The effects of music therapy on anxiety, pain and the amount of analgesics following coronary artery surgery

Ciğerci, Yeliz; Özbayır, Türkan

doi:10.5606/tgkdc.dergisi.2016.12136

Cited by 34 publications

(65 citation statements)

References 14 publications

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“…A moderate statistically significant pain‐reducing effect was found for the eight studies that investigated music interventions during regional anaesthesia. Pain reduction was enhanced by offering multiple interventions rather than a single music intervention. An opposite trend was seen for anxiety, where a single intervention had a larger effect.…”

Section: Resultsmentioning

confidence: 88%

“…The literature search resulted in the inclusion of 92 RCTs in the systematic review (7385 patients). Eighty‐one of these were included in the meta‐analysis ( Fig .…”

Section: Resultsmentioning

confidence: 99%

“…Some of the included studies have also investigated other parameters to evaluate the efficacy of music interventions. Music has, for instance, been shown to reduce the use of analgesics after surgery, and was more effective in reducing preoperative anxiety than orally administered midazolam. More foot movement and a reduction in the rate of delirium was found following music interventions after hip and knee surgery in elderly patients.…”

Section: Discussionmentioning

confidence: 99%

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Meta-analysis evaluating music interventions for anxiety and pain in surgery

Kühlmann

Rooij

Kroese

et al. 2018

British Journal of Surgery

249

191

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BackgroundThis study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients.MethodsEleven electronic databases were searched for full‐text publications of RCTs investigating the effect of music interventions on anxiety and pain during invasive surgery published between 1 January 1980 and 20 October 2016. Results and data were double‐screened and extracted independently. Random‐effects meta‐analysis was used to calculate effect sizes as standardized mean differences (MDs). Heterogeneity was investigated in subgroup analyses and metaregression analyses. The review was registered in the PROSPERO database as CRD42016024921.ResultsNinety‐two RCTs (7385 patients) were included in the systematic review, of which 81 were included in the meta‐analysis. Music interventions significantly decreased anxiety (MD –0·69, 95 per cent c.i. –0·88 to –0·50; P < 0·001) and pain (MD –0·50, –0·66 to –0·34; P < 0·001) compared with controls, equivalent to a decrease of 21 mm for anxiety and 10 mm for pain on a 100‐mm visual analogue scale. Changes in outcome corrected for baseline were even larger: MD –1·41 (–1·89 to –0·94; P < 0·001) for anxiety and –0·54 (–0·93 to –0·15; P = 0·006) for pain. Music interventions provided during general anaesthesia significantly decreased pain compared with that in controls (MD –0·41, –0·64 to –0·18; P < 0·001). Metaregression analysis found no significant association between the effect of music interventions and age, sex, choice and timing of music, and type of anaesthesia. Risk of bias in the studies was moderate to high.ConclusionMusic interventions significantly reduce anxiety and pain in adult surgical patients.

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Section: Resultsmentioning

confidence: 88%

“…The literature search resulted in the inclusion of 92 RCTs in the systematic review (7385 patients). Eighty‐one of these were included in the meta‐analysis ( Fig .…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Kühlmann

Rooij

Kroese

et al. 2018

British Journal of Surgery

249

191

View full text Add to dashboard Cite

show abstract

“…A total of 1524 titles and abstracts were screened after removal of duplicates and 154 articles were assessed full text. Fifty-five studies (4968 patients) were included in the qualitative synthesis and 33 studies (2390 patients) 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 in the meta-analysis (Fig. 1 ).…”

Section: Resultsmentioning

confidence: 99%

The Effect of Perioperative Music on Medication Requirement and Hospital Length of Stay

Oomens

Klimek

et al. 2019

Annals of Surgery

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Objective: To assess and quantify the effect of perioperative music on medication requirement, length of stay and costs in adult surgical patients. Summary Background Data: There is an increasing interest in nonpharmacological interventions to decrease opioid analgesics use, as they have significant adverse effects and opioid prescription rates have reached epidemic proportions. Previous studies have reported beneficial outcomes of perioperative music. Methods: A systematic literature search of 8 databases was performed from inception date to January 7, 2019. Randomized controlled trials investigating the effect of perioperative music on medication requirement, length of stay or costs in adult surgical patients were eligible. Meta-analysis was performed using random effect models, pooled standardized mean differences (SMD) were calculated with 95% confidence intervals (CI). This study was registered with PROSPERO (CRD42018093140) and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. Results: The literature search yielded 2414 articles, 55 studies (N = 4968 patients) were included. Perioperative music significantly reduced postoperative opioid requirement (pooled SMD −0.31 [95% CI −0.45 to −0.16], P < 0.001, I 2 = 44.3, N = 1398). Perioperative music also significantly reduced intraoperative propofol (pooled SMD −0.72 [95% CI −1.01 to −0.43], P < 0.00001, I 2 = 61.1, N = 554) and midazolam requirement (pooled SMD −1.07 [95% CI −1.70 to −0.44], P < 0.001, I 2 = 73.1, N = 184), while achieving the same sedation level. No significant reduction in length of stay (pooled SMD −0.18 [95% CI −0.43 to 0.067], P = 0.15, I 2 = 56.0, N = 600) was observed. Conclusions: Perioperative music can reduce opioid and sedative medication requirement, potentially improving patient outcome and reducing medical costs as higher opioid dosage is associated with an increased risk of adverse events and chronic opioid abuse.

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“…[2] According to study results, music therapy is an effective non-pharmacologic method to reduce pain severity. [18,19] A study by Good et al suggests that relaxation and music and combination of both reduced postoperative pain. [20] As in distraction method, music therapy allows attention to be focused on a stimulus with positive effect other than pain.…”

Section: Discussionmentioning

confidence: 99%

Treatment of postoperative pain and non-pharmacologic practices in nursing systematic review: Results of turkish doctoral dissertation in 2000-2015

Ay¹

2018

Agri

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Non-pharmacologic pain management is an effective way to reduce pain severity and it can be independently used by nurses. Researchers of dissertations often choose non-pharmacologic practices that have no side effects, have minimum risk, are not detrimental to patients, are easy to administer, and are cost-efficient. Effective non-pharmacologic methods specific to groups by age, sex, and medical diagnosis should be identified by literature review for each non-pharmacologic method in future studies.

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The effects of music therapy on anxiety, pain and the amount of analgesics following coronary artery surgery

Cited by 34 publications

References 14 publications

Meta-analysis evaluating music interventions for anxiety and pain in surgery

Meta-analysis evaluating music interventions for anxiety and pain in surgery

The Effect of Perioperative Music on Medication Requirement and Hospital Length of Stay

Treatment of postoperative pain and non-pharmacologic practices in nursing systematic review: Results of turkish doctoral dissertation in 2000-2015

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