Impact of Music Therapy on Hospitalized Patients Post-Elective Orthopaedic Surgery: A Randomized Controlled Trial
Gallagher LM, Gardner V, Bates D, Mason S, Nemecek J, DiFiore JB, Bena J, Li M, Bethoux F
Orthopedic nursing · 25 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
- 2018-03-01 · Orthop Nurs · vol. 37 · número 2 · págs. 124–133
- Editorial
- Lippincott Williams & Wilkins
- Citado
- 49 citas · más que el 92% de estudios similares · 3.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 23 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Art Therapy and Mental Health · Music Education and Analysis
- Palabras clave
- music therapy, elective orthopaedic surgery, postoperative pain, anxiety, mood, nausea, narcotic use, antiemetic use, length of hospital stay, hospitalized patients, total hip arthroplasty, knee arthroplasty, shoulder arthroplasty
- MeSH
- humans, pain, pain measurement, music therapy, orthopedics, middle aged, female, male, self report, elective surgical procedures
9 autores
- Lisa M. Gallagher🇺🇸Cleveland Clinic
- Vickie Gardner
- Debbie Bates🇺🇸Cleveland Clinic
- Shelley Mason🇺🇸Cleveland Clinic
- Jeanine Nemecek
- Jacquelyn Baker DiFiore🇺🇸Cleveland Clinic
- James Bena🇺🇸Cleveland Clinic
- Manshi Li🇺🇸Cleveland Clinic
- François Béthoux🇺🇸Cleveland Clinic; The Neurological Institute
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Music therapy (MT) research has demonstrated positive effects on fatigue, depressed mood, anxiety, and pain in perioperative care areas. However, there has been limited research on the effects of MT for surgical patients on orthopaedic units.
Purpose
The purpose of this study was to understand the impact of MT sessions on post-elective orthopaedic surgery patients' pain, mood, nausea, anxiety, use of narcotics and antiemetics, and length of stay.
Methods
This was a randomized controlled study with an experimental arm (MT sessions) and a control arm (standard medical care). Patients received MT within 24 hours of admission to the unit, as well as every day of their stay. Same-day pre- and postdata were collected 30 minutes apart for both arms, including patient self-reported mood, pain, anxiety, and nausea. Use of medications and length of stay were gleaned from the electronic medical record.
Results
Data were obtained for 163 patients, age 60.5 ± 11.1 years, 56% of whom were male. Joints targeted by surgeries were hips (54%), knees (42%), and shoulders (4%). There were significantly greater changes favoring the MT group on Day 1 (pain, anxiety, and mood), Day 2 (pain, anxiety, mood, and nausea), and Day 3 (pain, anxiety, and mood). Among participants with a pre-pain score of 2 or more on Day 1, a decrease of at least 2 points was noted in 36% of the MT group and 10% of the control group (P < .001). Overall, 73% of MT patients versus 41% of control patients reported improved pain (P < .001). No significant between-group differences in medications or length of stay were noted.
Conclusions
We observed greater same-day improvements of pain, emotional status, and nausea with MT sessions, compared to usual care, in patients hospitalized after elective orthopaedic surgeries. Effects on narcotic and antiemetic usage, as well as length of stay, were not observed. More research needs to be conducted to better understand the benefits of MT pre- and post-elective orthopaedic surgery.
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