Impact of Music Therapy on Hospitalized Patients Post-Elective Orthopaedic Surgery: A Randomized Controlled Trial
| Autor: | James Bena, Debbie Bates, Jacquelyn Baker DiFiore, Jeanine Nemecek, Lisa M. Gallagher, Shelley Mason, Vickie Gardner, Manshi Li, Francois Bethoux |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Music therapy medicine.drug_class Nausea Narcotic medicine.medical_treatment Pain law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Antiemetic Humans Orthopedics and Sports Medicine 030212 general & internal medicine Music Therapy Pain Measurement Advanced and Specialized Nursing 030504 nursing business.industry Middle Aged Mood Orthopedics Elective Surgical Procedures Orthopedic surgery Physical therapy Anxiety Female Self Report medicine.symptom 0305 other medical science business |
| Zdroj: | Orthopedic nursing. 37(2) |
| ISSN: | 1542-538X |
| Popis: | BACKGROUND Music therapy (MT) research has demonstrated positive effects on fatigue, depressed mood, anxiety, and pain in perioperative care areas. However, there has been limited research on the effects of MT for surgical patients on orthopaedic units. PURPOSE The purpose of this study was to understand the impact of MT sessions on post-elective orthopaedic surgery patients' pain, mood, nausea, anxiety, use of narcotics and antiemetics, and length of stay. METHODS This was a randomized controlled study with an experimental arm (MT sessions) and a control arm (standard medical care). Patients received MT within 24 hours of admission to the unit, as well as every day of their stay. Same-day pre- and postdata were collected 30 minutes apart for both arms, including patient self-reported mood, pain, anxiety, and nausea. Use of medications and length of stay were gleaned from the electronic medical record. RESULTS Data were obtained for 163 patients, age 60.5 ± 11.1 years, 56% of whom were male. Joints targeted by surgeries were hips (54%), knees (42%), and shoulders (4%). There were significantly greater changes favoring the MT group on Day 1 (pain, anxiety, and mood), Day 2 (pain, anxiety, mood, and nausea), and Day 3 (pain, anxiety, and mood). Among participants with a pre-pain score of 2 or more on Day 1, a decrease of at least 2 points was noted in 36% of the MT group and 10% of the control group (P < .001). Overall, 73% of MT patients versus 41% of control patients reported improved pain (P < .001). No significant between-group differences in medications or length of stay were noted. CONCLUSIONS We observed greater same-day improvements of pain, emotional status, and nausea with MT sessions, compared to usual care, in patients hospitalized after elective orthopaedic surgeries. Effects on narcotic and antiemetic usage, as well as length of stay, were not observed. More research needs to be conducted to better understand the benefits of MT pre- and post-elective orthopaedic surgery. |
| Databáze: | OpenAIRE |
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