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Kırdemir P, Yarkan Uysal H, Sağır G, Başar H. Effects of music on perioperative anxiety in patients undergoing cesarean section - A randomised prospective controlled study. Health Care Women Int 2024:1-12. [PMID: 39269782 DOI: 10.1080/07399332.2024.2385331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2024] [Revised: 07/11/2024] [Accepted: 07/23/2024] [Indexed: 09/15/2024]
Abstract
Premedication with sedative drugs is one of the most preferred methods to reduce anxiety. Due to concerns about maternal and fetal side effects, their use in obstetric anesthesia is not preferred. The primary aim of the authors of this study is to investigate the effect of music on perioperative anxiety in pregnant. The patients were randomized into three groups; Group M was listened to music during the surgery, Group S isolated from ambient noise and Group C was the control group. Anxiety status was measured at the preoperative anesthesia examination, on the morning of surgery, and at the first hour postoperatively. Although we observed the lowest postoperative anxiety in Group M, it wasn't statistically significant. Music is an easy-to-apply and no-side-effect method. Therefore, we believe that more clinical studies with more patients are needed for clearer results.
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Affiliation(s)
| | | | - Gülten Sağır
- Ankara Training and Research Hospital, Ankara, Turkey
| | - Hülya Başar
- Ankara Training and Research Hospital, Ankara, Turkey
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2
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Becker AS, van der Valk Bouman ES, Schaap J, de Vos CC, van Eijck K, Jeekel H, Klimek M. A multidisciplinary approach on music induced-analgesia differentiated by socio-cultural background in healthy volunteers (MOSART): A cross-over randomized controlled trial protocol. Contemp Clin Trials Commun 2024; 39:101313. [PMID: 38881543 PMCID: PMC11179059 DOI: 10.1016/j.conctc.2024.101313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 05/08/2024] [Accepted: 05/21/2024] [Indexed: 06/18/2024] Open
Abstract
Background Integrating music into pain treatment demonstrates significant benefits, effectively reducing subjective pain levels and perioperative opioid requirements. Currently, the relationship between the impact of specific types of music and listeners' socio-cultural background is still unclear. This is especially relevant given that sociological research indicates that these factors can have a notable influence on music preference and perception. Current evidence suggests that individuals who choose their own music may experience greater benefits. However, additional research is needed to comprehensively grasp whether the effect of (preferred) music on pain endurance remains consistent across different socio-cultural backgrounds. Methods In this study, a collaborative effort between medical and sociological researchers aims to investigate music-induced analgesia differentiated by socio-cultural background in healthy volunteers. Participants (n = 84) will listen to self-, and researcher-chosen music and a podcast as a control condition in a cross-over study design. The primary outcome of this study is pain endurance measured by electric stimuli of increasing intensity. Detailed sociological validated questionnaires will be utilized. Considering the notable influence of educational level on music taste formation found in previous research and its crucial role as a source of socio-cultural differentiation, participants will be stratified based on their level of education. Discussion This experimental study represents one of the first efforts to gain a socio-culturally differentiated understanding of the therapeutic potential of music. Consequently, this could pave the way to purposefully and inclusively implement personalized music in healthcare settings.
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Affiliation(s)
- Antonia S Becker
- Department of Neuroscience, Erasmus Medical Center, Rotterdam, the Netherlands
| | | | - Julian Schaap
- Department of Arts and Culture Studies, Erasmus University, Rotterdam, the Netherlands
| | - Cecile C de Vos
- Centre for Pain Medicine, Erasmus Medical Centre, Rotterdam, the Netherlands
| | - Koen van Eijck
- Department of Arts and Culture Studies, Erasmus University, Rotterdam, the Netherlands
| | - Hans Jeekel
- Department of Neuroscience, Erasmus Medical Center, Rotterdam, the Netherlands
| | - Markus Klimek
- Department of Anesthesiology, Erasmus Medical Center, Rotterdam, the Netherlands
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3
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Shi Y, Wu W. Multimodal non-invasive non-pharmacological therapies for chronic pain: mechanisms and progress. BMC Med 2023; 21:372. [PMID: 37775758 PMCID: PMC10542257 DOI: 10.1186/s12916-023-03076-2] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 09/11/2023] [Indexed: 10/01/2023] Open
Abstract
BACKGROUND Chronic pain conditions impose significant burdens worldwide. Pharmacological treatments like opioids have limitations. Non-invasive non-pharmacological therapies (NINPT) encompass diverse interventions including physical, psychological, complementary and alternative approaches, and other innovative techniques that provide analgesic options for chronic pain without medications. MAIN BODY This review elucidates the mechanisms of major NINPT modalities and synthesizes evidence for their clinical potential across chronic pain populations. NINPT leverages peripheral, spinal, and supraspinal mechanisms to restore normal pain processing and limit central sensitization. However, heterogeneity in treatment protocols and individual responses warrants optimization through precision medicine approaches. CONCLUSION Future adoption of NINPT requires addressing limitations in standardization and accessibility as well as synergistic combination with emerging therapies. Overall, this review highlights the promise of NINPT as a valuable complementary option ready for integration into contemporary pain medicine paradigms to improve patient care and outcomes.
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Affiliation(s)
- Yu Shi
- Department of Rehabilitation, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, China
| | - Wen Wu
- Department of Rehabilitation, Zhujiang Hospital, Southern Medical University, Guangzhou, 510282, China.
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4
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Eseadi C, Amedu AN. Potential impact of music interventions in managing diabetic conditions. World J Clin Cases 2023; 11:2916-2924. [PMID: 37215419 PMCID: PMC10198074 DOI: 10.12998/wjcc.v11.i13.2916] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 03/01/2023] [Accepted: 04/04/2023] [Indexed: 04/25/2023] Open
Abstract
Diabetes is one of the most prevalent diseases, characterized by an insufficiency in insulin secretion as well as chronic hyperglycemia and disturbances in carbohydrate, lipid, and protein metabolism. The major aim of this study was to conduct a literature review on the impact of music intervention on the management of diabetic conditions among patients. Available studies on the impact of music interventions on the management of diabetic conditions were reviewed and analysed using descriptive literature review approach. This review showed that music intervention plays a dual role in managing patients' diabetic conditions. First, music intervention is impactful in managing the health condition of diabetic patients through enhancing the patient’s compliance with exercise, improving lower limb blood circulation, and enhancing health parameters that increase autonomous balance among diabetic patients. Second, music therapy is impactful in the management of diabetic conditions through lowering blood sugar, heart rate, glucose levels, and stress among patients. However, with the number of empirical studies available in this regard, the impact of music intervention is still growing, and longer-term studies and randomised controlled trials with robust sample size are recommended to reach a more valid conclusion.
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Affiliation(s)
- Chiedu Eseadi
- Department of Educational Psychology, Faculty of Education, University of Johannesburg, Johannesburg 2006, Gauteng, South Africa
| | - Amos Nnaemeka Amedu
- Social Science Education, University of Nigeria, Nsukka 41001, Enugu State, Nigeria
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5
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Soyeux O, Marchand S. A web app-based music intervention reduces experimental thermal pain: A randomized trial on preferred versus least-liked music style. FRONTIERS IN PAIN RESEARCH (LAUSANNE, SWITZERLAND) 2023; 3:1055259. [PMID: 36726374 PMCID: PMC9885533 DOI: 10.3389/fpain.2022.1055259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 12/05/2022] [Indexed: 01/18/2023]
Abstract
Digital technologies are increasingly being used to strengthen national health systems. Music is used as a management technique for pain. The objective of this study is to demonstrate the effects of a web app-based music intervention on pain. The participants were healthy adults and underwent three conditions: Conditioned Pain Modulation (CPM), Most-Liked Music (MLM) and Least-Liked Music (LLM). The music used is MUSIC CARE©, a web app-based personalized musical intervention ("U" Sequence based on a musical composition algorithm). Thermal pain was measured before starting the 20-min music intervention and after three time points for each music condition: 2.20, 11.30, and 20 min. Mean pain perceptions were significantly reduced under both LLM and MLM conditions. Pain decrease was more important under MLM condition than LLM condition at 2.20 min with a mean difference between both conditions of 9.7 (±3.9) (p = 0.0195) and at 11.30 min [9.2 (±3.3), p = 0.0099]. LLM is correlated with CPM but not MLM, suggesting different mechanisms between LLM and MLM. Musical intervention, a simple method of application, fits perfectly into a multidisciplinary global approach and helps to treat the pain and anxiety disorders of participants. Clinical trial registration: [https://clinicaltrials.gov/ct2/show/NCT04862832], ClinicalTrials.gov [NCT04862832].
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Affiliation(s)
- Orelle Soyeux
- International Laboratory for Brain, Music and Sound Research (BRAMS), University of Montreal, McGill University, Montreal, QC, Canada,Department of Psychology, University of Montreal, Montreal, QC, Canada
| | - Serge Marchand
- Research Centre, Sherbrooke's University Hospital, Sherbrooke, QC, Canada,Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada,Correspondence: Serge Marchand
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6
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Nguyen KT, Vu NTH, Tran MTT, Chan CWH. A qualitative study on stress, coping strategies and feasibility of music intervention among women with cancer receiving chemotherapy during COVID-19 pandemic in Vietnam. Sci Rep 2023; 13:542. [PMID: 36631561 PMCID: PMC9832410 DOI: 10.1038/s41598-023-27654-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 01/05/2023] [Indexed: 01/12/2023] Open
Abstract
Breast and gynaecological cancer (BGC) patients receiving chemotherapy may experience high levels of stress during the COVID-19 pandemic. Music interventions may be effective in lowering their stress levels. This study explored stressors, coping strategies, and the feasibility of music interventions among BGC patients in Vietnam. An exploratory qualitative study with individual face-to-face semi-structured interviews was conducted. A convenience sample of BGC patients receiving chemotherapy was recruited from the oncology centre of a public hospital in Vietnam. Twenty patients were interviewed with open-ended questions developed based on the transactional model of stress and coping to explore stress-causing factors and coping strategies and based on guidelines for music therapy practice to explore their music preferences and perceptions. Field notes and interview transcripts were analysed following the qualitative content analysis approach. Two stressor themes were identified: undesirable experiences during treatment and patients' inability to fulfil their own roles and responsibilities. Our findings revealed a new coping strategy-self-realisation of responsibilities towards the family-that is not listed in the transactional model of stress and coping. Future psychological interventions for stress management among BGC patients should focus on raising the patients' awareness of their values and responsibilities towards their families. Three categories of preferred music genres for stress reduction were identified: religious, softly melodic, and revolutionary music. The patients were aware of the positive effects of music and had different musical preferences. This study also explored the acceptance of music interventions and facilitators and barriers to implementing them among BGC patients in Vietnam. The findings suggest that before implementing music interventions, the musical preferences, religions, and beliefs of each individual should be considered to achieve desirable results. Music interventions for BGC patients receiving chemotherapy in Vietnam are feasible. Further intervention studies are needed to evaluate their effectiveness.
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Affiliation(s)
- Khanh T Nguyen
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China
- Nam Dinh University of Nursing, Nam Dinh, Vietnam
| | - Nhung T H Vu
- Nam Dinh University of Nursing, Nam Dinh, Vietnam
| | - Mai T T Tran
- Nam Dinh University of Nursing, Nam Dinh, Vietnam
| | - Carmen W H Chan
- The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, NT, Hong Kong SAR, China.
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7
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Rajendran T. Addressing the need for personalizing music therapy in integrative oncology. JOURNAL OF INTEGRATIVE MEDICINE 2022; 20:281-283. [PMID: 35078746 DOI: 10.1016/j.joim.2022.01.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 12/15/2021] [Indexed: 06/14/2023]
Abstract
Music therapy is an integrative oncology practice that has been rapidly emerging, over the past two decades, as a field of its own, clinically and academically. The randomized controlled trials that evaluate the clinical impact of music therapy are growing in number, and at the same time, there has been progress in understanding the neurobiological mechanisms that underly the beneficial effects of music therapy. Cultural background and autobiographical memories may uniquely influence music perception and cognition. It is vital to personalize music therapy because music preferences are unique; one size does not fit all. Cognitive music science studies and clinical music therapy trials that study individualized music choices will serve as a vital step forward in providing patient-directed personalized integrative cancer care. The field of music therapy is advancing, and its ability to improve a patient's quality of life can be understood only through robust, personalized, evidence-based initiatives that focus on research, advocacy, education, and delivery of care.
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Affiliation(s)
- Tara Rajendran
- Department of Music, Faculty of Fine Arts, Annamalai University, Annamalai Nagar, Chidambaram, Tamil Nadu 608002, India.
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8
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Binaural beats reduce feeling of pain and discomfort during colonoscopy procedure in not-sedated patients: A randomized control trial. Complement Ther Clin Pract 2022; 48:101605. [DOI: 10.1016/j.ctcp.2022.101605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 05/08/2022] [Accepted: 05/15/2022] [Indexed: 11/16/2022]
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9
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Guerrier G, Abdoul H, Jilet L, Rothschild PR, Baillard C. Efficacy of a Web App-Based Music Intervention During Cataract Surgery: A Randomized Clinical Trial. JAMA Ophthalmol 2021; 139:1007-1013. [PMID: 34323929 DOI: 10.1001/jamaophthalmol.2021.2767] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Importance Hypertensive events during cataract surgery may induce complications. Information and communication technologies applied to health are popular, but clinical evidence of its usefulness is rare and limited to treating anxiety without specific analysis. Recent publications have described the potential effects of personalized music choices as mobile-based intervention on pain but not on anxiety. Objective To demonstrate the effects of a web app-based music intervention on the incidence of hypertension in participants during cataract surgery performed under local anesthesia. Design, Setting, and Participants This randomized, single masked, controlled clinical trial was composed of 2 arms and took place at a single center at Cochin Hospital in Paris, France. A total of 313 participants were screened between February 2017 and July 2018. Among these, 311 participants undergoing a phacoemulsification procedure for elective surgery for their first eye cataract under local anesthesia were enrolled. Analysis was intention to treat and began in September 2018 and ended November 2018. Interventions Participants requiring cataract surgery were assigned randomly to either the experimental arm (web app-based music listening intervention delivered via headphones) or control arm (noise-canceling headphones without music) for 20 minutes before surgery. Main Outcomes and Measures The occurrence of at least 1 hypertensive event during surgery. Results A total of 310 participants were randomized in the study (155 to each arm) and 309 were analyzed (1 participant in the music arm had already undergone cataract surgery to the other eye). The mean (SD) age of the participants was 68.9 (10.8) years, and there were 176 female individuals (57%). On the primary end point, the incidence of hypertension was significantly lower in the music arm (21 [13.6%]) than in the control arm (82 [52.9%]), with a difference between the 2 arms of 39.3% (95% CI, 21.4%-48.9%; P < .001). Regarding the secondary end points, the mean (SD) visual measure of anxiety was lower in the music arm (1.4 [2.0]) than in the control arm (3.1 [2.4]), with a difference of 1.5 (95% CI, 1.0-2.1; P = .005). The mean (SD) number of sedative drug injections required during surgery was 0.04 (0.24) vs 0.54 (0.74) in the music vs control arms, respectively, with a difference of 0.50 (95% CI, 0.43-0.57; P < .001). Conclusions and Relevance For participants similar to those enrolled in this study, the trial suggests that a web app-based personalized music intervention before cataract surgery may be considered to lower anxiety levels and hypertension or reduce the need for sedative medication. Trial Registration ClinicalTrials.gov Identifier: NCT02892825.
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Affiliation(s)
- Gilles Guerrier
- Department of Anesthesia and Intensive Care, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France.,INSERM U1138 Team 17, Centre de Recherche des Cordeliers (CRC), Paris, France
| | - Hendy Abdoul
- Unité de Recherche Clinique-Centre d'Investigation Clinique Paris Descartes Necker/Cochin, Hôpital Tarnier, Paris, France
| | - Lea Jilet
- Unité de Recherche Clinique-Centre d'Investigation Clinique Paris Descartes Necker/Cochin, Hôpital Tarnier, Paris, France
| | - Pierre-Raphaël Rothschild
- INSERM U1138 Team 17, Centre de Recherche des Cordeliers (CRC), Paris, France.,Department of Ophthalmology, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France
| | - Christophe Baillard
- Department of Anesthesia and Intensive Care, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris, Paris, France
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10
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Suarningsih NKA, Kongsuwan W, Kritpracha C. Effect of an education program and traditional music on anxiety in patients with myocardial infarction. ENFERMERIA CLINICA 2020. [DOI: 10.1016/j.enfcli.2020.09.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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11
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Orak Y, Bakacak SM, Yaylali A, Tolun FI, Kiran H, Boran OF, Kurt AH, Doganer A. Effects of music therapy on pain and oxidative stress in oocyte pick-up: A randomized clinical trial. BRAZILIAN JOURNAL OF ANESTHESIOLOGY (ENGLISH EDITION) 2020. [PMID: 32829925 PMCID: PMC9373249 DOI: 10.1016/j.bjane.2020.07.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Background and objective The aim was to investigate the effects of Turkish classical music on pain and oxidative stress in patients undergoing oocyte pick-up. Methods The study was a randomized, controlled trial. The groups included Group NM (Non-Music), control group; Group PM, which comprised patients who listened to music before the operation; and Group CM, which comprised patients who listened to music both before and during the operation. Blood was drawn prior to the operation to measure the oxidative stress values. Pain, hemodynamic parameters, oxidative stress values were assessed postoperatively. Results The number of patients requiring additional propofol was higher in Group PM than in Groups NM and CM (p = 0.003). The postoperative Visual Analog Scale (VAS) score were lower in Groups PM and CM than in Group NM (p = 0.001, p = 0.007) in the 1st and 60th minutes. The postoperative VAS score was lower in Group CM than in Group NM (p = 0.045) in the 5th minute. The postoperative additional analgesic requirements were lower in Groups PM and CM than in Group NM (p = 0.045). The postoperative blood glutathione peroxidase values were significantly higher in Groups PM and CM than in Group NM (p = 0.001). The postoperative catalase values were significantly higher in Groups PM and CM than in Group NM (p = 0.008 and p < 0.001). The preoperative malondialdehyde values were significantly lower in Groups PM and CM than in Group NM. The preoperative nitric oxide values were higher in Groups PM and CM than in Group NM (p < 0.001), whereas the postoperative nitric oxide values were lower in Groups PM and CM than in Group NM (p < 0.001). Conclusion Turkish classical music has beneficial effects on pain and oxidative stress in oocyte pick-up patients.
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Affiliation(s)
- Yavuz Orak
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Onikişubat, Turquia.
| | - Suleyman Murat Bakacak
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Obstetrics and Gynecology, Onikişubat, Turquia
| | - Asli Yaylali
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Histology Department, Onikişubat, Turquia
| | - Fatma Inanc Tolun
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Biochemistry, Onikişubat, Turquia
| | - Hakan Kiran
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Obstetrics and Gynecology, Onikişubat, Turquia
| | - Omer Faruk Boran
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Onikişubat, Turquia
| | - Akif Hakan Kurt
- Bolu Abant Izzet Baysal University, Faculty of Medicine, Medical Pharmacology, Bolu, Turquia
| | - Adem Doganer
- Kahramanmaras Sutcu Imam University, Faculty of Medicine, Biostatistics and Medical Informatics, Onikişubat, Turquia
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12
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[Effects of music therapy on pain and oxidative stress in oocyte pick-up: a randomized clinical trial]. Rev Bras Anestesiol 2020; 70:491-499. [PMID: 32829925 DOI: 10.1016/j.bjan.2020.04.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 04/13/2020] [Accepted: 04/17/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND AND OBJECTIVE The aim was to investigate the effects of Turkish classical music on pain and oxidative stress in patients undergoing oocyte pick-up. METHODS The study was a randomized, controlled trial. The groups included were Group NM (Non-Music), control group; Group PM, which comprised patients who listened to music before the operation; and Group CM, which comprised patients who listened to music both before and during the operation. Blood was drawn prior to the operation to measure the oxidative stress values. Pain, hemodynamic parameters, oxidative stress values were assessed postoperatively. RESULTS The number of patients requiring additional propofol was higher in Group PM than in Groups NM and CM (p=0.003). The postoperative Visual Analog Scale (VAS) score were lower in Groups PM and CM than in Group NM (p=0.001, p=0.007) in the 1st and 60th minutes. The postoperative VAS score was lower in Group CM than in Group NM (p=0.045) in the 5th minute. The postoperative additional analgesic requirements were lower in Groups PM and CM than in Group NM (p=0.045). The postoperative blood glutathione peroxidase values were significantly higher in Groups PM and CM than in Group NM (p=0.001). The postoperative catalase values were significantly higher in Groups PM and CM than in Group NM (p=0.008 and p ≤0.001). The preoperative malondialdehyde values were significantly lower in Groups PM and CM than in Group NM. The preoperative nitric oxide values were higher in Groups PM and CM than in Group NM (p ≤0.001), whereas the postoperative nitric oxide values were lower in Groups PM and CM than in Group NM (p ≤0.001). CONCLUSION Turkish classical music has beneficial effects on pain and oxidative stress in oocyte pick-up patients.
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13
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Richard-Lalonde M, Gélinas C, Boitor M, Gosselin E, Feeley N, Cossette S, Chlan LL. The Effect of Music on Pain in the Adult Intensive Care Unit: A Systematic Review of Randomized Controlled Trials. J Pain Symptom Manage 2020; 59:1304-1319.e6. [PMID: 31881291 DOI: 10.1016/j.jpainsymman.2019.12.359] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Revised: 12/11/2019] [Accepted: 12/13/2019] [Indexed: 10/25/2022]
Abstract
CONTEXT Multimodal analgesic approaches are recommended for intensive care unit (ICU) pain management. Although music is known to reduce pain in acute and chronic care settings, less is known about its effectiveness in the adult ICU. OBJECTIVES Determine the effects of music interventions on pain in the adult ICU, compared with standard care or noise reduction. METHODS This review was registered on PROSPERO (CRD42018106889). Databases were searched for randomized controlled trials of music interventions in the adult ICU, with the search terms ["music*" and ("critical care" or "intensive care")]. Pain scores (i.e., self-report rating scales or behavioral scores) were the main outcomes of this review. Data were analyzed using a DerSimonian-Laird random-effects method with standardized mean difference (SMD) of pain scores. Statistical heterogeneity was determined as I2 > 50% and explored via subgroup analyses and meta-regression. RESULTS Eighteen randomized controlled trials with a total of 1173 participants (60% males; mean age 60 years) were identified. Ten of these studies were included in the meta-analysis based on risk of bias assessment (n = 706). Music was efficacious in reducing pain (SMD -0.63 [95% CI -1.02, -0.24; n = 10]; I2 = 87%). Music interventions of 20-30 minutes were associated with a larger decrease in pain scores (SMD -0.66 [95% CI -0.94, -0.37; n = 5]; I2 = 30%) compared with interventions of less than 20 minutes (SMD 0.10 [95% CI -0.10, 0.29; n = 4]; I2 = 0%). On a 0-10 scale, 20-30 minutes of music resulted in an average decrease in pain scores of 1.06 points (95% CI -1.56, -0.56). CONCLUSION Music interventions of 20-30 minutes are efficacious to reduce pain in adult ICU patients able to self-report.
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Affiliation(s)
| | - Céline Gélinas
- McGill University and Jewish General Hospital, Montreal, Quebec, Canada
| | | | | | - Nancy Feeley
- McGill University and Jewish General Hospital, Montreal, Quebec, Canada
| | - Sylvie Cossette
- Université de Montréal, Montreal Heart Institute, Montreal, Quebec, Canada
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14
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de Witte M, Spruit A, van Hooren S, Moonen X, Stams GJ. Effects of music interventions on stress-related outcomes: a systematic review and two meta-analyses. Health Psychol Rev 2019; 14:294-324. [PMID: 31167611 DOI: 10.1080/17437199.2019.1627897] [Citation(s) in RCA: 121] [Impact Index Per Article: 24.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Music interventions are used for stress reduction in a variety of settings because of the positive effects of music listening on both physiological arousal (e.g., heart rate, blood pressure, and hormonal levels) and psychological stress experiences (e.g., restlessness, anxiety, and nervousness). To summarize the growing body of empirical research, two multilevel meta-analyses of 104 RCTs, containing 327 effect sizes and 9,617 participants, were performed to assess the strength of the effects of music interventions on both physiological and psychological stress-related outcomes, and to test the potential moderators of the intervention effects. Results showed that music interventions had an overall significant effect on stress reduction in both physiological (d = .380) and psychological (d = .545) outcomes. Further, moderator analyses showed that the type of outcome assessment moderated the effects of music interventions on stress-related outcomes. Larger effects were found on heart rate (d = .456), compared to blood pressure (d = .343) and hormone levels (d = .349). Implications for stress-reducing music interventions are discussed.
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Affiliation(s)
- Martina de Witte
- HAN University of Applied Sciences, Nijmegen, The Netherlands.,Stevig, Expert Treatment Centre for People with Mild Intellectual Disabilities and Psychiatric and Behavioral Disorders, Gennep, The Netherlands.,KenVaK, Research Centre for the Arts Therapies, Heerlen, The Netherlands
| | - Anouk Spruit
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands
| | - Susan van Hooren
- KenVaK, Research Centre for the Arts Therapies, Heerlen, The Netherlands.,Faculty of Healthcare, Zuyd University of Applied Sciences, Heerlen, The Netherlands.,Faculty of Psychology and Educational Sciences, Open University, Heerlen, The Netherlands
| | - Xavier Moonen
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands.,Faculty of Healthcare, Zuyd University of Applied Sciences, Heerlen, The Netherlands
| | - Geert-Jan Stams
- Research Institute of Child Development and Education, University of Amsterdam, Amsterdam, The Netherlands
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do Amaral MAS, Neto MG, de Queiroz JG, Martins-Filho PRS, Saquetto MB, Oliveira Carvalho V. Effect of music therapy on blood pressure of individuals with hypertension: A systematic review and Meta-analysis. Int J Cardiol 2016; 214:461-4. [PMID: 27096963 DOI: 10.1016/j.ijcard.2016.03.197] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2016] [Accepted: 03/27/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND Studies have reported the benefits of music on blood pressure in hypertensive patients, however there is no meta-analysis. We performed a meta-analysis to investigate the effects of music in hypertensive patients. METHODS Pubmed, Scopus, LILACS, IBECS, MEDLINE and SciELO via Virtual Health Library (Bireme) (from the earliest date available to February 2016) for controlled trials that evaluated the effects of music on systolic and diastolic blood pressure in hypertensive patients. Weighted mean differences (WMD) and 95% confidence intervals (CIs) were calculated, and heterogeneity was assessed using the I(2) test. RESULTS Three studies met the eligibility criteria. Music resulted in improvement in systolic blood pressure WMD (-6.58 95% CI: -9.38 to -3.79), compared with control group. A nonsignificant difference in diastolic blood pressure was found for participants in the music group compared with control group. CONCLUSIONS Music may improve systolic blood pressure and should be considered as a component of care of hypertensive patients.
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Affiliation(s)
- Mayra Alves Soares do Amaral
- Department of Physical Therapy and Post-Graduate Program in Health Sciences, Federal University of Sergipe - UFS, Brazil; The GREAT Group (GRupo de Estudos em ATividade física), Brazil.
| | - Mansueto Gomes Neto
- The GREAT Group (GRupo de Estudos em ATividade física), Brazil; Department of Biofunction, Health Sciences Institute, Federal University of Bahia - UFBA, Brazil
| | | | | | - Micheli Bernardone Saquetto
- The GREAT Group (GRupo de Estudos em ATividade física), Brazil; Department of Biofunction, Health Sciences Institute, Federal University of Bahia - UFBA, Brazil
| | - Vitor Oliveira Carvalho
- Department of Physical Therapy and Post-Graduate Program in Health Sciences, Federal University of Sergipe - UFS, Brazil; The GREAT Group (GRupo de Estudos em ATividade física), Brazil
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Ng MY, Karimzad Y, Menezes RJ, Wintersperger BJ, Li Q, Forero J, Paul NS, Nguyen ET. Randomized controlled trial of relaxation music to reduce heart rate in patients undergoing cardiac CT. Eur Radiol 2016; 26:3635-42. [DOI: 10.1007/s00330-016-4215-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Revised: 10/22/2015] [Accepted: 01/13/2016] [Indexed: 10/22/2022]
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Jourt-Pineau C, Guétin S, Védrine L, Le Moulec S, Poirier JM, Ceccaldi B. Effets de la musicothérapie sur la douleur et l’anxiété des patients atteints de cancer hospitalisés et/ou suivis en service d’oncologie. ACTA ACUST UNITED AC 2013. [DOI: 10.1016/j.douler.2013.03.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Vaajoki A, Pietilä AM, Kankkunen P, Vehviläinen-Julkunen K. Effects of listening to music on pain intensity and pain distress after surgery: an intervention. J Clin Nurs 2011; 21:708-17. [DOI: 10.1111/j.1365-2702.2011.03829.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sung HC, Chang AM, Lee WL. A preferred music listening intervention to reduce anxiety in older adults with dementia in nursing homes. J Clin Nurs 2010; 19:1056-64. [PMID: 20492050 DOI: 10.1111/j.1365-2702.2009.03016.x] [Citation(s) in RCA: 114] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
AIM This article reports the results of a study evaluating a preferred music listening intervention for reducing anxiety in older adults with dementia in nursing homes. BACKGROUND Anxiety can have a significant negative impact on older adults' functional status, quality of life and health care resources. However, anxiety is often under-diagnosed and inappropriately treated in those with dementia. Little is known about the use of a preferred music listening intervention for managing anxiety in those with dementia. DESIGN A quasi-experimental pretest and posttest design was used. METHODS This study aimed to evaluate the effectiveness of a preferred music listening intervention on anxiety in older adults with dementia in nursing home. Twenty-nine participants in the experimental group received a 30-minute music listening intervention based on personal preferences delivered by trained nursing staff in mid-afternoon, twice a week for six weeks. Meanwhile, 23 participants in the control group only received usual standard care with no music. Anxiety was measured by Rating Anxiety in Dementia at baseline and week six. Analysis of covariance (ancova) was used to determine the effectiveness of a preferred music listening intervention on anxiety at six weeks while controlling for pretest anxiety, age and marital status. RESULTS ancova results indicated that older adults who received the preferred music listening had a significantly lower anxiety score at six weeks compared with those who received the usual standard care with no music (F = 12.15, p = 0.001). CONCLUSIONS Preferred music listening had a positive impact by reducing the level of anxiety in older adults with dementia. RELEVANCE TO CLINICAL PRACTICE Nursing staff can learn how to implement preferred music intervention to provide appropriate care tailored to the individual needs of older adults with dementia. Preferred music listening is an inexpensive and viable intervention to promote mental health of those with dementia.
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Affiliation(s)
- Huei-Chuan Sung
- Department of Nursing, Tzu Chi College of Technology & Tzu Chi University and Department of Nursing, Hualien Tzu Chi Medical Centre, Hualien, Taiwan.
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Kim GM, Lee DW, Park KH, Jeong HS, Choi JH. The Effect of Relaxation Music on Anxiety in Subjects Performed Unsedated Esophagogastroduodenoscopy. Korean J Fam Med 2010. [DOI: 10.4082/kjfm.2010.31.10.786] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Affiliation(s)
- Gyeong Min Kim
- Department of Family Medicine, Dongguk University College of Medicine, Gyeongju, Korea
| | - Dong Wook Lee
- Department of Family Medicine, Dongguk University College of Medicine, Gyeongju, Korea
| | - Ki Heum Park
- Department of Family Medicine, Dongguk University College of Medicine, Gyeongju, Korea
| | - Hwee Soo Jeong
- Department of Family Medicine, Dongguk University College of Medicine, Gyeongju, Korea
| | - Jeong Hwa Choi
- Department of Family Medicine, Dongguk University College of Medicine, Gyeongju, Korea
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Siedlecki SL. Racial variation in response to music in a sample of African-American and Caucasian chronic pain patients. Pain Manag Nurs 2009; 10:14-21. [PMID: 19264279 DOI: 10.1016/j.pmn.2008.08.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2008] [Revised: 08/07/2008] [Accepted: 08/14/2008] [Indexed: 10/21/2022]
Abstract
The incidence of chronic pain is similar in African-American and Caucasian populations; however, depression and disability secondary to unrelieved chronic pain is higher in African-American populations. In light of this difference, it is important to understand racial variations in response to chronic pain treatments, including complementary therapies such as music. The purpose of this study was to examine racial variation in response to music in an adult population with chronic pain, and specifically to determine if post treatment pain scores differed by race. Secondary analysis from a previously reported randomized controlled trial (n = 60) was used to answer the research questions. Music interventions consisted of listening to music for 1 hour a day for 7 consecutive days. Pain was measured with the McGill Pain Questionnaire short form and a 100-mm visual analog scale. Univariate and multivariate analysis was used to examine differences between groups. Music groups regardless of race experienced a decrease in pain and depression at posttest compared with the control group. However, this difference was only statistically significant for the Caucasian music group. Although our findings demonstrate that music may be an effective intervention for individuals with chronic nonmalignant pain; individuals from different racial backgrounds may respond differently. Further studies are needed to understand these differences in response to music.
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Affiliation(s)
- Sandra L Siedlecki
- Department of Nursing Research & Innovation, Cleveland Clinic, Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
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Laopaiboon M, Lumbiganon P, Martis R, Vatanasapt P, Somjaivong B. Music during caesarean section under regional anaesthesia for improving maternal and infant outcomes. Cochrane Database Syst Rev 2009:CD006914. [PMID: 19370660 DOI: 10.1002/14651858.cd006914.pub2] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND Evidence on the benefits of music during caesarean section under regional anaesthesia to improve clinical and psychological outcomes for mothers and infants has not been established. OBJECTIVES To evaluate the effectiveness of music during caesarean section under regional anaesthesia for improving clinical and psychological outcomes for mothers and infants. SEARCH STRATEGY We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 September 2008). SELECTION CRITERIA We included randomised controlled trials comparing music added to standard care during caesarean section under regional anaesthesia to standard care alone. DATA COLLECTION AND ANALYSIS Two review authors, Malinee Laopaiboon and Ruth Martis, independently assessed eligibility, risk of bias in included trials and extracted data. We analysed continuous outcomes using a mean difference (MD) with a 95% confidence interval (CI). MAIN RESULTS One trial involving 76 women who planned to have their babies delivered by caesarean section met the inclusion criteria, but data were available for only 64 women. This trial was of low quality with unclear allocation concealment and only a few main clinical outcomes reported for the women. The trial did not report any infant outcomes. It appears that music added to standard care during caesarean section under regional anaesthesia had some impact on pulse rate at the end of maternal contact with the neonate in the intra-operative period (MD -7.50 fewer beats per minute, 95% CI -14.08 to -0.92) and after completion of skin suture for the caesarean section (MD -7.37 fewer beats per minute, 95% CI -13.37 to -1.37). There was also an improvement in the birth satisfaction score (maximum possible score of 35) (MD of 3.38, 95%CI 1.59 to 5.17). Effects on other outcomes were either not significant or not reported in the one included trial. AUTHORS' CONCLUSIONS The findings indicate that music during planned caesarean section under regional anaesthesia may improve pulse rate and birth satisfaction score. However, the magnitude of these benefits is small and the methodological quality of the one included trial is questionable. Therefore, the clinical significance of music is unclear. More research is needed to investigate the effects of music during caesarean section under regional anaesthesia on both maternal and infant outcomes, in various ethnic pregnant women, and with adequate sample sizes.
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Affiliation(s)
- Malinee Laopaiboon
- Department of Biostatistics and Demography, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand, 40002.
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Deshmukh AD, Sarvaiya AA, Seethalakshmi R, Nayak AS. Effect of Indian classical music on quality of sleep in depressed patients: A randomized controlled trial. NORDIC JOURNAL OF MUSIC THERAPY 2009. [DOI: 10.1080/08098130802697269] [Citation(s) in RCA: 107] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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The effect of music therapy on mood and anxiety–depression: An observational study in institutionalised patients with traumatic brain injury. Ann Phys Rehabil Med 2009; 52:30-40. [DOI: 10.1016/j.annrmp.2008.08.009] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2008] [Accepted: 08/26/2008] [Indexed: 11/19/2022]
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Korean and American Music Reduces Pain in Korean Women After Gynecologic Surgery. Pain Manag Nurs 2008; 9:96-103. [DOI: 10.1016/j.pmn.2008.02.002] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2007] [Revised: 02/11/2008] [Accepted: 02/11/2008] [Indexed: 11/24/2022]
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Kwekkeboom KL, Bumpus M, Wanta B, Serlin RC. Oncology nurses' use of nondrug pain interventions in practice. J Pain Symptom Manage 2008; 35:83-94. [PMID: 17959348 DOI: 10.1016/j.jpainsymman.2007.02.037] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2006] [Revised: 02/14/2007] [Accepted: 02/19/2007] [Indexed: 11/30/2022]
Abstract
Cancer pain management guidelines recommend nondrug interventions as adjuvants to analgesic medications. Although physicians typically are responsible for pharmacologic pain treatments, oncology staff nurses, who spend considerable time with patients, are largely responsible for identifying and implementing nondrug pain treatments. Oncology nurses' use of nondrug interventions, however, has not been well studied. The purpose of this study was to describe oncology nurses' use of four nondrug interventions (music, guided imagery, relaxation, distraction) and to identify factors that influence their use in practice. A national sample of 724 oncology staff nurses completed a mailed survey regarding use of the nondrug interventions in practice, beliefs about the interventions, and demographic characteristics. The percentages of nurses who reported administering the strategies in practice at least sometimes were 54% for music, 40% for guided imagery, 82% for relaxation, and 80% for distraction. Use of each nondrug intervention was predicted by a composite score on beliefs about effectiveness of the intervention (e.g., perceived benefit; P<0.025) and a composite score on beliefs about support for carrying out the intervention (e.g., time; P<0.025). In addition, use of guided imagery was predicted by a composite score on beliefs about characteristics of patients who may benefit from the intervention (e.g., cognitive ability; P<0.05). Some nurse demographic, professional preparation, and practice environment characteristics also predicted use of individual nondrug interventions. Efforts to improve application of nondrug interventions should focus on innovative educational strategies, problem solving to secure support, and development and testing of new delivery methods that require less time from busy staff nurses.
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Escobar Aguilar G. La música como procedimiento en el medio hospitalario. ENFERMERIA CLINICA 2006. [DOI: 10.1016/s1130-8621(06)71246-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Guétin S, Coudeyre E, Picot MC, Ginies P, Graber-Duvernay B, Ratsimba D, Vanbiervliet W, Blayac JP, Hérisson C. [Effect of music therapy among hospitalized patients with chronic low back pain: a controlled, randomized trial]. ACTA ACUST UNITED AC 2005; 48:217-24. [PMID: 15914256 DOI: 10.1016/j.annrmp.2005.02.003] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2004] [Accepted: 02/02/2005] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To evaluate the influence of music therapy in hospitalized patients with chronic low back pain. METHODS A controlled, randomized study (N = 65). During a stationary rehabilitation stay of 12 days, 65 patients with low back pain were randomized to receive on alternate months standardized physical therapy plus 4 music therapy sessions between day 1 and day 5 (intervention group; N = 33) or standardized physical therapy alone (control group; N =32). Scores for pain (as measured on a visual analogue scale [VAS]), disability (Oswestry index) and anxiety and depression (as measured on the hospital anxiety and depression scale [HAD]) were collected on day 1, 5 and 12. Pain intensity was also evaluated on a VAS just before and after music therapy sessions. RESULTS Introduced music therapy sessions during a stationary rehabilitation stay in patients with chronic low back pain reduce pain (-2.0+/-2.7 vs -1.8+/-2.6) but not significantly. However, music therapy significantly (p < 0.01) reduced disability as measured on the Owestry index between day 1 and day 5 (-11.8+/-17.8 vs -2.5+/-9.4), anxiety (-3.5+/-3.7 vs -0.9+/-2.7) and depression (-2.1+/-3.0 vs 0.6+/-2.4). The immediate effect on pain intensity (VAS score) was confirmed (p < 0.001). CONCLUSION Our results confirmed the effectiveness of music therapy for hospitalized patients with chronic low back pain. Music therapy can be a useful complementary treatment in chronic pain and associated anxiety-depression and behavioural consequences.
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Affiliation(s)
- S Guétin
- Association de musicothérapie applications et recherches cliniques (AM-ARC), 4, place Laissac, Montpellier 34000, France
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Guétin S, Ginies P, Blayac JP, Eledjam JJ. Une nouvelle technique contrôlée de musicothérapie dans la prise en charge des douleurs viscérales aiguës et chroniques. ACTA ACUST UNITED AC 2005. [DOI: 10.1007/bf03014561] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Abstract
AIM The aim of this paper is to report an investigation of the effects of soft music on sleep quality in older community-dwelling men and women in Taiwan. BACKGROUND Sleep is a complex rhythmic state that may be affected by the ageing process. Few studies have focused on the effects of music, a non-pharmacological method of improving the quality of sleep in older adults. METHOD A randomized controlled trial was used with a two-group repeated measures design. Sixty people aged 60-83 years with difficulty in sleeping were recruited through community leaders and screened using the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale. Those reporting depression, cognitive impairment, medical or environmental problems that might interfere with sleep; and those who used sleeping medications, meditation, or caffeine at bedtime were excluded. Participants listened to their choice among six 45-minute sedative music tapes at bedtime for 3 weeks. There were five types of Western and one of Chinese music. Sleep quality was measured with the PSQI before the study and at three weekly post-tests. Groups were comparable on demographic variables, anxiety, depressive symptoms, physical activity, bedtime routine, herbal tea use, napping, pain, and pretest overall sleep quality. RESULTS Music resulted in significantly better sleep quality in the experimental group, as well as significantly better components of sleep quality: better perceived sleep quality, longer sleep duration, greater sleep efficiency, shorter sleep latency, less sleep disturbance and less daytime dysfunction (P = 0.04-0.001). Sleep improved weekly, indicating a cumulative dose effect. CONCLUSION The findings provide evidence for the use of soothing music as an empirically-based intervention for sleep in older people.
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Affiliation(s)
- Hui-Ling Lai
- Community Health Center, Buddhist Tzu-Chi General Hospital, Hualien, Taiwan, ROC
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Good M, Anderson GC, Ahn S, Cong X, Stanton-Hicks M. Relaxation and music reduce pain following intestinal surgery. Res Nurs Health 2005; 28:240-51. [PMID: 15884029 DOI: 10.1002/nur.20076] [Citation(s) in RCA: 79] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Three nonpharmacological nursing interventions, relaxation, chosen music, and their combination, were tested for pain relief following intestinal (INT) surgery in a randomized clinical trial. The 167 patients were randomly assigned to one of three intervention groups or control and were tested during ambulation and rest on postoperative days 1 and 2. Pain sensation and distress were measured with visual analog scales (VAS). Multivariate analysis of covariance showed significantly less post-test pain in the intervention groups than in the control group on both days after rest and at three of six ambulation post-tests (p = .024-.001), resulting in 16-40% less pain. Mixed effects after ambulation were due to the large variation in pain and difficulty relaxing while returning to bed; but post hoc explorations showed effects for those with high and low pain. These interventions are recommended along with analgesics for greater postoperative relief without additional side effects.
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Affiliation(s)
- Marion Good
- Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-4904, USA
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Abstract
The purpose of this study was to identify individual musical preferences, investigate the relationship between an individual's musical preferences and demographic variables, and examine the effects of the selected music on relaxation. Fifty healthy subjects (mean age 65.7; SD = 5.2) from the community participated in the study. Musical preference interviews and relaxed responses to selected music were administered to the study participants individually in the investigator's office. Participants' heart rates, respiratory rates, and finger temperature were measured before they listened to the introductory tape and again after they listened to the selected music for 20 minutes. The participants were asked to judge how much they liked the 6 types of soothing music and were asked to rate it on a scale. The results indicated that Chinese orchestral music was the preferred choice, followed by harp, piano, synthesizer, orchestral, and finally slow jazz. There were no differences among types of music on relaxation, and no significant differences between musical preference and any demographic variables. The heart rates and respiratory rates of the participants were significantly lower (t = 21.24, P < .001 and t = 20.09, P < .001, respectively). Finger temperature (t = -33.20, P < .001) raised significantly after listening to the selected music. These findings suggest that soothing music selections have beneficial effects on relaxation in community-residing elderly people.
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Affiliation(s)
- Hui-Ling Lai
- Nursing Department, Buddhist Tzu Chi General Hospital, Taiwan, Republic of China
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Voss JA, Good M, Yates B, Baun MM, Thompson A, Hertzog M. Sedative music reduces anxiety and pain during chair rest after open-heart surgery. Pain 2004; 112:197-203. [PMID: 15494201 DOI: 10.1016/j.pain.2004.08.020] [Citation(s) in RCA: 97] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2004] [Revised: 08/03/2004] [Accepted: 08/23/2004] [Indexed: 11/15/2022]
Abstract
Open-heart surgery patients report anxiety and pain with chair rest despite opioid analgesic use. The effectiveness of non-pharmacological complementary methods (sedative music and scheduled rest) in reducing anxiety and pain during chair rest was tested using a three-group pretest-posttest experimental design with 61 adult postoperative open-heart surgery patients. Patients were randomly assigned to receive 30 min of sedative music (N=19), scheduled rest (N=21), or treatment as usual (N=21) during chair rest. Anxiety, pain sensation, and pain distress were measured with visual analogue scales at chair rest initiation and 30 min later. Repeated measures MANOVA indicated significant group differences in anxiety, pain sensation, and pain distress from pretest to posttest, P<0.001. Univariate repeated measures ANOVA (P< or =0.001) and post hoc dependent t-tests indicated that in the sedative music and scheduled rest groups, anxiety, pain sensation, and pain distress all decreased significantly, P<0.001-0.015; while in the treatment as usual group, no significant differences occurred. Further, independent t-tests indicated significantly less posttest anxiety, pain sensation, and pain distress in the sedative music group than in the scheduled rest or treatment as usual groups (P<0.001-0.006). Thus, in this randomized control trial, sedative music was more effective than scheduled rest and treatment as usual in decreasing anxiety and pain in open-heart surgery patients during first time chair rest. Patients should be encouraged to use sedative music as an adjuvant to medication during chair rest.
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Affiliation(s)
- Jo A Voss
- College of Nursing, South Dakota State University, 1011 11th Street, Rapid City, SD 57701, USA.
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Abstract
Hospitals are experiencing an increase in surgical procedures aimed at improving function and quality of life for elders. However, recent reports of pain management practices of elder patients show that pain is underassessed and undertreated. High postoperative pain intensities have been associated with delayed ambulation, postoperative pulmonary complications, increased hospital length of stay, long-term functional impairment, and chronic pain syndromes in this age group. Aggressive pain control is needed, but challenges in assessing and treating pain in older adults make this difficult. The purpose of this article is to review strategies for assessing and treating postoperative pain in older adults. Attention is given to the challenges associated with mental and physical impairments experienced by elders and a review of assessment and pharmacologic and nonpharmacologic strategies are included.
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Affiliation(s)
- Barbara Rakel
- University of Iowa Hospitals and Clinics, Iowa City, IA 52242 , USA.
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Abstract
Labor pain is often severe, and analgesic medication may not be indicated. In this randomized controlled trial we examined the effects of music on sensation and distress of pain in Thai primiparous women during the active phase of labor. The gate control theory of pain was the theoretical framework for this study. Randomization with a computerized minimization program was used to assign women to a music group (n = 55) or a control group (n = 55). Women in the intervention group listened to soft music without lyrics for 3 hours starting early in the active phase of labor. Dual visual analog scales were used to measure sensation and distress of pain before starting the study and at three hourly posttests. While controlling for pretest scores, one-way repeated measures analysis of covariance indicated that those in the music group had significantly less sensation and distress of pain than did the control group (F (1, 107) = 18.69, p <.001, effect size =.15, and F (1, 107) = 14.87, p <.001, effect size =.12), respectively. Sensation and distress significantly increased across the 3 hours in both groups (p <.001), except for distress in the music group during the first hour. Distress was significantly lower than sensation in both groups (p <.05). In this controlled study, music--a mild to moderate strength intervention--consistently provided significant relief of severe pain across 3 hours of labor and delayed the increase of affective pain for 1 hour. Nurses can provide soft music to laboring women for greater pain relief during the active phase when contractions are strong and women suffer.
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Affiliation(s)
- Sasitorn Phumdoung
- Obstetric Gynecological Nursing and Midwifery Department, Prince of Songkla University, Faculty of Nursing, Hatyai, Songhkla 90112, Thailand.
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Murrock CJ. The effects of music on the rate of perceived exertion and general mood among coronary artery bypass graft patients enrolled in cardiac rehabilitation phase II. Rehabil Nurs 2002; 27:227-31. [PMID: 12432670 DOI: 10.1002/j.2048-7940.2002.tb02018.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The purpose of the study was to identify the effect of music on perceived exertion and mood in 30 coronary artery bypass graft patients during cardiac rehabilitation. The modified Borg Scale of Perceived Exertion (RPE) and the Rejeski Feeling Scale (FS) were the dependent variables. Group A subjects exercised with music and Group B subjects exercised without music as they rated their perceived exertion and mood. The use of music to reduce perceived exertion was not supported (p = 0.16). However, Group A members reported significantly enhanced mood while exercising to music and Group B members reported a significantly decreased mood without music (p = 0.0006). Enhancement of mood might lead to increased compliance with a regular exercise routine.
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Affiliation(s)
- Carolyn J Murrock
- Ursuline College, Breen School of Nursing, 2550 Lander Road, Pepper Pike, OH 44124, USA.
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