Music therapy for reducing anxiety in patients undergoing total knee replacement surgery under subarachnoid anesthesia
Abdul Hamid MR, Mansor MB, Zainal Abidin MF
Journal of orthopaedic surgery (Hong Kong) · 13 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
- Organización sin fines de lucro
- Malaysian Society of Anesthesiologists
Según 1 financiador declarado.
Publicación
- Publicado
- 2022-05-01 · J Orthop Surg (Hong Kong) · vol. 30 · número 2 · pág. 10225536221122347
- Editorial
- SAGE Publishing
- Citado
- 20 citas · más que el 92% de estudios similares · 3.3× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 8 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY-NC
- Áreas de investigación
- Music Therapy and Health · Neuroscience and Music Perception · Anesthesia and Pain Management
- Palabras clave
- music therapy, preoperative anxiety, total knee arthroplasty, spinal anesthesia, non-pharmacological treatment, cortisol, hemodynamic response, postoperative pain, lower limb orthopedic surgery
- MeSH
- humans, hydrocortisone, music therapy, anesthesia, arthroplasty, replacement, knee, anxiety
3 autores
- Mohd Rahmat Abdul Hamid🇲🇾 · autor de correspondenciaUniversity Malaya Medical Centre; University of Malaya
- Marzida Mansor🇲🇾University Malaya Medical Centre; University of Malaya
- Mohd Fitry Zainal Abidin🇲🇾University Malaya Medical Centre; University of Malaya
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Non-pharmacological interventions such as music are being increasingly used in clinical settings.
Objective
To assess the effects of music on patients undergoing total knee replacement (TKR) surgery under subarachnoid anesthesia.
Methods
This randomized controlled trial examined participants (45/group) in a music and non-music group. Anxiety was measured in both the groups using (1) the adapted hospital anxiety and depression scale (HADS), (2) Spielberger state trait anxiety inventory (STAI-S), (3) visual analog scale (VAS), (4) cortisol levels, and (5) blood pressure. Music was delivered using an MP3 player and headphones. Hemodynamic data was collected before, during, and after music therapy. Cortisol and stress levels were measured postoperatively. VAS was assessed 30 min before surgery, 30 min after the administration of anesthesia, and 30 min after the surgery ended in the recovery room to obtain comparative data on pain levels at 3 different phases using a numeric rating scale.
Results
Changes in the mean VAS scores from the pre-to postoperative phase were significantly different between the music and non-music groups (p = .001). The mean (±standard deviation [SD]) HADS and STAI-S scores of the non-music group were higher than those in the music group (HADS:15.58 ± 2.231 vs 11.91 ± 3.218; STAI-S: 54.04 ± 2.899 vs 48.87 ± 4.595). There were significant differences in the mean systolic and diastolic blood pressure and mean heart rate between the groups based on time (both, p p < .05).
Conclusions
These results suggest that music can reduce patients' anxiety level in the operating room. Studies on music therapy for patients undergoing lower limb orthopedic surgery, especially under subarachnoid anesthesia, are extremely limited. Therefore, this study can serve as a reference regarding the application of music therapy in the medical field.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.