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Perioperative psychological and music interventions in elderly patients undergoing spinal anesthesia: effect on anxiety, heart rate variability, and postoperative pain

Wang Y, Dong Y, Li Y

Yonsei medical journal · 28 citas

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 independiente
Gobierno
Liaoning Province Science Project

Según 1 financiador declarado y la declaración de financiación del texto completo.

Publicación

Publicado
2014-01-01 · Yonsei Med J · vol. 55 · número 4 · pág. 1101
Editorial
Yonsei University College of Medicine
Citado
45 citas · más que el 90% de estudios similares · 2.7× el promedio de su campo
Referencias
22 trabajos
Acceso
Acceso abierto (revista) · CC-BY-NC
Áreas de investigación
Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Heart Rate Variability and Autonomic Control
Palabras clave
Anxiety, Perioperative, Medicine, Psychological intervention, Anesthesia, Music therapy, Heart rate variability, Intervention (counseling), Physical therapy, Heart rate, Internal medicine, Psychiatry, Blood pressure
MeSH
humans, music therapy, anesthesia, spinal, anxiety, heart rate, aged, aged, 80 and over, female, male, relaxation therapy, postoperative pain

3 autores

  • Yisha Wang🇨🇳Shenyang Medical College
  • Youjing Dong🇨🇳China Medical University
  • Li Yang🇨🇳China Medical University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Purpose

The aim of this study was to evaluate the effects of perioperative psychological and music interventions in elderly patients undergoing elective surgery on anxiety, post-operative pain, and changes in heart rate variability (HRV) to ascertain if perioperative psychological and music interventions can affect overall anxiety levels.

Materials and methods

Fourty elderly patients undergoing elective surgery were randomized to two groups; one group received psychological and music intervention, and the other was the control. The intervention group underwent psychological intervention and listening to music for 30 min before surgery.

Results

The mean change in HRV as determined by low frequency (LF) power measurements. After the intervention, the ratio of mean LF to high frequency (HF) power decreased significantly in the intervention group compared to before the intervention (p<0.05). In the control group, mean LF measurements and the ratio of LF:HF did not change significantly. In the intervention group, mean HF power was significantly higher after the procedure than before (p<0.01). Moreover, the mean self-rating anxiety score of the intervention group decreased after the procedure compared to before (p<0.05). The mean visual analogue score of the intervention group 6 hours after surgery was significantly lower than that of the control group (p<0.01).

Conclusion

Perioperative psychological and music interventions can reduce anxiety and postoperative pain in elderly patients.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).

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