Randomized controlled trial2012

Evidence that music listening reduces preoperative patients' anxiety

Lee KC, Chao YH, Yiin JJ, Hsieh HY, Dai WJ, Chao YF

Biological research for nursing · 47 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2011-01-28 · Biol Res Nurs · vol. 14 · issue 1 · pp. 78–84
Publisher
SAGE Publishing
Cited
136 citations · more than 97% of similar papers · 8.1× the field average
Impact
Top 10% most cited in its field
References
47 works
Access
Paywalled
Research areas
Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Family and Patient Care in Intensive Care Units
Keywords
Anxiety, Heart rate variability, Visual analogue scale, Medicine, Active listening, Heart rate, Anesthesia, Music therapy, Intervention (counseling), Audiology, Physical therapy, Psychology, Internal medicine, Psychiatry, Blood pressure
MeSH
humans, feasibility studies, anxiety, heart rate, music, adult, aged, middle aged, female, male, preoperative period

8 authors

From TW

  • Kwo‐Chen LeeNational Yang Ming Chiao Tung University; Taipei Medical University Hospital
  • Yu-Huei Chao · correspondingLuodong Poh-Ai Hospital; Mackay Medical University
  • Yu-Huei ChaoLuodong Poh-Ai Hospital; Mackay Medical University; Taichung Veterans General Hospital
  • Jia‐Jean YiinTaipei Medical University Hospital; Taichung Veterans General Hospital
  • Hsin-Yi HsiehTaipei Medical University Hospital
  • Wen-Jan DaiTaipei Medical University Hospital; Mackay Medical University

Abstract

Background

Patients often exhibit preoperative fear and anxiety that may influence the process of induction and recovery from anesthesia. Music is thought to be an alternative to medication for relief of fear and anxiety.

Objectives

The purpose of the present study was to explore the feasibility of using heart rate (HR) variability (HRV) for evaluating the efficacy of music listening to relieve the patients' anxiety during their stay in the operation room waiting area and to compare the HRV measures with subjective Visual Analogue Scale (VAS) scores.

Methods

In total, 140 patients were randomly assigned to the experimental (n = 64) or control group (n = 76). The intervention consisted of a 10-min period of exposure to relaxing music delivered through headphones. Anxiety levels were measured by VAS (a 10-point scale) and 5 min of HRV monitoring before and after the music intervention.

Results

The music group demonstrated significant reductions in VAS scores, mean HR, low-frequency HRV, and low- to high-frequency ratio and an increase in high-frequency HRV, while patients in the control group showed no changes. The subjective results of patients' VAS anxiety scores were consistent with the objective results of HRV parameters.

Conclusions

Listening to music can significantly lower the anxiety levels of patients before surgery. The frequency-domain parameters of HRV can be indicators for monitoring the change in anxiety level of preoperative patients.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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