One-hour music intervention to improve the quality of recovery in female patients undergoing elective surgery after general anesthesia: A single-center randomized clinical study
Zhang Y, Basnet D, Zhao Y, Wei M, Xu R, Wu F, Liu J, Wang Y, Liu J
Journal of clinical anesthesia · 1 cita
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
- National Natural Science Foundation of China
- Universidad u hospital
- Tongji University
- Subvenciones
- National Natural Science Foundation of China (82371204); National Natural Science Foundation of China (82171194)
Según 2 financiadores declarados.
Publicación
- Publicado
- 2025-08-07 · J Clin Anesth · vol. 106 · pág. 111955
- Editorial
- Elsevier BV
- Citado
- 4 citas · más que el 94% de estudios similares · 4.5× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 40 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY-NC-ND
- Áreas de investigación
- Music Therapy and Health · Anesthesia and Pain Management · Intensive Care Unit Cognitive Disorders
- Palabras clave
- music intervention, post-anesthesia care unit, postoperative recovery, postoperative anxiety, female patients, gynecological laparoscopic surgery, general anesthesia, stress hormones, cortisol, ACTH, sleep quality, postoperative pain, analgesic use, agitation
- MeSH
- humans, laparoscopy, music therapy, anesthesia, general, anesthesia recovery period, gynecologic surgical procedures, prospective studies, anxiety, adolescent, adult, aged, middle aged, china, female, young adult, elective surgical procedures, sleep quality, postoperative pain
11 autores
- Yuwen Zhang🇨🇳Tongji University
- Diksha Basnet🇨🇳Tongji University
- Yanhong Zhao🇨🇳Tongji University
- Mengyun Wei🇨🇳Tongji University
- Runsheng Xu🇨🇳Tongji University
- Fan Wu🇨🇳Tongji University
- Jiehui Liu🇨🇳 · autor de correspondenciaTongji University
- Jiehui Liu🇨🇳Tongji University
- Yi Wang🇨🇳Tongji University
- Jianhui Liu🇨🇳 · autor de correspondenciaTongji University
- Jianhui Liu🇨🇳Tongji University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Study objective
This study determined whether a one-hour music intervention while patients were in the post-anesthesia care unit (PACU) could improve postoperative recovery for female patients.
Design
Single-center, prospective, randomized controlled trial.
Setting
Tertiary university hospital in China.
Patients
194 females aged 18-65 years scheduled for laparoscopic gynecological surgical procedures under general anesthesia.
Interventions
Patients were randomly assigned to receive therapist-selected music through earphones or wore earphones without listening to music.
Measurements
The primary outcome was State-Trait Anxiety Inventory (STAI; STAI-S and STAI-T subscales) scores. Secondary outcomes included post-operative quality recovery scale (PQRS) scores and other scales assessing pain and sleep quality, as well as serum glucose, lactate, and stress hormones levels, including adrenocorticotropic hormone (ACTH), cortical hormone releasing hormone (CRH), cortisol, and aldosterone.
Main results
Results from 188 patients were analyzed. Participants in both music and control groups had decreased STAI-S scores on the first and second postoperative days. The music group had a greater reduction in STAI-S scores than the control group (P < 0.001). The music group also had reduced agitation, pain intensity, and reliance on analgesics, as well as improved sleep quality compared to the control group. The control group had higher ACTH levels (P = 0.03) and cortisol levels (P = 0.003) than the music group. CRH, aldosterone, blood glucose, and lactate concentrations did not significantly differ between groups.
Conclusions
Music intervention in PACU for female patients undergoing elective laparoscopic gynecological surgery under general anesthesia helped alleviate postoperative anxiety and enhanced the quality of postoperative recovery.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).
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