A randomised pilot study evaluating music therapy and virtual reality mindfulness sessions for reducing anxiety and stress in patients undergoing first-time elective cardiac surgery
Krishnamoorthy B, Abdelghafar M, Air R, Halyckyj-Smith J, Citarella A, McLaughlin E, Iles-Smith H, Elliott R, Barnard J, Rajai A, Venkateswaran R
Journal of perioperative practice · 0 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
- University of Salford Manchester
- Subvenciones
- University of Salford Manchester (Funder reference ID: NUFA86.)
Según 1 financiador declarado.
Publicación
- Publicado
- 2025-10-04 · J Perioper Pract · vol. 36 · número 1-2 · págs. 59–67
- Editorial
- SAGE Publishing
- Citado
- 0 citas · más que el 26% de estudios similares · 0.0× el promedio de su campo
- Referencias
- 15 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Mindfulness and Compassion Interventions · Cardiac Health and Mental Health
- Palabras clave
- music therapy, virtual reality, mindfulness, preoperative anxiety, postoperative anxiety, cardiac surgery, salivary cortisol, stress reduction, immersive virtual reality, non-pharmacological treatment
- MeSH
- humans, music therapy, cardiac surgical procedures, pilot projects, stress, psychological, anxiety, aged, middle aged, female, male, mindfulness, elective surgical procedures, virtual reality
11 autores
- Bhuvaneswari Krishnamoorthy🇬🇧 · autor de correspondenciaUniversity of Manchester; Wythenshawe Hospital; University of Salford
- Moslem Abdelghafar🇬🇧Wythenshawe Hospital
- Rick Air🇬🇧Wythenshawe Hospital
- Joshua Halyckyj-Smith🇬🇧Wythenshawe Hospital
- Angelo Citarella🇬🇧Wythenshawe Hospital
- Edward McLaughlin🇬🇧Wythenshawe Hospital
- Heather Iles‐Smith🇬🇧University of Salford
- Rebecca M. Elliott🇬🇧University of Manchester
- James B. Barnard🇬🇧Wythenshawe Hospital
- Azita Rajai🇬🇧Manchester Academic Health Science Centre; University of Manchester; Manchester University NHS Foundation Trust
- Rajamiyer Venkateswaran🇬🇧Wythenshawe Hospital
Resumen
El texto original del estudio, en el idioma en que se publicó.
Cardiac surgery patients may experience stress and anxiety, negatively impacting recovery. Pharmacological treatments are frequently used but may result in side effects. We aimed to assess the effectiveness of immersive virtual reality mindfulness and music therapy in reducing preoperative and postoperative anxiety. Between March and July 2024, 36 participants were randomised to 15 min of either virtual reality (n = 19) or music therapy (n = 17) preoperatively and on postoperative day 3. Primary endpoints were anxiety levels and salivary cortisol, assessed before and after intervention using the paired Wilcoxon test. Median age was 66 (interquartile range = 58-73); 64% were male. Both music therapy and virtual reality groups showed significant preoperative Spielberger State-Trait Anxiety Inventory score reductions after intervention: music therapy from 40 (30-48) to 23 (21-24) and virtual reality from 40 (31-54) to 23 (20-35) (both p p = 0.7). Median virtual reality immersion and absorption scores were 90/100 (interquartile range = 80-90; 80-94). Cortisol levels did not significantly change. Postoperatively, 21 patients participated (virtual reality n = 11, music therapy n = 8), showing reduced anxiety: music therapy from 31 (26-32) to 23 (20-27), virtual reality from 33 (23-41) to 24 (22-30). Results show feasibility, tolerability, and preliminary evidence of anxiety reduction, supporting further research into music therapy and virtual reality for cardiac surgery patients. The trial was registered with the International Standard Randomised Controlled Trial Number Registry (ISRCTN51014051) (https://doi.org/10.1186/ISRCTN51014051).
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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