Personal versus therapist perioperative music intervention: a randomized controlled trial
Jiang F, Wang T, Hu L, Chen S, Chen L, Liu X, Lu Y, Gu E, Ulloa L
International journal of surgery (London, England) · 7 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
- Universidad u hospital
- Anhui Medical University
Según 1 financiador declarado y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2024-03-27 · Int J Surg · vol. 110 · número 7 · págs. 4176–4184
- Editorial
- Wolters Kluwer
- Citado
- 11 citas · más que el 95% de estudios similares · 5.2× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 91 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY-NC
- Áreas de investigación
- Music Therapy and Health · Neuroscience and Music Perception · Anesthesia and Pain Management
- Palabras clave
- classical music, postoperative anxiety, postoperative nausea and vomiting, post-anesthesia care unit, patient satisfaction, systolic blood pressure, sleep quality, elective surgery, music therapy, postoperative delirium, postoperative depression, postoperative cognitive dysfunction, postoperative delirium prevention
- MeSH
- humans, postoperative nausea and vomiting, music therapy, perioperative care, prospective studies, single-blind method, anxiety, adolescent, adult, middle aged, patient satisfaction, female, male, young adult
9 autores
- Fan Jiang🇺🇸🇨🇳Duke University; Duke Medical Center; First Affiliated Hospital of Anhui Medical University
- Tingting Wang🇨🇳First Affiliated Hospital of Anhui Medical University
- Liqiong Hu🇨🇳First Affiliated Hospital of Anhui Medical University
- Shangui Chen🇨🇳First Affiliated Hospital of Anhui Medical University
- Lijian Chen🇨🇳First Affiliated Hospital of Anhui Medical University
- Xuesheng Liu🇨🇳First Affiliated Hospital of Anhui Medical University
- Yao Lu🇨🇳First Affiliated Hospital of Anhui Medical University
- Erwei Gu🇨🇳First Affiliated Hospital of Anhui Medical University
- Luis Ulloa🇺🇸Duke University; Duke Medical Center
Resumen
El texto original del estudio, en el idioma en que se publicó.
Introduction
Music interventions can alleviate patient anxiety and improve post-surgical satisfaction. However, it remains uncertain whether personal music preferences affect efficacy. The authors tested whether personal music intervention with patient-selected songs played ad libitum is more effective than standard therapist-designed treatment with classical music.
Methods
A prospective, parallel-group, single-blinded, randomized controlled trial with 229 participants (aged 18-60 years) previously scheduled for elective surgery. Data analyses followed a modified intention-to-treat principle. The patients were randomized into three groups: Standard care without music (Control), therapist-designed classic music treatment (TT), or personal music intervention with patient-selected songs played ad libitum by the patient (PI). All patients received standard post-anaesthesia care, and music intervention was started upon arrival at the post-anaesthesia care unit. Primary outcomes were anxiety and overall satisfaction at discharge. In contrast, secondary outcomes were systolic blood pressure during music intervention, the sleep quality of the night after surgery, and the occurrence of postoperative nausea and vomiting within the first 24 h after surgery.
Results
Compared with therapist-designed music treatment, personal intervention decreased systolic blood pressure (T 0 : 124.3±13.7, 95% CI:121-127.7; T 20min : 117.6±10.4, 95% CI:115-120.1; T 30min : 116.9±10.6, 95% CI:114.3-119.4), prevented postoperative nausea and vomiting (Control: 55.9%, TT: 64.6%, PI: 77.6%), including severe postoperative nausea (VAS score>4; Control: 44.1%; TT: 33.8%; PI: 20.9%) and severe emesis (Frequency≥3, Control: 13.2%; TT: 7.7%; PI: 4.5%). None of the treatments affected sleep quality at night after surgery (Median, Q1-Q3, Control: 3, 1-3; TT: 3, 1-4; PI: 3, 1-3.5). Personal, but not therapist, music intervention significantly prevented anxiety (Control: 36.4±5.9, 95% CI:35.0-37.9; TT: 36.2±7.1, 95% CI: 34.4-37.9; PI: 33.8±5.6, 95% CI: 32.4-35.2) and emesis (Control: 23.9%; TT: 23.4%; PI: 13.2%) and improved patient satisfaction (Median, Q1-Q3, C: 8, 6-8; TT: 8, 7-9; PI: 8, 7-9).
Conclusions
Personal music intervention improved postoperative systolic blood pressure, anxiety, nausea, emesis, and overall satisfaction, but not sleep quality, as compared to therapist-designed classic intervention.
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.