Randomized controlled trial2013

Effects of music therapy on pain and anxiety in patients undergoing port catheter placement procedure

Zengin S, Kabul S, Al B, Sarcan E, Doğan M, Yildirim C

Complementary therapies in medicine · 69 citations

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
Independent funding
University or hospital
Gaziantep Üniversitesi

Based on 1 listed funder(s).

Publication

Published
2013-09-01 · Complement Ther Med · vol. 21 · issue 6 · pp. 689–696
Publisher
Elsevier BV
Cited
105 citations · more than 97% of similar papers · 7.7× the field average
Impact
Top 10% most cited in its field
References
39 works
Access
Open access (hybrid journal) · CC-BY-NC-ND
Research areas
Music Therapy and Health · Pediatric Pain Management Techniques · Nausea and vomiting management
Keywords
Medicine, Anxiety, Visual analogue scale, Adrenocorticotropic hormone, Blood pressure, Heart rate, Anesthesia, Randomized controlled trial, Hormone, Internal medicine
MeSH
humans, hydrocortisone, catheterization, music therapy, prospective studies, anxiety, adult, aged, middle aged, female, male, adrenocorticotropic hormone, young adult, pain management

6 authors

From TR

  • Suat Zengin · correspondingGaziantep University
  • Sinem KabulGaziantep University
  • Behçet AlGaziantep University
  • Emine SarcanGaziantep University
  • Mehmet DoğanGaziantep University
  • Cuma YıldırımGaziantep University

Abstract

Background

Patients scheduled to invasive medical procedures experience high levels of anxiety, which may lead to increased perceptions of pain and vital sign instability throughout.

Aims

To examine the effect of a music intervention (MI) on stress hormones, physiologic parameters, pain, and anxiety state before and during port catheter placement procedures (PCPPs).

Methods

We conducted a prospective, randomized, controlled study in 100 oncology patients, who were randomly assigned to an MI group (n=50) or a control group (n=50). The effects of music were assessed by determination of serum cortisol and adrenocorticotropic hormone (ACTH) levels, heart and respiratory rate (HR, RR) and systolic and diastolic blood pressure (SBP, DBP), on arrival in the surgical intervention room, as well as immediately prior to and immediately after the PCPP, in both groups. Furthermore, pain and anxiety levels were identified using visual analogue scale and state-trait anxiety inventory scales.

Results

On arrival, there were no differences between the patients in terms of serum cortisol and ACTH levels, HR, RR, SBP, DBP and anxiety levels. There were significant reductions in hormone levels (p<0.05 for all), HR (p<0.001), RR (p<0.001), SBP (p<0.05) and DBP (p<0.05), immediately prior to and immediately after the PCPP in participants in the MI group compared to those in the control group. Furthermore, music led to a significant reduction in pain (p<0.05) and anxiety scores (p<0.05) in the MI group compared to control group.

Conclusion

During invasive medical procedures, MI significantly decreases stress hormone levels, physiological parameters, acute procedural pain and anxiety.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).

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