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http://dx.doi.org/10.7475/kjan.2016.28.5.525

The Effects of Music Therapy on Anxiety, Sedation, and Stress Responses of Patients Undergoing Surgery with Spinal Anesthesia  

Jeong, Gye Seon (Chosun Nursing College)
Kang, Younhee (College of Nursing, Ewha Womans University)
Publication Information
Korean Journal of Adult Nursing / v.28, no.5, 2016 , pp. 525-535 More about this Journal
Abstract
Purpose: This study was conducted to examine the effects of music therapy on anxiety, sedation, and stress responses of patients during surgery with spinal anesthesia. Methods: A quasi-experimental design with a non-equivalent control group pre-post test was used. There were 55 adults over 19 years of age scheduled for a lower leg surgery with spinal anesthesia: 27 in the treatment group and 28 in the comparison group. Each subject in the treatment group identified their music preference which was used during the period of surgery which usually lasted, 61 minutes. Data were analyzed using chi-square, Fisher's exact test, independent t-test and repeated measured ANOVA. Results: There were significant reported differences in levels of anxiety, sedation, and stress responses which were measured by plasma cortisol levels, heart rate, and respiratory rate. The findings of all the variables were effectively decreased among those in the treatment group than the comparison group. Conclusion: The preference based music therapy may be useful as a non-pharmacological intervention.
Keywords
Music therapy; Spinal anesthesia; Anxiety; Sedation; Stress;
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Times Cited By KSCI : 9  (Citation Analysis)
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1 Btterworth JF, Mackey DC, Wasnik JD. Morgan & Michial's Clinical Anesthesiology 5th edition. USA. Mc Graw Hill. 2013. p. 937-9.
2 Hasfeldt D, Laerkner E, Birkelund R. Noise in the operating room-what do we know? A review of the literature. Journal of Peri-anesthesia Nursing. 2010;25(6):380-6. http://dx.doi.org/10.1016/j.jopan.2010.10.001   DOI
3 Daniel JS, Dorita SB. The music effect: music physiology and clinical applications; London; Philadelphia: Jessica Kingsley Publishers. 2006.
4 Healthcare bigdata Hub. Health Insurance review & Assess ment service [Internet]. Wonju; 2016 [cited 2016 August 30]. Available from: URL. http://opendata.hira.or.kr/op/opc/olapDiagBhvInfo.do
5 Choi SJ, Kim KS, Choi YS, Kim JY, Kim JS, Kwak MS, et al. A survey of the nature of patients' preoperative anxiety and concerns regarding anesthesia. Korean Journal of Anesthesiology. 2002;42(1):11-6.   DOI
6 Jeong GS, Yoon HS. The effect of anesthetic information on pre-operative anxiety, glucose, cortisol and epinephrine of patients undergoing tonsillectomy. Journal of Korean Biological Nursing Science. 2007;9(2):143-52.
7 Choi JC, Park SG, Kim SY, Yoon YS, Lee KH, Lee YB. et al. Oral Alprazolam attenuates preoperative stress responses to regional anesthesia. Korean Journal of Anesthesiology. 2007;52:132-7.   DOI
8 Kim YO, Kim JH. Effects of types of music in music therapy on anxiety and vital signs of surgical patients undergoing operation using spinal anesthesia. Journal of Korean Biological Nursing Science. 2011;13(2):149-55.
9 Stefan K, Julian F, Ulrich S, Katrin B, Maximilian H, Martin W, et al. Effects of Music listening on cortisol level and propofol consumption during spinal anesthesia. Frontiers in Psychology. 2011;2:1644-78. http://dx.doi.org/10.3389/fpsyg.2011.00058   DOI
10 Jeong GS, Kim MH. Effect of music therapy on anxiety, blood pressure, heart rate and glucose levels of patients undergoing surgery during spinal anesthesia. Journal of Korean Academy of Fundamentals of Nursing. 2015;22(1):25-34. http://dx.doi.org/10.7739/jkafn.2015.22.1.25   DOI
11 Kain ZN, Sevarino F, Pincus S, Alexandre GM, Wang SM, Ayoub C, et al. Attenuation of the preoperative stress response with midazolam: effects on postoperative outcomes. Anesthesiology. 2000;93(1):141-8.   DOI
12 Kim AS, Human vegetable for hair transplant. Judgment on reparation 700 million won. The Chosunilbo. 2015 July 10;Sect. 14. http://srchdb1.chosun.com/pdf/i_service/pdf_ReadBody.jsp ?Y=2015&M=07&D=10&ID=2015071000137
13 Andrew PA, Paul JK, John FC, Timothy GD, Gerard C. Biological and psychological markers of stress in humans: Focus on the Trier Social Stress Test. Neuroscience & Biobehavioral Reviews. 2013;38:94-124. http://dx.doi.org/10.1016/j.neubiorev.2013.11.005   DOI
14 Andres-Garcia DS, Moya-Albiol L, Gonzalez-Bono E. Salivary cortisol and globulin A: responses to stress as predictors of health reported by care givers of offspring with acoustic spectrum disorder. Hormones and Behavior. 2012;62(4):464-74. http://dx.doi.org/10.1016/j.yhbeh.2012.08.003   DOI
15 Jeong HC. The effect of music therapy on the physiological and psychological status of women college students based on their preference of music. Korean Journal of Adult Nursing. 2008;20(2):321-30.
16 Hilliard RE. Music therapy in hospital and palliative care: a review of the empirical data. Evidence-based Complementary and Alternative Medicine. 2005;2(2):173-8.   DOI
17 Nilsson U. The effect of music intervention in stress response to cardiac surgery: a randomized clinical trial. Heart & Lung. 2009;38(3):201-7. http://dx.doi.org/10.1016/j.hrtlng.2008.07.008   DOI
18 Moon YH, Kang IS, Whang SK. The effect of listening to music on anxiety, sedation, and vital signs of patients undergoing spinal anesthesia. Journal of Korean Biological Nursing Science. 2009;11(2):105-13.
19 Nilsson U, Unosson M, Rawal N. Stress reduction and analgesia in patients exposed to calming music postoperatively: a randomized control trial. European Journal of Anaesthesiology. 2005;22(2):96-102.   DOI
20 Canidagli S, Cengiz M, Yanik M, Breeik C, Unal, B. The effect of music on peoperative sedation and the bispesctral index. Anesthesia and Analgesia. 2005;101(1):103-6.   DOI
21 Bae JH. The Effects of Music Listening on the pre-anesthetic patient anxiety in the operation room. Chungbuk Medical Journal. 2000;1(10):76-82.
22 Trappe HJ. The effects of music on the cardiovascular system and cardiovascular health. Heart. 2010;96(23):1868-71. http://dx.doi.org/10.1136/hrt.2010.209858   DOI
23 Lee HR. Effects of relaxing music on stress response of patients with acute myocardial infarction. Journal of Korean Academy of Nursing. 2003;33(6):693-704.   DOI
24 Faul F, Erdfelder E, lang AG, Buchner A. G*power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Method. 2007;39(2):175-91.   DOI
25 Lee JM, Hong HS. The effect of music therapy on anxiety and vital signs of spinal anesthesia operative patients. Journal of Korean Biological Nursing Science. 2008;10(2):113-20
26 Oh SH, Kim IH, Choi SR, Chung CJ. Causes of patient dissatisfaction with anesthetic care. Korean Journal of Anesthesiology. 2005;48(4):387-92.   DOI
27 Leardi S, Pietroletti R, Abgeloni G, Necozion S, Ranalleta G, Del Gusto B. Randomized clinical trial examining the effect of music therapy in stress response to day surgery. British Journal of Surgery. 2007;94(8):943-7.   DOI
28 Cline ME, Herman J, Shaw ER, Morton RD. Standardization of the visual analogue scale. Nursing Research. 1992;41(6):379-80.
29 Kim KS, Bae HB, Choi JC, Kim SJ, Chung SS, Yoo KY, et al. Correlations between the modified observer's assessment of alertness/sedation scale, bispectral index and propofol effect site concentration in sedated elderly patients under regional anesthesia. Korean Journal of Anesthesiology. 2005;49(3):349-54.   DOI
30 Luebbehusen M. Technological today: bispectral index monitoring. RN. 2005;68(9):50-4.