Effect of Music on Pain, Anxiety and Physiological Parameters among Postoperative Sternotomy Patients: A Randomized Controlled Trial

Abstract

Introduction: Music is a non-invasive, inexpensive and non-pharmacological nursing intervention that has no side effects and can be effective when provided alongside the routine care in cardiothoracic and vascular surgery (CTVS) ward and intensive care unit (ICU). The objective of the study was to assess the effect of music on pain, anxiety and physiological parameters among the post-operative sternotomy patients from CTVS ward and ICU in Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India. Methods: A randomized controlled trial research design was used to conduct the study among 70 post-operative sternotomy patients. The pain score, and anxiety level were recorded using Numerical Pain Rating Scale (NPRS) and post-operative anxiety scale, with the physiological parameters recorded for both groups before the music intervention, after the first post-operative day, and after the intervention on seventh post-operative day. Data were analyzed by SPSS software version 23. Results: There was a marked reduction in the mean score of pain, anxiety, systolic and diastolic blood pressure (SBP & DBP), heart rate and respiratory rate in the study group as compared to the control group. There was a significant difference between the mean score of pain, anxiety, SBP, DBP, heart rate, respiratory rate and oxygen saturation in both groups after the intervention. Conclusion: Music was found to be effective on pain, anxiety, diastolic blood pressure, heart rate and oxygen saturation among post-operative sternotomy patients. Thus, it is essential to include music as a tool in post-operative care.

The Effect of Aromatherapy withCitrus aurantiumAroma on Pain after Orthopedic Surgery: A Randomized Clinical Trial

“…The mean (SD) age of the participants in the experimental and control groups was 38.73 and 42.83 years, respectively. Most of the patients were married in the experimental group 60 (18) and in the control group 70 (21). The majority of patients in the experimental group 70 (21) and the control group 63.3 (19) had no history of hospitalization.…”

“…Most of the patients were married in the experimental group 60 (18) and in the control group 70 (21). The majority of patients in the experimental group 70 (21) and the control group 63.3 (19) had no history of hospitalization. In addition, concerning the type of surgery, the majority 83.3 (25) underwent surgery in the femur area.…”

“…17 NSAIDs can also cause skin reactions, renal complications including analgesic nephropathy and gastrointestinal complications such as peptic ulcers. 18 In the last two decades, concerns about narcotics complications, 19 the inability to optimally relieve pain 5 , increase in medical costs, and the length of hospital stay 20 have led to the use of non-pharmacological approaches including music, 21 massage, 22 and aromatherapy. 23 The effect of different fragrances on pain has been studied by different researchers.…”

Music as an Adjuvant Therapy in Postoperative Pain and Physiologic Parameters: Pre-Test, Post-Test Intervention Study

“…A randomized controlled trial (RCT) of 70 postoperative sternotomy patients revealed a marked reduction in the pain scores in the patients in an intervention group compared to a control group. [22] The present study also analyzed the effect of music as an adjuvant on physiological parameters (vital signs) such as systolic blood pressure, diastolic blood pressure, heart rate, and respiratory rate. There were no statistical mean differences of these parameters between intervention and control groups before and after the intervention.…”

The Conflict between the Beliefs of the Health Care Providers and Family Caregivers in the Use of Traditional Medicine in Pediatric Oncology: An Ethnographic Study

“… 46 Finally, it can be said that the health care providers and families tend to use traditional medicine treatments based on their culture. 47 The health care providers try to adjust their culture using scientific resources, but the families use their cultural values as the basis of their practice.…”