Sedative music reduces anxiety and pain during chair rest after open-heart surgery

Abstract

Open-heart surgery patients report anxiety and pain with chair rest despite opioid analgesic use. The effectiveness of non-pharmacological complementary methods (sedative music and scheduled rest) in reducing anxiety and pain during chair rest was tested using a three-group pretest-posttest experimental design with 61 adult postoperative open-heart surgery patients. Patients were randomly assigned to receive 30 min of sedative music (N=19), scheduled rest (N=21), or treatment as usual (N=21) during chair rest. Anxiety, pain sensation, and pain distress were measured with visual analogue scales at chair rest initiation and 30 min later. Repeated measures MANOVA indicated significant group differences in anxiety, pain sensation, and pain distress from pretest to posttest, P<0.001. Univariate repeated measures ANOVA (P< or =0.001) and post hoc dependent t-tests indicated that in the sedative music and scheduled rest groups, anxiety, pain sensation, and pain distress all decreased significantly, P<0.001-0.015; while in the treatment as usual group, no significant differences occurred. Further, independent t-tests indicated significantly less posttest anxiety, pain sensation, and pain distress in the sedative music group than in the scheduled rest or treatment as usual groups (P<0.001-0.006). Thus, in this randomized control trial, sedative music was more effective than scheduled rest and treatment as usual in decreasing anxiety and pain in open-heart surgery patients during first time chair rest. Patients should be encouraged to use sedative music as an adjuvant to medication during chair rest.

The Effects of Progressive Relaxation Exercises Applied with Music Before Coronary Angiography and Percutaneous Transluminal Coronary Angioplasty on the State and Trait Anxiety of People

“…[14] KAH ile ilgili yapılan çalışmalarda da erkek hasta sayısının yüksek olduğu bulunmuştur. [15,16] 2000) %79'unu erkek hastaların oluşturduğunu bulmuş olup; bizim çalışma bulgumuz ile bu çalışmalar arasında cinsiyet açısından bir paralellik vardır. [3,16] Araştırmaya alınan bireylerin tamamına yakınının evli olduğu görülmektedir.…”

Relaxation and music reduce pain following intestinal surgery

“…The five choices of music have been found to be acceptable and effective for most participants in African American, Asian, Egyptian, and Caucasian populations Lai & Good, 2005;Phumdoung & Good, 2003, Salem, 2004Voss & Good, 2004), but choices were broader when culturally relevant music was offered (Lai & Good; Voss & Good). At exit interviews after each study, participants have suggested other types of music including more culturally specific selections.…”

“…Previous investigators have generally reported that these interventions were effective, both individually and in combination, after abdominal cardiac, and GYN surgeries (Good, 1995;Good et al, 1999 a ;Good, Stanton-Hicks et al, 2000 b ;Locsin, 1981;Mullooly, Levin, & Feldman, 1988;Nilsson, Rawal, Unestahl, Zetterberg, & Unosson, 2001; Updyke, 1990;Voss & Good, 2004). Relaxation techniques, such as deep breathing and jaw relaxation, have reduced postoperative pain after abdominal surgery (Flaherty & Fitzpatrick, 1978;Good et al, 1999 a ;Levin, Malloy, & Hyman, 1987;Roykulcharoen & Good, 2004;Wells, 1982) and orthopaedic surgery (Osterbrink & Evers, 2000).…”

Music in Obstetrics: An Intervention Option to Reduce Tension, Pain and Stress

“…A control group which did not listen to music did not show any of these changes [9]. Furthermore, anxiety-lowering and stress-reducing effects were demonstrated in patients who listened to music during root canal treatment [10], colonoscopy [11] and heart surgery [12]. This shows the scope in which music can have a positive effect in the field of medicine in order to render operations associated with stress and anxiety more comfortable.…”