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Rhythm and orthopedics: The effect of music therapy in cast room procedures, a prospective clinical trial

Tolunay T, Bicici V, Tolunay H, Akkurt MO, Arslan AK, Aydogdu A, Bingol I

Injury · 7 citas

Etiquetas de revisión

Financiación no declarada

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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
2018-02-07 · Injury · vol. 49 · número 3 · págs. 593–598
Editorial
Elsevier BV
Citado
14 citas · más que el 86% de estudios similares · 1.9× el promedio de su campo
Referencias
47 trabajos
Acceso
Acceso abierto (copia en repositorio) · CC-BY-NC-ND
Áreas de investigación
Music Therapy and Health · Art Therapy and Mental Health · Neuroscience and Music Perception
Palabras clave
music therapy, orthopedic surgery, preoperative anxiety, cardiac arrhythmias, QT dispersion, pain, patient satisfaction, ECG monitoring
MeSH
humans, pain measurement, treatment outcome, music therapy, ambulatory surgical procedures, device removal, prospective studies, casts, surgical, anxiety, blood pressure, heart rate, music, adult, aged, aged, 80 and over, middle aged, patient satisfaction, female, male, young adult

7 autores

  • Tolga Tolunay🇹🇷 · autor de correspondenciaAnkara Yıldırım Beyazıt University; Yildirim Beyazit University Yenimahalle Education and Research Hospital
  • Vedat Biçici🇹🇷 · autor de correspondenciaAnkara Yıldırım Beyazıt University; Yildirim Beyazit University Yenimahalle Education and Research Hospital
  • Hatice Tolunay🇹🇷 · autor de correspondenciaAnkara Yıldırım Beyazıt University; Yildirim Beyazit University Yenimahalle Education and Research Hospital
  • Mehmet Orçun Akkurt🇹🇷 · autor de correspondenciaAnkara Yıldırım Beyazıt University; Yildirim Beyazit University Yenimahalle Education and Research Hospital
  • Arslan Kağan Arslan🇹🇷 · autor de correspondenciaAnkara Yıldırım Beyazıt University; Yildirim Beyazit University Yenimahalle Education and Research Hospital
  • Ali Aydoğdu🇹🇷 · autor de correspondenciaHitit Üniversitesi; Hitit Üniversitesi Çorum Eğitim ve Araştırma Hastanesi
  • İzzet Bingöl🇹🇷 · autor de correspondenciaMinistry of Health; Ankara 29 Mayis State Hospital

Resumen

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

Introduction

Cast room procedures generally cause anxiety in patients. Anxiety complicates the procedure as well as increases the risk of a complication. Listening to music was found to be the safest and most common non-drug treatment method. The aim of this study is to evaluate the effect of listening to music on adult patients in cast room procedures. This study points out the relation between anxiety and anxiety relevant cardiac arrhythmia.

Materials and methods

The study was performed on 199 patients with stable general condition, aged above 18. The patients were divided into two groups. Randomization method used in the study was coin flip. The first group (Group 1) listened to music during cast room procedures whereby the second group (Group 2) did not listen to music. Length of the procedure, complication, blood pressure and heart rate evaluations before and after the procedure, Visual Analogue Scale (VAS scores for pain), State-Trait Anxiety Inventory (STAI) anxiety score, patient satisfaction, willingness of the patient to repeat the procedure, P wave dispersion (Pd) and corrected QT interval dispersion (QTcd) as electrocardiographic arrhythmia predictors were evaluated. The Clinical Research Ethics Committee approval was obtained for this study.

Results

Significant difference was shown between the two groups for the following criteria: VAS scores (p = 0.005), anxiety scores (p = 0.032), processing time (p = 0.027), and QTcd values (p = 0.031). Patient satisfaction (p < 0.001) and willingness to repeat the procedure (p < 0.001) were higher for the group who listened to music. No significant difference in Pd values, blood pressure and heart rate was reported within the groups.

Conclusion

Music therapy is a non-invasive, safe, nonpharmacologic, anxiolytic, and analgesic treatment. Music therapy should become standard protocol in cast room procedures. One of the most important achievements of this study was the fact that music decreases anxiety and anxiety-related cardiac arrhythmia. Therefore, conducting further prospective studies including high cardiac risk patients especially with arrhythmia is crucial.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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