van Dam Kayleigh, Fu Victor, Verkoulen Geert, Broos Pieter, de Witte Evelien, Greve Jan Willem, Boerma Evert-Jan
Surgery, Zuyderland Medical Center, Heerlen, NLD.
Surgery, Institute of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, NLD.
Cureus. 2025 Jan 31;17(1):e78281. doi: 10.7759/cureus.78281. eCollection 2025 Jan.
Perioperative music can positively affect postoperative pain, opioid requirement, and anxiety. These effects are even present when music is played solely during general anesthesia. This study assesses the effect of implementing perioperative music as standard patient care in elective bariatric metabolic surgery (BMS).
This prospective study compared the preimplementation (control) and postimplementation (intervention) groups between March and October 2023. The control group did not receive music, while the intervention group received patient-selected music using headphones and a tablet. Music was provided as standard during anesthesia. Only patients undergoing elective BMS (primary ring augmented Roux-en-Y gastric bypass) were included. The primary outcome was postoperative pain on a 10-point scale (numeric rating scale, NRS) on the first postoperative day. The secondary outcomes included postoperative nausea, patient satisfaction, and opioid and antiemetic requirements. ResultsIn the control group, 66 patients were included, while 65 were included in the intervention group. Median NRS scores were 5 in both groups, showing no significant difference (p = 0.325). Medication use (analgesics and antiemetics) was similar in both groups. Patient satisfaction scores were high at 8 (8-9) and 9 (8-10), respectively, with no significant difference (p = 0.137). In the intervention group, most patients (86%) want to listen to music during subsequent surgical procedures.
Implementing perioperative music in BMS did not significantly reduce postoperative pain or postoperative medication use. As the bariatric perioperative tract is already well-received without music, it poses a challenge for detecting notable improvements. However, the strong patient preference for music during future surgeries emphasizes the positive perception of music in perioperative care.
围手术期音乐可对术后疼痛、阿片类药物需求和焦虑产生积极影响。即使仅在全身麻醉期间播放音乐，这些影响也依然存在。本研究评估了在择期减重代谢手术（BMS）中将围手术期音乐作为标准患者护理措施的效果。
这项前瞻性研究比较了2023年3月至10月实施前（对照组）和实施后（干预组）的情况。对照组未接受音乐，而干预组使用耳机和平板电脑收听患者选择的音乐。麻醉期间常规提供音乐。仅纳入接受择期BMS（原发性环形增强 Roux-en-Y胃旁路术）的患者。主要结局是术后第一天采用10分制（数字评分量表，NRS）评估的术后疼痛。次要结局包括术后恶心、患者满意度以及阿片类药物和止吐药的需求。结果对照组纳入66例患者，干预组纳入65例患者。两组的NRS中位数均为5，无显著差异（p = 0.325）。两组的药物使用（镇痛药和止吐药）情况相似。患者满意度评分分别较高，为8（8 - 9）和9（8 - 10），无显著差异（p = 0.137）。在干预组中，大多数患者（86%）希望在后续手术过程中收听音乐。
在BMS中实施围手术期音乐并不能显著减轻术后疼痛或减少术后药物使用。由于减重围手术期护理在没有音乐的情况下已经很受欢迎，因此很难发现显著改善。然而，患者对未来手术期间音乐的强烈偏好强调了围手术期护理中对音乐的积极认知。
