Randomized controlled trial2017Open access

Effects of music therapy under general anesthesia in patients undergoing abdominal surgery

Kahloul M, Mhamdi S, Nakhli MS, Sfeyhi AN, Azzaza M, Chaouch A, Naija W

The Libyan journal of medicine · 40 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

Based on full-text disclosure statement.

Publication

Published
2016-12-13 · Libyan J Med · vol. 12 · issue 1 · p. 1260886
Publisher
Taylor & Francis
Cited
75 citations · more than 95% of similar papers · 5.6× the field average
Impact
Top 10% most cited in its field
References
32 works
Access
Open access (journal) · CC-BY-NC
Research areas
Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Dental Anxiety and Anesthesia Techniques
Keywords
Medicine, Anesthesia, Abdominal surgery, General surgery, Surgery
MeSH
abdomen, humans, treatment outcome, music therapy, prospective studies, double-blind method, patient satisfaction, female, male, hemodynamics

7 authors

From TN

  • Mohamed Kahloul · correspondingHôpital Sahloul
  • Salah MhamdiHôpital Sahloul
  • Mohamed Said NakhliHôpital Sahloul
  • Ahmed Nadhir SfeyhiHôpital Sahloul
  • Mohamed AzzazaHôpital Sahloul
  • Ajmi ChaouchHôpital Sahloul

Abstract

Background

Music therapy, an innovative approach that has proven effectiveness in many medical conditions, seems beneficial also in managing surgical patients. The aim of this study is to evaluate its effects, under general anesthesia, on perioperative patient satisfaction, stress, pain, and awareness.

Methods

This is a prospective, randomized, double-blind study conducted in the operating theatre of visceral surgery at Sahloul Teaching Hospital over a period of 4 months. Patients aged more than 18 undergoing a scheduled surgery under general anesthesia were included. Patients undergoing urgent surgery or presenting hearing or cognitive disorders were excluded. Before induction, patients wore headphones linked to an MP3 player. They were randomly allocated into 2 groups: Group M (with music during surgery) and group C (without music). Hemodynamic parameters, quality of arousal, pain experienced, patient's satisfaction, and awareness incidence during anesthesia were recorded.

Results

One hundred and forty patients were included and allocated into 2 groups that were comparable in demographic characteristics, surgical intervention type and anesthesia duration. Comparison of these two groups regarding the hemodynamic profile found more stability in group M for systolic arterial blood pressure. A calm recovery was more often noted in group M (77.1% versus 44%, p -3). The average Visual Analog Scale (VAS) score was lower in the intervention group (33.8 ± 13.63 versus 45.1 ± 16.2; p -3). The satisfaction rate was significantly higher among the experimental group (81.4% versus 51.4%; p -3). The incidence of intraoperative awareness was higher in group C (8 cases versus 3 cases) but the difference was not statistically significant.

Conclusion

Music therapy is a non-pharmacological, inexpensive, and non-invasive technique that can significantly enhance patient satisfaction and decrease patients' embarrassing experiences related to perioperative stress, pain, and awareness.

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

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