Music listening alleviates anxiety and physiological responses in patients receiving spinal anesthesia.

Author: Lee WP1, Wu PY2, Lee MY3, Ho LH4, Shih WM5
Affiliation:
1Chang Gung Medical Foundation, Taiwan.
2Chang Gung Medical Foundation, Hsin Sheng Junior College of Medical Care and Management, Taiwan.
3Chang Gung Medical Foundation, Department of Nursing, Taiwan.
4Chang Gung Medical Foundation, Department of Nursing, Chang Gung University of Science and Technology, Taiwan.
5Chang Gung University of Science and Technology, Taiwan. Electronic address: jeanshih168@frontier.com.
Conference/Journal: Complement Ther Med.
Date published: 2017 Apr
Other: Volume ID: 31 , Pages: 8-13 , Special Notes: doi: 10.1016/j.ctim.2016.12.006. Epub 2017 Jan 7. , Word Count: 222


OBJECTIVE: The aim of this study was to explore the effects of listening to music on the anxiety levels and physiological responses of surgical patients receiving spinal anesthesia.

METHODS: An experimental design was used in the study with an experimental group (n=50) and a control group (n=50). The experimental group received 30min of musical intervention and routine nursing care in the Post-Anesthesia Care Unit (PACU) while the control group received only routine nursing care.

RESULTS: The study found significant differences in both anxiety and physiological indices between the two groups. The mean score of the State-Trait Anxiety Inventory (STAI) in the study group decreased from a pre-test score of 59.0 to a post-test score of 31.20 (t=28.63, p<0.001). Physiological indices such as heart rate (t=2.61, p=0.012), respiration rate (t=2.29, p=0.026), systolic blood pressure (t=2.30, p=0.026), and diastolic blood pressure (t=3.02, p=0.004) decreased significantly as well. Control group was not seeing significant changes from pre-op values.

CONCLUSION: Listening to music while in the recovery room may decrease the level of anxiety in surgical patients receiving spinal anesthesia. The results of this study can serve as a reference for PACU nurses in utilizing music listening programs to achieve the goal of holistic care.

Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

KEYWORDS: Anxiety; Listening; Music; Physiological responses; Spinal anesthesia

PMID: 28434475 DOI: 10.1016/j.ctim.2016.12.006

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