The effect of music intervention on sedation in elderly patients undergoing transurethral resection of prostate under spinal anesthesia: a prospective randomized controlled clinical trial
Zhang YW, Guan ZY, Wang LL, Wang CM, Zhang J
Journal of anesthesia · 3 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
- Gobierno
- Natural Science Foundation of Liaoning Province
- Subvenciones
- Natural Science Foundation of Liaoning Province (2020-MS-053)
Según 1 financiador declarado.
Publicación
- Publicado
- 2023-07-29 · J Anesth · vol. 37 · número 5 · págs. 734–740
- Editorial
- Springer Science+Business Media
- Citado
- 9 citas · más que el 89% de estudios similares · 2.6× el promedio de su campo
- Referencias
- 28 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Anesthesia and Sedative Agents · Anesthesia and Pain Management
- Palabras clave
- music intervention, sedation, elderly patients, transurethral resection of the prostate, spinal anesthesia, bispectral index, perioperative anxiety, hemodynamic response, patient satisfaction
- MeSH
- humans, hypnotics and sedatives, music therapy, anesthesia, spinal, transurethral resection of prostate, prospective studies, music, aged, middle aged, male
5 autores
- Yi-Wen Zhang🇨🇳Liaoning Provincial People's Hospital; China Medical University
- Zhan-Ying Guan · autor de correspondencia
- Ling-Ling Wang🇨🇳Liaoning Provincial People's Hospital; China Medical University
- Chang-Ming Wang🇨🇳 · autor de correspondenciaLiaoning Provincial People's Hospital; China Medical University
- Jing Zhang🇨🇳Liaoning Provincial People's Hospital; China Medical University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
Music intervention is commonly used as a non-pharmacologic therapeutic modality to alleviate anxiety in perioperative patients. This study aimed to assess the sedative and anxiolytic effects of music on elderly patients receiving transurethral resection of prostate (TURP) under spinal anesthesia.
Methods
This was a prospective randomized controlled trial on patients who aged over 60 and received TURP under spinal anesthesia. Participants were randomized to the music group or the control group (no music). The primary outcome was perioperative BIS values, and the secondary outcomes were patient's perioperative anxiety levels, heart rate (HR), blood pressure, and patient satisfaction score.
Results
A total of 82 patients were analyzed. The perioperative BIS values in the music group were significantly lower than those of the control group at almost all time points (P < 0.001), as well as showed a significant reduction compared with baseline (P < 0.001), whereas the control group did not. In comparison with the control group, systolic blood pressure (SBP) significantly decreased in the music group at the beginning (mean difference, - 8.0 mmHg; 95% CI - 15.70 to 0.35; P = 0.041) and the 60th minute (mean difference, - 7.9 mmHg; 95% CI - 15.30 to 0.51; P = 0.037) of TURP. Furthermore, compared with baseline within the music group, diastolic blood pressure (DBP) and HR significant reduced at whole time points (P < 0.05), yet the control group not.
Conclusion
Music intervention effectively provided slight sedation for elderly patients when undergoing TURP under spinal anesthesia without sedatives.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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