subjective pain and anxiety levels between the groups.
Conclusion
There is sufficient practical evidence of stress reduction to suggest that a proposed regimen of listening to music while resting in bed after open heart surgery be put into clinical use.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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