Kahloul Mohamed, Mhamdi Salah, Nakhli Mohamed Said, Sfeyhi Ahmed Nadhir, Azzaza Mohamed, Chaouch Ajmi, Naija Walid
a Department of Anesthesia and Intensive Care, Teaching Hospital of Sahloul , University of Medicine Ibn Jazzar , Sousse , Tunisia.
b Department of Abdominal Surgery, Teaching Hospital of Sahloul , University of Medicine Ibn Jazzar , Sousse , Tunisia.
Libyan J Med. 2017 Dec;12(1):1260886. doi: 10.1080/19932820.2017.1260886.
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.
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.
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 < 10). The average Visual Analog Scale (VAS) score was lower in the intervention group (33.8 ± 13.63 versus 45.1 ± 16.2; p < 10). The satisfaction rate was significantly higher among the experimental group (81.4% versus 51.4%; p < 10). The incidence of intraoperative awareness was higher in group C (8 cases versus 3 cases) but the difference was not statistically significant.
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.
音乐疗法是一种在许多医疗状况下已被证明有效的创新方法，在外科手术患者的管理中似乎也有益处。本研究的目的是评估其在全身麻醉下对围手术期患者满意度、应激、疼痛和知晓度的影响。
这是一项前瞻性、随机、双盲研究，在萨赫勒教学医院的内脏外科手术室进行，为期4个月。纳入年龄超过18岁、在全身麻醉下接受择期手术的患者。排除接受急诊手术或有听力或认知障碍的患者。诱导前，患者佩戴连接到MP3播放器的耳机。他们被随机分为两组：M组（手术期间播放音乐）和C组（不播放音乐）。记录血流动力学参数、苏醒质量、经历的疼痛、患者满意度以及麻醉期间的知晓度发生率。
纳入140例患者并分为两组，两组在人口统计学特征、手术干预类型和麻醉持续时间方面具有可比性。比较两组的血流动力学特征发现，M组的收缩动脉血压更稳定。M组更常出现平静的苏醒（77.1%对44%，p<0.01）。干预组的视觉模拟评分（VAS）平均得分更低（33.8±13.63对45.1±16.2；p<0.01）。实验组的满意度显著更高（81.4%对51.4%；p<0.01）。C组的术中知晓度发生率更高（8例对3例），但差异无统计学意义。
音乐疗法是一种非药物、廉价且无创的技术，可显著提高患者满意度，并减少患者与围手术期应激、疼痛和知晓度相关的尴尬经历。
