Effects of Music Therapy on Perioperative Anxiety, Physiological Stress, and Postoperative Recovery in Patients Undergoing Knee Arthroscopy: A Randomized Controlled Trial
Li Y, Cai Y, Wu J, Hu S
Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · 0 citas
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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
- 2026-01-27 · J Perianesth Nurs · vol. 41 · número 3 · págs. 740–747
- Editorial
- Elsevier BV
- Citado
- 1 cita · más que el 94% de estudios similares · 8.6× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 33 trabajos
- Acceso
- De pago
- Áreas de investigación
- Music Therapy and Health · Anesthesia and Pain Management · Neuroscience and Music Perception
- Palabras clave
- music therapy, knee arthroscopy, perioperative anxiety, postoperative pain, postoperative recovery, sedation, hemodynamic stability, post-anesthesia care unit, quality of recovery, enhanced recovery after surgery, non-pharmacological treatment
- MeSH
- humans, arthroscopy, music therapy, prospective studies, double-blind method, anxiety, adolescent, adult, aged, middle aged, female, male, stress, physiological, postoperative pain
4 autores
- Yan Li🇨🇳Anhui Medical University; First Affiliated Hospital of Anhui Medical University
- Yuehong Cai🇨🇳Anhui Medical University; First Affiliated Hospital of Anhui Medical University
- Junli Wu🇨🇳Anhui Medical University; First Affiliated Hospital of Anhui Medical University
- Shaohua Hu🇨🇳 · autor de correspondenciaAnhui Medical University; First Affiliated Hospital of Anhui Medical University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
To evaluate the effects of personalized music therapy on perioperative anxiety, physiological stress responses, postoperative pain, sedation, and recovery quality in patients undergoing knee arthroscopy.
Design
A prospective, randomized, double-blind, controlled trial.
Methods
Sixty-four American Society of Anesthesiologists I to III patients (aged 18 to 75 years) scheduled for elective knee arthroscopy were randomized to either a music therapy group (MTG, n = 32) or a control group (CG, n = 32). The MTG received personalized receptive music therapy during the preoperative holding phase and postanesthesia care unit (PACU) stay, while the CG wore identical headphones delivering silence. Outcomes included the State-Trait Anxiety Inventory-6, Numeric Rating Scale for pain, Observer's Assessment of Alertness/Sedation, Quality of Recovery-15, and continuous physiological monitoring (blood pressure, heart rate, respiratory rate, and oxygen saturation).
Findings
Compared with the CG, the MTG demonstrated significantly lower postoperative state anxiety scores (P < .001), reduced pain intensity across all postoperative timepoints (all P < .001), and shorter PACU stay (33.44 ± 4.30 vs 41.56 ± 7.77 minutes, P < .001). A greater proportion of MTG patients achieved full alertness in the PACU (96.9% vs 59.4%, P < .001). Quality of Recovery-15 scores at 24 hours were also higher in the MTG (86.19 ± 3.05 vs 73.94 ± 6.49, P < .001). Additionally, the MTG exhibited more stable hemodynamic parameters throughout the perioperative period.
Conclusions
Personalized music therapy is a safe and effective nonpharmacological intervention that reduces perioperative anxiety and pain, enhances physiological stability, accelerates postoperative emergence, and improves recovery quality in patients undergoing knee arthroscopy. Its integration into Enhanced Recovery After Surgery pathways may provide substantial benefits for perioperative care.
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