The Analgesic Properties of a Music Intervention in the Postanesthesia Care Unit
Kelly-Hellyer E, Sigueza AL, Pestritto M, Clark-Cutaia MN
Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 1 cita
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
- 2023-06-03 · J Perianesth Nurs · vol. 38 · número 5 · págs. 763–767
- Editorial
- Elsevier BV
- Citado
- 6 citas · más que el 84% de estudios similares · 1.7× el promedio de su campo
- Referencias
- 19 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Anesthesia and Pain Management · Pediatric Pain Management Techniques
- Palabras clave
- music intervention, postoperative pain, post-anesthesia care unit, analgesia, multimodal pain management, visual analogue scale, length of hospital stay, non-pharmacological pain management
- MeSH
- humans, analgesics, music therapy, prospective studies, music, adult, pain management, postoperative pain
4 autores
- Erin Kelly-Hellyer🇺🇸Pennsylvania Hospital; University of Pennsylvania Health System
- Anna Lee Sigueza🇺🇸 · autor de correspondenciaPennsylvania Hospital; University of Pennsylvania Health System
- Mara Pestritto🇺🇸Pennsylvania Hospital; University of Pennsylvania Health System
- Maya N. Clark‐Cutaia🇺🇸Pennsylvania Hospital; University of Pennsylvania Health System; New York University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
The purpose of this study was to determine whether a combined music pharmacological intervention was an effective multimodal approach to reduce adult pain in the postanesthesia care unit (PACU).
Design
A prospective, randomized control trial study.
Methods
Participants were recruited in the preoperative holding area on the day of surgery by the principal investigators. Music was selected by the patient following the informed consent process. Participants were randomized either to the intervention group or the control group. Patients in the intervention group received music in addition to standard pharmacological protocol while the control group received only the standard pharmacological protocol. Measured outcomes were change in visual analog pain scores and length of stay.
Findings
In this cohort (N = 134), 68 participants (50.7%) received the intervention, and 66 participants (49.3%) were in the control group. Paired t tests showed that pain scores for the control group worsened by an average of 1.45-points (95% CI: 0.75, 2.15; P < .001) compared to 0.34-points in the intervention group and was not significant (P = .314) as scores went from 1 out of 10 to 1.4 out of 10. Both control and intervention groups experienced pain, with the control group's overall pain scores worsening over time. This finding was statistically significant (P = .023). No statistically significant difference was noted in the average PACU length of stay (LOS).
Conclusions
The addition of music to the standard postoperative pain protocol demonstrated a lower average pain score on discharge from the PACU. The absence of a difference in LOS may be due to the confounding variables (eg, general versus spinal anesthesia or a difference in voiding time).
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