Effects of perioperative music therapy on pain, anxiety and hemodynamics in patients undergoing upper limb surgery

Background: There are growing studies of music therapy recent years as a non-pharmacological method in perioperative management of anxiety and pain with promising result. This study was conducted to investigate the effect of perioperative religious-based music on pain, anxiety and hemodynamic parame...

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Main Author:	Ying, Tee May
Format:	Thesis
Language:	English
Published:	2018
Subjects:	R Medicine (General)
Online Access:	http://eprints.usm.my/48565/1/Dr.%20Tee%20May%20Ying-24%20pages.pdf
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spelling	my-usm-ep.485652021-03-09T06:34:04Z Effects of perioperative music therapy on pain, anxiety and hemodynamics in patients undergoing upper limb surgery 2018 Ying, Tee May R Medicine (General) Background: There are growing studies of music therapy recent years as a non-pharmacological method in perioperative management of anxiety and pain with promising result. This study was conducted to investigate the effect of perioperative religious-based music on pain, anxiety and hemodynamic parameters targeted specific in our local population. Objective: To examine the effectiveness of perioperative music intervention on pain, anxiety, and vital signs among patients undergoing upper limb surgery using religious-based music in Hospital Universiti Sains Malaysia (HUSM). Methods: A randomized single-blinded controlled clinical trial was conducted in the Operation Theatre in HUSM, Kelantan. 81 patients were recruited and randomly assigned to either Control (n = 40) or Music (n = 41) group respectively. Standard care was given to both Control and Music group. The Intervention group listened to patient-selected religious-based music preoperatively and throughout the surgery, while Control group were played with White noise sound preoperatively and throughout the surgery. Primary measures include pain score (at rest and dynamic), anxiety level, and vital signs, i.e. mean arterial pressure (MAP) and heart rate. Secondary outcomes include total fentanyl requirement intraoperatively, time to first morphine requirement after arrival in PACU, time to last morphine requirement in PACU and duration of stay in PACU before discharge. Results: The Music group showed remarkable reduction in anxiety level and MAP reduction within group (p<0.05 respectively). Statistically significant secondary outcomes include more than 50% reduction in total fentanyl requirement intraoperatively, with Control group 79.17μg (SD 45.87), while Music group 36.11μg (SD13.18) with p=0.01. Subjects in Music group have shorter duration of PACU stays compared to Control group (p=0.02). There was no significance difference between groups were identified in pain score and other secondary measures. Conclusion: The study findings provide new evidence to support the application of religious-based music intervention in reducing anxiety level, maintain more stable MAP intraoperatively and hastened discharge from PACU after upper limb surgery 2018 Thesis http://eprints.usm.my/48565/ http://eprints.usm.my/48565/1/Dr.%20Tee%20May%20Ying-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Ying, Tee May Effects of perioperative music therapy on pain, anxiety and hemodynamics in patients undergoing upper limb surgery
description	Background: There are growing studies of music therapy recent years as a non-pharmacological method in perioperative management of anxiety and pain with promising result. This study was conducted to investigate the effect of perioperative religious-based music on pain, anxiety and hemodynamic parameters targeted specific in our local population. Objective: To examine the effectiveness of perioperative music intervention on pain, anxiety, and vital signs among patients undergoing upper limb surgery using religious-based music in Hospital Universiti Sains Malaysia (HUSM). Methods: A randomized single-blinded controlled clinical trial was conducted in the Operation Theatre in HUSM, Kelantan. 81 patients were recruited and randomly assigned to either Control (n = 40) or Music (n = 41) group respectively. Standard care was given to both Control and Music group. The Intervention group listened to patient-selected religious-based music preoperatively and throughout the surgery, while Control group were played with White noise sound preoperatively and throughout the surgery. Primary measures include pain score (at rest and dynamic), anxiety level, and vital signs, i.e. mean arterial pressure (MAP) and heart rate. Secondary outcomes include total fentanyl requirement intraoperatively, time to first morphine requirement after arrival in PACU, time to last morphine requirement in PACU and duration of stay in PACU before discharge. Results: The Music group showed remarkable reduction in anxiety level and MAP reduction within group (p<0.05 respectively). Statistically significant secondary outcomes include more than 50% reduction in total fentanyl requirement intraoperatively, with Control group 79.17μg (SD 45.87), while Music group 36.11μg (SD13.18) with p=0.01. Subjects in Music group have shorter duration of PACU stays compared to Control group (p=0.02). There was no significance difference between groups were identified in pain score and other secondary measures. Conclusion: The study findings provide new evidence to support the application of religious-based music intervention in reducing anxiety level, maintain more stable MAP intraoperatively and hastened discharge from PACU after upper limb surgery
format	Thesis
qualification_level	Master's degree
author	Ying, Tee May
author_facet	Ying, Tee May
author_sort	Ying, Tee May
title	Effects of perioperative music therapy on pain, anxiety and hemodynamics in patients undergoing upper limb surgery
title_short	Effects of perioperative music therapy on pain, anxiety and hemodynamics in patients undergoing upper limb surgery
title_full	Effects of perioperative music therapy on pain, anxiety and hemodynamics in patients undergoing upper limb surgery
title_fullStr	Effects of perioperative music therapy on pain, anxiety and hemodynamics in patients undergoing upper limb surgery
title_full_unstemmed	Effects of perioperative music therapy on pain, anxiety and hemodynamics in patients undergoing upper limb surgery
title_sort	effects of perioperative music therapy on pain, anxiety and hemodynamics in patients undergoing upper limb surgery
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2018
url	http://eprints.usm.my/48565/1/Dr.%20Tee%20May%20Ying-24%20pages.pdf
_version_	1747821947955183616

Effects of perioperative music therapy on pain, anxiety and hemodynamics in patients undergoing upper limb surgery

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