Department of Experimental Psychology, Heinrich-Heine-University, Universitätsstraße 1, 40225, Düsseldorf, Germany.
Department of Cognitive Psychology, Institute of Cognitive Neuroscience, Faculty of Psychology, Ruhr-University, Bochum, Germany.
Sci Rep. 2021 Mar 11;11(1):5807. doi: 10.1038/s41598-021-85139-z.
Studies have shown that perioperative music interventions can reduce patients' anxiety levels. However, in small operations like port catheter surgery evidence is sparse. The present single-blinded, randomised controlled two-armed study included 84 female patients undergoing port catheter placement who were randomly assigned to either listening to music during surgery vs. no music intervention. The medical staff was blind to group allocation. On the day of the surgery anxiety and stress levels were evaluated using subjective (STAI questionnaire, visual analogue scales) and objective (vital parameters, salivary cortisol) parameters at different time points (before the surgery, at the end of the surgery and 1 h post-surgery). The music group showed significant reductions of systolic blood pressure (from 136.5 mmHg ± 26.1 to 123.3 mmHg ± 22.0, p = .002) and heart rate (from 75.6 bpm ± 12.3 to 73.1 bpm ± 12.2, p = .035) from beginning of the surgery to skin suture, whereas the control group did not. No significant effects of the music intervention on subjective anxiety measures or salivary cortisol were revealed. In sum, the study demonstrates that a music intervention during port catheter placement positively influences physiological anxiety levels, whereas no effects were revealed for subjective anxiety and salivary cortisol. Thus, music can be considered as a low cost addition in clinical routine in order to reduce patients' heart rate and blood pressure. Future studies are encouraged to further explore the differential effects of intraoperative music interventions on physiological, endocrinological and subjective anxiety levels.
研究表明，围手术期音乐干预可以降低患者的焦虑水平。然而，在像端口导管手术这样的小手术中，证据还很少。本单盲、随机对照双臂研究纳入了 84 名接受端口导管放置的女性患者，这些患者被随机分为手术期间听音乐组与无音乐干预组。医护人员对分组情况不知情。在手术当天，使用主观（STAI 问卷、视觉模拟评分）和客观（生命体征、唾液皮质醇）参数，在不同时间点（手术前、手术结束时和手术后 1 小时）评估焦虑和应激水平。音乐组的收缩压（从 136.5mmHg±26.1 降至 123.3mmHg±22.0，p=0.002）和心率（从 75.6bpm±12.3 降至 73.1bpm±12.2，p=0.035）从手术开始到缝合皮肤时显著降低，而对照组则没有。音乐干预对主观焦虑测量或唾液皮质醇没有显著影响。总之，该研究表明，在端口导管放置期间进行音乐干预可以积极影响生理焦虑水平，而对主观焦虑和唾液皮质醇没有影响。因此，音乐可以被视为临床常规中的一种低成本附加手段，以降低患者的心率和血压。鼓励未来的研究进一步探索术中音乐干预对生理、内分泌和主观焦虑水平的差异影响。
