Comparing the effects of self-selected music versus predetermined music on patient anxiety prior to gynaecological surgery: a study protocol for a randomised controlled trial

Abstract

BackgroundPatients undergoing gynaecological surgery are known to experience anxiety. While the use of music selected by patients based on their personal taste has hardly been evaluated, a recent study suggests that musical preferences significantly alter the anxiolytic and relaxing effects of music. Our study aims to determine whether self-selected music decreases patient anxiety prior to gynaecological surgery, as compared with predetermined music from a software programme such as MUSIC CARE®.MethodsThe study will consist of a clinical trial comparing the effects of self-selected music versus predetermined music on patient anxiety prior to gynaecological surgery. A minimum of 170 patients will be randomised in a 1:1 ratio. Inclusion criteria will be: women aged 18–55 years, awaiting scheduled gynaecological surgery under general/local anaesthesia or under sedation; having created a personal 20-min playlist; and not having received anxiolytic drugs prior to surgery. The primary outcome will be the difference between the preoperative anxiety score taken 15 to 20 min before the music-listening session and the preoperative anxiety score taken shortly after the session, as measured with the STAI for state anxiety.DiscussionThis study should help to identify more effective non-medical treatments for preoperative anxiety, as well as to adapt music therapy to the cultural context of patients.Trial registrationClinicalTrials.gov, ID: NCT03226834. Registered on 24 July 2017.

Evaluation of music interventions for anxiety during dermatosurgery under local anesthesia

“…Similar observations were recorded from studies involving music intervention during surgery with promising results in the reduction of anxiety levels post-surgery. [25][26][27] On comparing the mean difference of anxiety levels between the two groups, a higher difference was observed in the control group but was statistically insignificant at baseline -10 minutes time interval but was statistically significant (p<0.01) at baseline -20 minutes and 10 minutes -20 minutes. This could be due to the baseline anxiety levels being dissimilar between the two groups and also by giving the patients a choice to choose the music from the list provided to them rather than allowing them to choose a music genre of their personal choice in the experimental group.…”

Comparing The Effects of Self-Selected Music Versus Predetermined Music On Patient Anxiety Prior To Gynaecological Surgery: The MUANX Randomized Controlled Trial

“…Complete information on research methods may be found in study protocol, which is freely available at: https://link.springer.com/article/10.1186/s13063-018-3093-6 (27).…”

“…Patients were reminded that they could listen only to the predetermined playlist or to the self-selected playlist (and to nothing else), as determined by randomization. There were no restrictions on volume levels (27).…”

“…Personal preferences, familiarity and popularity may be key elements for an optimal relaxation response to music (25,26). Perceptions of music styles, rhythms, and sounds are known to vary depending on cultural background, ethnicity, and personal experience (27). For example, Sega and Maloya are two popular music styles of Reunion Island, which is a French overseas territory with a multiethnic and multicultural population (28,29).…”

Pregabalina como premedicación para ansiólisis en pacientes sometidos a cirugía plástica: estudio controlado aleatorizado doble ciego con placebo

“…La ansiedad es un estado emocional transitorio y situacional que implica la activación intensificada del sistema nervioso autónomo como respuesta a un acontecimiento de potencial de daño 7,8 . Repercute en la cirugía y la anestesia de una manera negativa 9 , manifestándose como un conjunto de síntomas somáticos variables tales como sudoración, palpitaciones, opresión precordial, fatiga, micciones frecuentes, cefaleas, mialgias, insomnio o molestias digestivas 10 , y además se asocia a menudo con dolor posoperatorio, incrementando los requerimientos analgésicos 11 , lo que puede conducir a una hospitalización prolongada y a la insatisfacción del paciente 12 .…”