The Effect of Perioperative Music Listening on Patient Satisfaction, Anxiety, and Depression: A Quasiexperimental Study

Abstract

Background. The effect of perioperative music listening has been proven to relieve preoperative anxiety and depression, while improving patient satisfaction. However, music listening has not been extensively studied in Singapore. Therefore, the primary aim of our study is to investigate the patient satisfaction towards perioperative music listening in the local setting. The secondary aim is to investigate the effect of perioperative music listening in reducing patient surgery-related anxiety and depression. Methods. After obtaining ethics board approval, we conducted a quasiexperimental study on a cohort of female patients who were undergoing elective minor gynaecological surgeries. Apple iPod Touch™ devices containing playlists of selected music genres and noise-cancelling earphones were given to patients to listen during the preoperative and postoperative periods. Hospital Anxiety and Depression Scale (HADS), EQ-5D-3L questionnaire, music listening preferences, and patient satisfaction surveys were administered. Wilcoxon signed-rank and McNemar’s tests for paired data were used for analysis. Results. 83 patients were analysed with 97.6% of patients in the preoperative period and 98.8% of patients in the postoperative period were satisfied with music listening. The median (IQR [range]) score for preintervention HADS anxiety was 7.0 (6.0 [0–17]), significantly higher than that in postintervention at 2.0 (4.0 [0–12]) (P<0.001). Similarly, there was a significant reduction in preintervention HADS depression as compared to postintervention (P<0.001). These results were corroborated by similar findings from the EQ-5D-3L questionnaire. Conclusion. Perioperative music listening improved patient satisfaction and can reduce patient anxiety and depression. We hope to further investigate on how wider implementation of perioperative music listening could improve patient care.

Evaluation of an Objective Measurement Tool for Stress Level Reduction by Individually Chosen Music During Colonoscopy—Results From the Study “ColoRelaxTone”

“…In this field, music has the capacity of adjusting emotional stats and promotes mind-body interactions widely accepted for promoting relaxation in health care. In addition, there are many old and new findings that distraction reduces the distress or pain during medical treatments ( 10 , 23 ). In our study, patients who listened to music reported a high level of satisfaction with the endoscopy.…”

“…The use of music is already recommended by national, European and international guidelines but with up to now poor evidence (5,7,8). Previous studies have examined the impact of music during various endoscopic procedures, but the results remain inconclusive (9)(10)(11)(12)(13)(14)(15)(16). A major limitation is the lack of objective measurement of patient satisfaction after propofol sedation due to the known euphoric effect of the agent.…”

The use of pre-operative virtual reality to reduce anxiety in women undergoing gynaecological surgeries: a prospective cohort study

“…Tan et al [15] reported difference in mean (SD) HADs anxiety between pre-and post-intervention in music experiences as 4.61 (4.08). The calculated sample size of 70 was based on the following assumptions: considering a conservative mean (SD) HADS difference as 2.0 (8.0), level of significance as 5%; power as 90%.…”

The use of pre-operative virtual reality to reduce anxiety in women undergoing gynaecological surgeries: a prospective cohort study

“…Tan et al [28] reported difference in mean (SD) HADs anxiety between pre-and post-intervention in music experiences as 4.61 (4.08). The calculated sample size of 70 was based on the following assumptions: considering a conservative mean (SD) HADS difference of 2.0 (8.0), level of signi cance as 5% and power as 90%.…”