Академический Документы
Профессиональный Документы
Культура Документы
doi: 10.15452/CEJNM.2014.05.0011
ORIGINAL PAPER
EFFECTS OF MUSIC LISTENING ON PREOPERATIVE STATE ANXIETY AND
PHYSIOLOGICAL PARAMETERS IN PATIENTS UNDERGOING GENERAL SURGERY: A
RANDOMIZED QUASI-EXPERIMENTAL TRIAL
Abouzar Mohammadi1, Neda Mirbagher Ajorpaz1, Mahsa Torabi1, Alireza Mirsane2, Fatemeh
Moradi1
1
Department of Surgical Technology, School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, I. R.
Iran
2
School of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, I. R. Iran
Abstract
Aim: The aim of the present study was to evaluate the effects of music on preoperative state anxiety and physiological
parameters including heart rate, respiratory rate and mean systolic, and diastolic blood pressure in 60 patients undergoing
general surgery. Methods: The study was designed as a randomized quasi-experimental trial. A total of 60 patients were
allocated to two equal groups. Subjects in the trial group listened to non-vocal classical music through headphones for 20
minutes before entering the operating theater. State anxiety was measured by the State-Trait Anxiety Inventory (STAI), and the
physiological parameters by pulse CO-oximeter (Masimo RAD-57C, Finland). The results obtained were finally analyzed by
SPSS software version 16 using chi-square and t-tests. Results: There was an insignificant difference in demographic data
between the two groups (p > 0.05), but before and after listening to music, a significant difference was observed in state
anxiety (p < 0.01). Conclusions: Significant differences in both state anxiety and physiological parameters confirmed that
music as a non-pharmacological intervention can be used as a complementary tool in nursing care.
Key words: music therapy, state anxiety, physiological parameters, non-pharmacological intervention.
Introduction
In the United States of America, some 23 million
people undergo surgery each year, generally
experiencing preoperative anxiety and pain (Bekhuis,
2009). When patients undergo surgery, anxiety and
depression can affect their physical and mental states;
reducing these preoperative complications results in
positive effects on the wellbeing of patients and is
likely to positively influence the outcomes of surgery
(Giaquinto et al., 2006). A non-pharmacological
intervention such as music can improve global and
social functioning in schizophrenia and/or serious
mental disorders, gait and related activities in
Parkinsons disease, depressive symptoms, and
quality of sleep (Kamioka et al., 2014).
156
Aim
The aim of the present study was to evaluate the
effects of music on preoperative state anxiety and
physiological parameters including heart rate,
respiratory rate and mean systolic and diastolic blood
pressure in 60 patients undergoing general surgery.
Methods
Design
A randomized quasi-experimental trial was
performed on patients undergoing general surgery in
Shahid Beheshti hospital, Kashan city, Iran in 2014.
Sample
The simple random sampling method was used. The
inclusion criteria for the study were being fully
awake, being literate, being in a stable hemodynamic
condition, not taking anxiolytic medications, and
2014 Central European Journal of Nursing and Midwifery
157
Results
Twenty-one patients in the trial group and 26 controls
were married. The mean ages were 37 and 39 years in
the trial and control groups, respectively. In the trial
group, 18 patients were female, as compared with 14
female controls. As for education level, 15 patients in
the trial group and 12 controls had a degree.
Table 1 Demographic data of the trial and control groups
Items
Trial group
Control group
(n = 30)
(n = 30)
Marital status
Married
21 (70%)
26 (86.66%)
Single
9 (30%)
4 (13.34)
Age
18-35
14
12
35-50
12
12
50-65
1
3
over 65
3
3
Mean SD
37 2.63
39 2.72
Gender
Male
12 (40%)
16 (54%)
Female
18 (60%)
14 (46%)
Level of
education
Degree
Lower
Beliefs (about
surgery)
Positive
Negative
15 (50%)
15 (50%)
12 (40%)
18 (60%)
Discussion
11 (36.7%)
19 (63.3%)
9 (30%)
21 (70%)
Conclusion
Results of the present study indicated that music can
be used as a non-invasive therapeutic intervention to
reduce preoperative state anxiety and physiological
parameters in patients undergoing general surgery.
Moreover, music therapy is a less time-consuming,
easily available and cheap method with no
complications in comparison with pharmacological
treatments. We suggest that the effects of music
listening are investigated in patients undergoing
various types of surgery using a larger sample size.
The limitations of the study were a small sample size
and use of one genre of music.
References
Abraham A, Drory VE. Listening to music during
electromyography does not influence the examinees
anxiety and pain levels. Muscle & Nerve. 2014;50(3):445
447.
Alipour Z, Eskandari N, Ahmari Tehran H, Eshagh
Hossaini SK, Sangi S. Effects of music on physiological
and behavioral responses of premature infants: a
randomized controlled trial. Complementary Therapies in
Clinical Practice. 2013;19(3):128132.
Almerud S, Petersson K. Music therapy a
complementary treatment for mechanically ventilated
intensive care patients. Intensive and Critical Care
Nursing. 2003;19(1):2130.
Bekhuis T. Music therapy may reduce pain and anxiety in
children undergoing medical and dental procedures.
Journal
of
Evidence-Based
Dental
Practice.
2009;9(4):213214.
Bernardi L, Sleight P, Bandinelli G, Cencetti S, Fattorini
L, Wdowczyc-Szulc J, et al. Effect of rosary prayer and
yoga mantras on autonomic cardiovascular rhythms:
comparative
study.
British
Medical
Journal.
2001;323(7327):14461449.
159
LaMontagne LL. Three coping strategies used by schoolage children. Pediatric Nursing Journal. 1984;10(1):25
28.
Mandel SE, Hanser SB, Secic M, Davis BA. Effects of
music therapy on health-related outcomes in cardiac
rehabilitation: a randomized controlled trial. Journal of
Music Therapy. 2007;44(3):176197.
Ottaviani S, Bernard JL, Bardin T, Richette P. Effect of
music on anxiety and pain during joint lavage for knee
osteoarthritis. Clinical Rheumatology. 2012;31(3):531
534.
Pothoulaki M, MacDonald RAR, P Flowers, E Stamataki,
V Filiopoulos, D Stamatiadis, et al. An investigation of the
effects of music on anxiety and pain perception in patients
undergoing haemodialysis treatment. Journal of Health
Psychology. 2008;13(7):912920.
Quek KF, Low WY, Razack AH, Loh CS, Chua CB.
Reliability and validity of the Spielberger State-Trait
Anxiety Inventory (STAI) among urological patients: a
Malaysian study. Medical Journal of Malaysia.
2004;59(2):258267.
Roemmler-Zehrer J, Geigenberger V, Strmann S, Ising
M, Pfister H, Sievers C, et al. Specific behaviour, mood
and personality traits may contribute to obesity in patients
with craniopharyngioma. Clinical Endocrinology. 2014.
Jun 12. doi: 10.1111/cen.12523. [Epub ahead of print].
Spielberger CD, Gorsuch RL, Lushene R, Vagg PR,
Jacobs GA. Manual for the State-Trait Anxiety Inventory.
Palo Alto, CA: Consulting Psychologists Press; 1983.
Available from:
http://www.apa.org/pi/about/publications/caregivers/practi
ce-settings/assessment/tools/trait-state.aspx
Thaut MH, Gardiner JC, Holmberg D, Horwitz J, Kent L,
Andrews G, et al. Neurologic music therapy improves
executive function and emotional adjustment in traumatic
brain injury rehabilitation. Annals of the New York
Academy of Sciences. 2009;1169:406416.
Tsai HF, Chen YR, Chung MH, Liao YM, Chi MJ, Chang
CC, et al. Effectiveness of music intervention in
ameliorating cancer patients anxiety, depression, pain,
and fatigue: a meta-analysis. Cancer Nursing.
2014;37(6):E3550.
WMA Declaration of Helsinki - Ethical Principles for
Medical Research Involving Human Subjects. The World
Medical Association; 2014 [cited 2014 July 28]. Avaliable
from:
http://www.wma.net/en/30publications/10policies/b3/
Zengin S, Kabul S, Al B, Sarcan E, Doan M, Yildirim C.
Effects of music therapy on pain and anxiety in patients
undergoing
port
catheter
placement
procedure.
Complementary Therapies in Medicine. 2013;21(6):689
696.
160