Impact of music in reducing patient anxiety during pediatric ultrasound

Abstract

The use of noninvasive ultrasound examinations can potentially result in significant anxiety in the pediatric population. The purpose of this study was to assess the influence of music during pediatric ultrasound examinations to reduce anxiety measured by heart rate. A total of 44 patients were recruited; 21 controls and 23 experimental. Each participant was randomized to either music or no music (control) after parental consent was obtained. Pulse oximeters were used to monitor heart rate at 15 second intervals for a total of 1 minute, with mean values calculated prior to entering the procedure room, during the middle of the procedure, and after the procedure was completed. The total scan time was determined from the initial image acquisition until the last image recorded by the ultrasound technologist. At the completion of each procedure, the ultrasound technologist scored the ease of performance for the scan on a subjective scale of 1-10 based on prior experience. When utilizing music during pediatric ultrasounds examinations, our study demonstrated significantly decreased heart rate variability from pre-procedural to post-procedural periods. There was no statistical significant difference in total scan time or ultrasound technologist scoring between the two groups. This study demonstrates that music is an inexpensive and effective means of reducing anxiety during pediatric ultrasound as indicated by heart rate.

A utilização da música em uma unidade pediátrica: contribuindo para a humanização hospitalar [Using music in a pediatric unit: helping to humanize the hospital] [Uso de la música en una unidad pediátrica: contribución a la humanización hospitalaria]

“…Destaca-se ainda o potencial terapêutico da música para atuar diretamente na redução da pressão arterial e frequência cardíaca 17 , além de auxiliar na redução da dor e da ansiedade em crianças submetidas a procedimentos cirúrgicos 18 . As intervenções com música podem também auxiliar significativamente na redução de estresse, ansiedade, dor, medo e angústia 3 .…”

The use of music for children and adolescents living with rare diseases in the healthcare setting: a scoping review study protocol

“…The use of MT&MBI has been associated with substantial psychosocial benefits. For example, exposure to music has been found to reduce stress and anxiety in pregnancy and build mother-infant relationships (Corbijn van Willenswaard et al, 2017;Wulff et al, 2015), and it has helped manage anxiety and stress (Franzoi et al, 2016;Kesselman et al, 2016) and pain associated with diagnostic procedures and treatments (Calcaterra et al, 2014;Sabzevari et al, 2017;van der Heijden et al, 2015).…”

A randomized controlled study: The effect of preprocedurals ınformative animation watch about echocardiography and ıntraprocedural kaleidoscope watch on anxiety in children

“…Although ECO is a painless procedure, it can cause anxiety in children (Klassen et al, 2008). High anxiety in children during the procedure has negative effects on the procedure, and correct diagnosis is hindered (Kesselman et al, 2016). Therefore, it is important to reduce ECO‐related anxiety in children.ECO procedure is applied by physicians.…”

“…One of the pharmacological methods is the sedation of children (Macias & Chumpitazi, 2011). However, sedation has many drawbacks such as additional cost, prolonged examination time, necessity of an anesthesiologist for complete sedation, and risk of developing complications (Kesselman et al, 2016). Therefore, before ECO, it is preferable to use nonpharmacological techniques to prepare children for the procedure and to relax them during the procedure.…”