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Post-operative
Pain Music
therapy
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Music Therapy for post-operative anxiety
Music Therapy is becoming an increasingly
popular form of complementary medicine and has been shown to be
particularly helpful to alleviate stress and anxiety in stressful
environments. One recent study conducted at the Day Surgery Unit of St
Mary’s Hospital, Mequon, Wisconsin, USA investigated the role that music
therapy might play in a postoperative setting for ambulatory patients.
Forty two ambulatory surgery patients were assigned to either an
experimental group to receive music therapy along with the standard
preoperative instructions or a control group to receive the standard
preoperative instruction alone. Heart rate, blood pressure and respiratory
rates were used as measurements of anxiety and physical stress.
The only difference in the two groups was that the patients in the
experimental group were allowed to listen to the music of their choice
prior to surgery. The results revealed that the patients in the
experimental group showed significantly lower heart rates compared to the
patients in the control group. The experimental group also showed greater
improvements in blood pressure and respiration rate.
The researchers concluded that music therapy offers demonstrable
benefits for ambulatory surgery patients and they recommend that the
patients should be offered music as an effective option to help alleviate
postoperative anxiety.
Augustin P Hains AA. Effect of music on ambulatory surgery patients’
postoperative anxiety. AORN 1996; 63:4,750
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Music and anxiety after heart surgery
Researchers at the Bryan Memorial Hospital,
Lincoln, USA recently investigated the influence of music therapy on mood
and anxiety of patients undergoing heart surgery.
Ninety-six patients who underwent elective, heart bypass surgery at the
cardiovascular intensive care and progressive care units of a midwestern
community hospital participated in the study. The mean age of the patients
was 67 years, with an age range of 37 to 84 years. 68% of the patients
were men and 32% were women.
Physiological data relating to anxiety and mood was obtained through
blood pressure and heart rate as well as additional measures including the
use of Spielberger's state-trait anxiety inventory (STAI) and the patients’
own verbal ratings of their moods and anxiety levels was taken using a
numeric
rating scale (NRS).
The patients were randomly assigned to one of three groups: (1) music
therapy, (2) music-video therapy, or (3) scheduled rest group. All of the
patients received their assigned 30-minute intervention at two episodes on
the second and third days following their operations. Thephysiologic
measures of blood pressure and heart rate were measured immediately before
the intervention as well as at ten-minute intervals
throughout the intervention. Mood and anxiety were evaluated
by having the patients complete their NRS (i.e., 0 to 10) rating of mood
and anxiety immediately before and after each session.
Anxiety was also measured with the STAI. The study revealed that the
patients’ mood ratings showed significant improvement in mood among
those patients who were in the "music therapy" group after the
second intervention, however, no significant
differences were reported for anxiety ratings as measured by the
NRS and state anxiety instruments. But, there were significant main
effects over time for heart rate and systolic and diastolic blood pressure
in the music therapy group , which indicated a generalized physiologic
relaxation response. Reduced anxiety and improved mood were observed in
all three groups, and the researchers noted that all of the interventions
demonstrated a generalized relaxation.
Barnason S; Zimmerman L; Nieveen J. The effects of music
interventions on anxiety in the patient after coronary artery bypass
grafting.Bryan Memorial Hospital, Lincoln, NE 68506, USA. Heart Lung
(UNITED STATES) Mar-Apr 1995, 24 (2) p124-32
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Music therapy and anxiety following surgery
It is well known that many patients become
stressed and anxious prior to and after surgery. However, a report last
year indicated that one means of helping reduce anxiety in patients is to
incorporate music in in the Surgical Holding Area .
In the study, one group of patients listed to music while a second
group did not. The researchers observed that
patients who listened to music while in the Surgical Holding Area had
significantly less stress and anxiety than did those who did not listen to
music. Both groups spent similar lengths of time in the
Surgical Holding Area.
The researchers concluded that the "results strongly suggest that
if music were available to all patients in the Surgical Holding Area, most
would select this option, and they would
experience
less anxiety."
Winter MJ; Paskin S; Baker T. Music reduces stress and
anxiety of patients in the surgical holding area. J Post Anesth Nurs
(UNITED STATES) Dec 1994, 9 (6) p340-3
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A comparison of music therapy and jaw relaxation on
postoperative pain
An experimental study conducted at the Case
Western Reserve University, Cleveland, compared the effects of jaw
relaxation and music, individually and combined, on sensory and affective
pain following surgery.
Eighty four patients who had undergone abdominal surgery were randomly
assigned to four groups: relaxation, music, a combination of relaxation
and music, and control.
Interventions were taught to the patients before their operations and
used by them as soon as they were awake and able to move following
surgery. Indicators of the sensory component of pain were sensation
and the patients’ requirement for analgeasic medications over a twenty
four hour period.
Whilst the researchers observed that none of the interventions were
effective at reducing pain, during the first movement following surgery,
after keeping the taped interventions for two
postoperative
days, 89% of the patients reported them helpful for alleviation of the
sensation and distress of pain.
Good M. A comparison of the effects of jaw relaxation
and music on postoperative pain. School of Nursing,
Case Western Reserve University, Cleveland, OH 44106-4904. Nurs
Res (UNITED STATES) Jan-Feb 1995, 44 (1) p52-7
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This page was last updated on 07 July 2000 10:02:57 |
