Control of anxiety through music in a head and neckoutpatient clinic: a randomized clinical trial

Abstract

Objective: Evaluating the effectiveness of a musical intervention in reducing anxiety and vital parameters in people suffering from head and neck cancer. Method: A randomized controlled clinical trial, performed in a head and neck outpatient clinic with 40 participants, subdivided into two groups (intervention and control). The classical music "Spring" from The Four Seasons by Vivaldi was used as an intervention. The State-Trait Anxiety Inventory (STAI) was used as the data collection instrument, along with an inventory of socio-demographic and clinical data. Student's t-test was used to verify intragroup and intergroup statistical significance. Results: Participants presented a statistically significant reduction in levels of perceived anxiety (t = 12.68; p<0.001), as well as blood pressure levels (t = 4.56; p<0.001); pulse (t = 6.15; p<0.001) and respiratory rate (t = 5.10; p<0.001). Conclusion: Music has proven to be an effective non-pharmacological therapeutic resource in managing anxiety in an outpatient setting for people with cancer, as well as in reducing blood pressure, pulse and respiratory rate. Brazilian Registry of Clinical Trials: RBR-7W4YJJ. descriPtOrs Music Therapy; Anxiety; Head and Neck Neoplasms; Humanization of Assistance; Oncology Nursing. Control of anxiety through music in a head and neck outpatient clinic: a randomized clinical trialUso da música no controle da ansiedade em ambulatório de cabeça e pescoço: ensaio clínico randomizado Uso de música en el control de la ansiedad en clínicas externas de cabeza y cuello: ensayo clínico aleatorizado

Aromatherapy: The Effect of Lavender on Anxiety and Sleep Quality in Patients Treated With Chemotherapy

“…Many pharmacologic treatments are used to manage anxiety and sleep disorders, but they can lead to adverse effects and economic loss (NCI, 2016). Nonpharmacologic treatments that are effective in treating anxiety and sleep disorders include participating in relaxation exercises, listening to music, shifting attention, practicing sleep hygiene, and using aromatherapy (Cramer, Lauche, Langhorst, Dobos, & Paul, 2013;Dóro, Neto, Cunha, & Dóro, 2017;Emberly, 2008;Firmeza et al, 2017;Gallagher, Lagman, & Rybicki, 2017;Ovayolu, Seviğ, Ovayolu, & Sevinç, 2014;Zupanec et al, 2017). The current study was designed to evaluate the effects of lavender oil on anxiety and sleep quality in patients receiving chemotherapy.…”

Biological Effects of Music in Cancer Patients: Contributing to an Evidence-Based Practice

“…The hypothesis includes the distraction from pain and the pituitary stimulation to release of endogenous opioids. 32 One more Brazilian study supports the first hypothesis, affirming that music acts as a competitive stimulus against pain, because it redirects a person's attention, modulating pain stimulus unconsciously. 29 The use of music to reduce oncological pain is still questioned by some authors.…”

Efeito da música na pressão arterial: uma revisão sistemática

“…A terapia utiliza a música e seus elementos -som, ritmo, melodia e harmonia -como intervenção 9 . Ela é considerada uma tecnologia de baixo custo e sua utilização vem se tornando cada vez mais comum nos serviços de saúde, sendo utilizada como recurso terapêutico por diversos profissionais, inclusive enfermeiros [12][13] . Existem três possibilidades de utilização da música como uma intervenção: receptiva (o ouvinte escuta a música produzida ou músicas previamente gravadas), ativa (o ouvinte utiliza instrumentos musicais ou a voz para produzir sons musicais) e interativa (a experiência musical é realizada em grupo) 14 .…”

“…Com a finalidade de comprovar seus efeitos, pesquisas na área vêm sendo incentivadas. Alguns resultados evidenciam os benefícios da música sobre o controle de parâmetros emocionais, sociais e biológicos [12][13][14] . Contudo, existe uma lacuna na literatura sobre estudos que investigam o uso da música no controle da pressão arterial.…”