Music Therapy for Pain and Anxiety Management in Nasal Bone Fracture Reduction: Randomized Controlled Clinical Trial
Ortega A, Gauna F, Munoz D, Oberreuter G, Breinbauer HA, Carrasco L
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 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
- 2019-06-11 · Otolaryngol Head Neck Surg · vol. 161 · número 4 · págs. 613–619
- Editorial
- Wiley
- Citado
- 49 citas · más que el 95% de estudios similares · 5.4× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 16 trabajos
- Acceso
- Acceso abierto (copia en repositorio) · CC-BY-NC-ND
- Áreas de investigación
- Music Therapy and Health · Facial Trauma and Fracture Management · Pediatric Pain Management Techniques
- Palabras clave
- music therapy, nasal bone fracture, closed reduction, pain management, anxiety reduction, local anesthesia, procedural pain, complementary therapy, blood pressure, heart rate
- MeSH
- nasal bone, humans, pain, pain measurement, music therapy, fracture fixation, anxiety, blood pressure, heart rate, music, adolescent, adult, middle aged, female, male, fractures, bone, young adult
6 autores
- Alvaro Ortega🇨🇱Hospital San Juan de Dios
- Felipe Gauna🇨🇱Hospital San Juan de Dios
- Daniel Munoz🇨🇱Hospital San Juan de Dios
- Gerardo Oberreuter E🇨🇱Hospital San Juan de Dios
- Hayo Andrés Breinbauer🇨🇱Hospital San Juan de Dios; University of Chile
- Loreto Carrasco🇨🇱 · autor de correspondenciaClínica Alemana; Hospital San Juan de Dios
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To evaluate whether listening to music through binaural headphones contributes to the perception of pain and anxiety in patients undergoing closed nasal bone fracture reductions.
Study design
Randomized controlled trial.
Subjects and methods
We recruited patients from San Juan de Dios Hospital with displaced nasal fractures who required a reduction and assigned them to a control group or a music group. For both groups, a protocolized closed reduction of the nasal fracture with local anesthesia was performed. The music group heard music through headphones during the pre-, intra-, and postprocedural periods of the intervention. Physiological variables (blood pressure and heart rate) were measured. An anxiety survey (State-Trait Anxiety Inventory) and the visual analog scale for measuring pain were also applied.
Results
The music group exhibited significantly lower levels of systolic blood pressure (P = .0001), anxiety (P P = .0004) than the control group.
Conclusion
Listening to music through headphones-a safe and low-cost intervention-appears to aid in pain and anxiety management associated with procedures that are usually uncomfortable, such as the reduction of nasal bone fractures with local anesthesia. We believe that this effect is achieved by the modulation of pain and anxiety on an emotional-affective dimension at a central level. Given its safety, feasibility, and low cost, music therapy should be considered a complementary treatment for pain and anxiety management for nasal fracture reduction performed with local anesthesia, as well as for other medical procedures of similar pain levels conducted without general anesthesia.
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