Music Therapy in Dialysis Access Procedures With Moderate Sedation

Abstract

Background The aim was to evaluate the effects of music on patients’ anxiety and satisfaction after undergoing dialysis access procedures under moderate sedation. Methods Patients (n = 30) undergoing moderate sedation for dialysis access procedures were evaluated at a single institution. Each patient filled out a survey preoperatively and postoperatively using the short form State-Trait Anxiety Inventory (STAI-6). Patient-selected music was provided by using a MP3 player with noise canceling headphones. Results Postoperatively, 77% of patients perceived music intervention as very or extremely helpful in decreasing anxiety during the procedure. Further, 93% of patients were somewhat or very satisfied with their procedure. The average pain rating was 3.1 on a scale of 0-10, in which 70% of patients had no to mild pain and 30% of patients rated moderate to severe pain. In comparison to prior procedures without music, 63% of patients rated better experience with the music intervention, 37% rated a similar experience, and 3.7% rated having a worse experience. Approximately, 93% of patients were willing to repeat procedure with music and would recommend it to other patients. Preoperative anxiety average score was 35.6 ± 13 and was reduced postoperatively to 28.9 ± 12.9 ( P = .006). Preoperatively, 23% of patients rated high anxiety and postoperatively only 6.7% of patients rated high anxiety ( P = .016). Conclusion Music is an easy, feasible, inexpensive intervention that may reduce patients’ anxiety and improve satisfaction during moderate sedation procedures and in the postoperative period.

Effects of Patient-Selected Music Listening on the Pain and Anxiety of Patients Undergoing Hemodialysis: A Randomized Controlled Trial

“…Regarding the selection of music, music that the subject does not enjoy may act as noise and induce stress, which increases blood pressure, pulse, and anxiety [11]. For this reason, music interventions with patients' preferred music are diversely used as a non-invasive therapy that can be easily performed in clinical settings for patients with simple surgery [12,13]. For example, when hemodialysis was applied to patients, listening to their favorite music was found to be significantly effective in reducing both their fatigue and anxiety levels [14].…”