The effect of therapeutic listening on anxiety and fear among surgical patients: randomized controlled trial

Abstract

Objective:To investigate the effect of therapeutic listening on state anxiety and surgical fears in preoperative colorectal cancer patients. Method:A randomized controlled trial with 50 patients randomly allocated in the intervention group (therapeutic listening) (n = 25) or in the control group (n = 25). The study evaluated the changes in the variables state anxiety, surgical fears and physiological variables (salivary alpha-amylase, salivary cortisol, heart rate, respiratory rate and blood pressure). Results:In the comparison of the variables in the control and intervention groups in pre- and post-intervention, differences between the two periods for the variables cortisol (p=0.043), heart rate (p=0.034) and surgical fears (p=0.030) were found in the control group, which presented reduction in the values ​​of these variables. Conclusion:There was no reduction in the levels of the variables state anxiety and surgical fears resulting from the therapeutic listening intervention, either through the physiological or psychological indicators. However, the contact with the researcher during data collection, without stimulus to reflect on the situation, may have generated the results of the control group. Clinical Trial Registration: .

<p>Nurse-Led Randomized Controlled Trials in the Perioperative Setting: A Scoping Review</p>

“… 32 , 37 , 38 , 49 , 53 , 54 , 57 , 58 , 59 , 63 , 70 , 71 , 79 , 81 , 91 , 93 , 94 , 103 , 105 , 108 Prevention of anxiety was a secondary outcome of interest in a further nine (10%) studies. 22 , 23 , 25 , 47 , 50 , 55 , 69 , 73 , 80 Of the studies including anxiety prevention as the primary outcome, nine studies (47%) were focused on adult patients; 32 , 38 , 53 , 57 , 59 , 71 , 81 , 94 , 105 nine were focused on pediatric patients, 37 , 49 , 54 , 63 , 79 , 91 , 93 , 103 , 108 (with four of these also including caregivers as a sub-population, 37 , 49 , 54 , 108 and another focused on adolescents 37 ); one study concentrated solely on caregiver (parent) anxiety. 70 The interventions of interest included music; 32 , 58 , 59 , 71 , 103 education (including videos); 37 ,…”

“…22 , 23 , 25 , 47 , 50 , 55 , 69 , 73 , 80 Of the studies including anxiety prevention as the primary outcome, nine studies (47%) were focused on adult patients; 32 , 38 , 53 , 57 , 59 , 71 , 81 , 94 , 105 nine were focused on pediatric patients, 37 , 49 , 54 , 63 , 79 , 91 , 93 , 103 , 108 (with four of these also including caregivers as a sub-population, 37 , 49 , 54 , 108 and another focused on adolescents 37 ); one study concentrated solely on caregiver (parent) anxiety. 70 The interventions of interest included music; 32 , 58 , 59 , 71 , 103 education (including videos); 37 , 70 , 81 , 94 visiting preoperative facilities; 54 play; 79 , 91 , 93 , 108 relaxation and sounds from nature; 57 aromatherapy; 53 photographic displays; 58 distraction versus midazolam; 49 therapeutic listening; 105 different timings of communication 38 and an application with Clown Doctors. 63 …”

“…Prevention of anxiety, both from the patient and caregivers' perspective, was the most common primary outcome of interest, accounting for over a fifth of studies (n=20, 23%). 32,37,38,49,53,54,57,58,59,63,70,71,79,81,91,93,94,103,105,108 Prevention of anxiety was a secondary outcome of interest in a further nine (10%) studies. 22,23,25,47,50,55,69,73,80 Of the studies including anxiety prevention as the primary outcome, nine studies (47%) were focused on adult patients; 32,38,53,57,59,71,81,94,105 nine were focused on pediatric patients, 37,49,54,63,79,91,93,103,108 (with four of these also including caregivers as a sub-population, …”

Prehabilitation in elective abdominal cancer surgery in older patients: systematic review and meta-analysis

“…For the purpose of this review, a large number of studies were excluded at full-text review due to lack of reporting of LOS or complications, which are considered core outcomes for surgical trials 68,69 . In particular, a number of trials of psychological interventions [70][71][72][73][74][75] were excluded for this reason. Of note, only one preoperative smoking cessation trial 39 and no studies in gynaecological cancer surgery met the inclusion criteria.…”

Efeito do Reiki no nível de ansiedade e nos sinais vitais de acadêmicos de Enfermagem

“…A pesquisa de Garcia et al 30 apresenta que os parâmetros fisiológicos influenciam de forma direta no estado emocional do indivíduo, visto que a partir do relaxamento, pode-se perceber que a regulação dos sinais vitais ocorreu de forma significante.…”