Evaluating Pictures of Nature and Soft Music on Anxiety and Well-Being During Elective Surgery

Nielsen, Elinor; Wåhlin, Ingrid; Frisman, Gunilla Hollman

doi:10.2174/1874434601812010058

Cited by 4 publications

(7 citation statements)

References 36 publications

(39 reference statements)

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“…A total of 1524 titles and abstracts were screened after removal of duplicates and 154 articles were assessed full text. Fifty-five studies (4968 patients) were included in the qualitative synthesis and 33 studies (2390 patients) 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 in the meta-analysis (Fig. 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Several studies provided insufficient details to assess selection bias (14 studies, 25%). 20 22 26 27 28 30 32 36 38 40 59 60 61 62 A moderate to high risk of performance bias was present, as blinding of patients for the music intervention is only possible when the intervention is performed solely intraoperatively during general anesthesia. Blinding of personnel can theoretically be achieved by using headphones for all patients, but is more difficult in practice when patients are free to change music tracks or adjust the volume.…”

Section: Resultsmentioning

confidence: 99%

“…The effect of preoperative and/or intraoperative music on intraoperative opioid requirement was assessed in 7 studies. 23 26 29 33 38 40 63 Meta-analysis was not performed because of insufficient data presented, the broad variation in the types of surgery performed and difference in surgery duration.…”

Section: Resultsmentioning

confidence: 99%

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The Effect of Perioperative Music on Medication Requirement and Hospital Length of Stay

Oomens

Klimek

et al. 2019

Annals of Surgery

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Objective: To assess and quantify the effect of perioperative music on medication requirement, length of stay and costs in adult surgical patients. Summary Background Data: There is an increasing interest in nonpharmacological interventions to decrease opioid analgesics use, as they have significant adverse effects and opioid prescription rates have reached epidemic proportions. Previous studies have reported beneficial outcomes of perioperative music. Methods: A systematic literature search of 8 databases was performed from inception date to January 7, 2019. Randomized controlled trials investigating the effect of perioperative music on medication requirement, length of stay or costs in adult surgical patients were eligible. Meta-analysis was performed using random effect models, pooled standardized mean differences (SMD) were calculated with 95% confidence intervals (CI). This study was registered with PROSPERO (CRD42018093140) and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. Results: The literature search yielded 2414 articles, 55 studies (N = 4968 patients) were included. Perioperative music significantly reduced postoperative opioid requirement (pooled SMD −0.31 [95% CI −0.45 to −0.16], P < 0.001, I 2 = 44.3, N = 1398). Perioperative music also significantly reduced intraoperative propofol (pooled SMD −0.72 [95% CI −1.01 to −0.43], P < 0.00001, I 2 = 61.1, N = 554) and midazolam requirement (pooled SMD −1.07 [95% CI −1.70 to −0.44], P < 0.001, I 2 = 73.1, N = 184), while achieving the same sedation level. No significant reduction in length of stay (pooled SMD −0.18 [95% CI −0.43 to 0.067], P = 0.15, I 2 = 56.0, N = 600) was observed. Conclusions: Perioperative music can reduce opioid and sedative medication requirement, potentially improving patient outcome and reducing medical costs as higher opioid dosage is associated with an increased risk of adverse events and chronic opioid abuse.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Effect of Perioperative Music on Medication Requirement and Hospital Length of Stay

Oomens

Klimek

et al. 2019

Annals of Surgery

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“…Similar observations were recorded from studies involving music intervention during surgery with promising results in the reduction of anxiety levels post-surgery. [25][26][27] On comparing the mean difference of anxiety levels between the two groups, a higher difference was observed in the control group but was statistically insignificant at baseline -10 minutes time interval but was statistically significant (p<0.01) at baseline -20 minutes and 10 minutes -20 minutes. This could be due to the baseline anxiety levels being dissimilar between the two groups and also by giving the patients a choice to choose the music from the list provided to them rather than allowing them to choose a music genre of their personal choice in the experimental group.…”

Section: Discussionmentioning

confidence: 95%

Evaluation of music interventions for anxiety during dermatosurgery under local anesthesia

et al. 2020

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Background: Music is a safe, non-invasive and affordable adjunct to office surgery with several studies based on the effect of music on anxiety levels in varying age groups proving beneficial. The main aim of the current study was to evaluate the effect of music intervention on the anxiety levels of patients going through dermato-surgery under local anesthesia. Methods: Participants (n=150) undergoing dermato-surgery were divided equally as control (no music intervention) and experimental group (music intervention). The demographic data, physiological parameters (blood pressure (BP), heart rate (HR) and respiratory rate (RR)) at varying time intervals (baseline, 10 minutes after the commencement of surgery and 20 minutes after the end of surgery) along with the psychological parameter (anxiety) were recorded. Results: Participants listened to the music of their interest during surgery. The anxiety levels decreased significantly within both the experimental and control groups at varying time intervals (p<0.0001). Within each group, BP, HR, and RR at all time intervals were statistically significant (p<0.0001). On comparing the control and experimental groups, only systolic BP at all time intervals was statistically significant (p<0.05). A negative correlation was observed in RR at 10 minutes with respect to interest in music and social avoidance; at 20 minutes only with interest in music (p<0.05). Conclusions:The anxiety level of patients going through dermato-surgery under local anesthesia was reduced due to music intervention at varying time intervals.

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“…The study of Jung et al (2020) [39] on children aged 5-12 years scheduled for elective surgery showed that the use of audiovisual distraction using a visual distraction headset during the induction of general anesthesia in the operating room reduced pediatric preoperative anxiety with a 14.5-point score compared to the control group. Nielsen et al (2018) [40] found that watching natural pictures with the calm green vegetation of landscapes without animals where each one was shown for 45 s and listening to soft instrumental music from the MusiCure collection while being awake after an elective surgery reduced patients' anxiety and pain. It is believed that processing information by the individual's brain is limited.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial

et al. 2020

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Pain associated with fistula cannulation is a challenge for nurses who provide care to older patients undergoing hemodialysis. Several non-pharmacological methods have been suggested for relieving fistula cannulation pain, but the benefits of visual and auditory distraction methods among older patients undergoing hemodialysis have not been investigated yet. Therefore, this study aimed to compare the effects of visual and auditory distractions on fistula cannulation pain among older patients undergoing hemodialysis. This randomized controlled clinical trial was conducted on 120 older patients undergoing hemodialysis. They were randomly assigned to three groups of visual distraction, auditory distraction, and the control (n = 40 in each group) using a simple random assignment method. The distraction interventions continued for three consecutive sessions and the numeric rating scale of pain severity was used for data collection. Descriptive and inferential statistics were used for data analysis using SPSS. It was found that pain severity significantly reduced after the distraction interventions in either the auditory or visual distraction groups and also after all three distraction sessions (p = 0.001). However, visual distraction had a better effect on the reduction of pain severity. Therefore, while both visual and auditory distractions reduced pain severity in older patients undergoing hemodialysis, visual distraction was more effective. Nurses are encouraged to incorporate visual distraction as a safe and non-pharmacologic technique into routine nursing care for reducing older patients’ suffering and improving their wellbeing when fistula cannulation is performed.

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Evaluating Pictures of Nature and Soft Music on Anxiety and Well-Being During Elective Surgery

Cited by 4 publications

References 36 publications

The Effect of Perioperative Music on Medication Requirement and Hospital Length of Stay

The Effect of Perioperative Music on Medication Requirement and Hospital Length of Stay

Evaluation of music interventions for anxiety during dermatosurgery under local anesthesia

Comparison of the Effects of Visual and Auditory Distractions on Fistula Cannulation Pain among Older Patients Undergoing Hemodialysis: A Randomized Controlled Clinical Trial

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