Department of Anaesthesia, GGS Medical College and Hospital, Faridkot, Punjab, India.
Department of Surgery, GGS Medical College and Hospital, Faridkot, Punjab, India.
Noise Health. 2022 Jan-Mar;24(112):7-12. doi: 10.4103/nah.nah_58_21.
Patients undergoing surgery are anxious owing to the surgery, anesthesia, and unfamiliar environment of the operation theater. This anxiety can hamper the health and recovery of the patients. Among various nonpharmacologic modalities available, music can be used as a coping strategy to change uncomfortable conditions to the pleasant ones.
To evaluate the role of music on perioperative anxiety, hemodynamic parameters, and patient satisfaction in patients undergoing orthopedic surgeries under spinal anesthesia.
Tertiary care hospital, randomized control trial.
: The study was conducted after approval by Hospital Ethical Committee on 70 adult patients of either gender scheduled to undergo lower limb surgeries under spinal anesthesia. In group M (n = 35), patients listened to standard relaxation music, and in group C (n = 35), patients listened to standard operation theater noise tape through noise canceling headphones. The intraoperative hemodynamic parameters were recorded. Perioperative anxiety was assessed using visual analog scale for anxiety. Sedation score was observed using observer's assessment of alertness/sedation scale. Patient's satisfaction was also assessed in both the groups.
Student t test, Chi-squared test, and paired sample t test.
: In group M, heart rate was lower when compared with group C. The difference was statistically significant at 10 minutes of assessment (P = 0.003) and statistically highly significant (P < 0.001) for rest of the time period. Statistically significant lower respiratory rate was there in group M when compared with group C (P = 0.05). Patients were more satisfied in the music group when compared with control group.
The potential of music therapy can be used to allay patient anxiety, stabilize hemodynamics, and improve patient satisfaction.
由于手术、麻醉和手术室的陌生环境，接受手术的患者会感到焦虑。这种焦虑会影响患者的健康和康复。在现有的各种非药物治疗方法中，音乐可以作为一种应对策略，将不适的情况转变为愉悦的状态。
评估音乐在接受脊柱麻醉的骨科手术患者围手术期焦虑、血液动力学参数和患者满意度方面的作用。
三级保健医院，随机对照试验。
该研究在医院伦理委员会批准后进行，共纳入 70 名拟接受脊柱麻醉下下肢手术的成年患者（男女不限）。在音乐组（n=35）中，患者听标准放松音乐，在对照组（n=35）中，患者通过降噪耳机听标准手术室噪声带。记录术中血液动力学参数。使用视觉模拟焦虑量表评估围手术期焦虑。使用观察者评估警觉/镇静量表观察镇静评分。评估两组患者的满意度。
学生 t 检验、卡方检验和配对样本 t 检验。
与对照组相比，音乐组的心率较低。在评估的第 10 分钟，差异具有统计学意义（P=0.003），在其余时间段，差异具有统计学意义（P<0.001）。与对照组相比，音乐组的呼吸频率较低，差异具有统计学意义（P=0.05）。与对照组相比，音乐组的患者更满意。
音乐疗法的潜力可以用来减轻患者的焦虑、稳定血液动力学并提高患者的满意度。
