Music listening for anxiety relief in children in the preoperative period: a randomized clinical trial

Abstract

Objective:to investigate the effects of music listening, for 15 minutes, on the preoperative anxiety levels in children undergoing elective surgery in comparison with conventional pediatric surgical care. Method:randomized controlled clinical trial pilot study with 52 children in the preoperative period, aged 3 to 12 years, undergoing elective surgery and randomly allocated in the experimental group (n = 26) and control group (n = 26). Anxiety was assessed in both groups by the application of the modified Yale Preoperative Anxiety Scale and measurement of the physiological variables, upon arrival and 15 minutes after the first measurement. Results:there was a statistically significant difference in preoperative anxiety between the two groups only in relation to the physiological variable, since the respiratory rate of preschool children in the experimental group reduced in the second measurement compared to the control group (p = 0.0453). The experimental group showed a statistically significant reduction in anxiety levels after 15 minutes of music listening (p = 0.0441), specifically with regard to the behavioral domains of activity, vocalization, emotional expression and apparent awakening state. Conclusion:music listening emerges as a potential nursing intervention for relief of preoperative anxiety in children undergoing surgical procedures. RBR-7mcr59.

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

“…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, …”

“…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;…”

Prevalence, Defining Characteristics, and Related Factors of the Nursing Diagnosis of Anxiety in Hospitalized Medical‐Surgical Patients

“…Most importantly, recent studies have demonstrated that many nonpharmacological interventions prescribed by nurses are effective in anxiety reduction and control in very different settings (Al-Azawy, Oterhals, Fridlund, Assmus, & Schuster, 2015;Franzoi, Goulart, Lara, & Martins, 2016;Hosseini, Heydari, Vakili, Moghadam, & Tazyky, 2016;Saatsaz, Rezaei, Alipour, & Beheshti, 2016) and that their efficacy is similar to pharmacological treatments (Salmore & Nelson, 2000). Moreover, Peplau's therapeutic communication has proved effective in reducing anxiety among patients (Zarea, Maghsoudi, Dashtebozorgi, Hghighizadeh, & Javadi, 2014).…”

A utilização da música em uma unidade pediátrica: contribuindo para a humanização hospitalar [Using music in a pediatric unit: helping to humanize the hospital] [Uso de la música en una unidad pediátrica: contribución a la humanización hospitalaria]

“…Destaca-se ainda o potencial terapêutico da música para atuar diretamente na redução da pressão arterial e frequência cardíaca 17 , além de auxiliar na redução da dor e da ansiedade em crianças submetidas a procedimentos cirúrgicos 18 . As intervenções com música podem também auxiliar significativamente na redução de estresse, ansiedade, dor, medo e angústia 3 .…”

“…A redução de agravos relaciona-se principalmente à redução da ansiedade, dor, estresse, e à ampliação do vínculo e dos processos de comunicação, sobretudo quando a criança está submetida a procedimentos cirúrgicos 18 . Nessa perspectiva, é importante destacar que promover suporte a expressão de sentimentos é um dos elementos do CP que sustentaram a atividade, além de outro elemento que se refere a estar autenticamente presente para possibilitar a expressão da subjetividade do outro 10 .…”