For the integrated multidisciplinary approach to patient care

Return to the Southern Medical Journal

Current User S2 Access Level: -1 ()
CAN NOT ACCESS LEVEL 2

Using Music Interventions in Perioperative Care

Lori Gooding, PhD, MT-BC, Shane Swezey, BM, MT-BC, Joseph B. Zwischenberger, MD
Volume: 105 Issue: 9 September, 2012

Abstract:

Anxiety and pain are common responses to surgery, and both can negatively affect patient outcomes. Music interventions have been suggested as a nonpharmacological intervention to alleviate pain and anxiety during surgical treatment. Although the data are somewhat mixed, the research suggests that music-based interventions are effective in reducing anxiety, pain perception, and sedative intake. The majority of studies have focused on interventions during the postoperative period and address pain reduction, with preoperative use of music targeting anxiety reduction the second most commonly cited objective. Most of the studies found in the literature involve passive music listening via headphones. The data suggest that researcher-selected music is most effective in reducing anxiety, primarily because it incorporates evidence-based parameters such as consistent tempo and dynamics, stable rhythms, and smooth melodic lines. Finally, the literature suggests that music therapists can serve as experts to help medical personnel identify effective implementation strategies.

Article:

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Member Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

Images:

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Member Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

References:

1. Spintage R. Clinical uses of music in operating theatres, in MacDonald R, Kreuta G, Mitchell L, eds. Music, Health, and Wellbeing. New York, Oxford University Press; 2012: 276–288.
 
2. Standley JM. Music research in medical/dental treatment: meta-analysis and clinical applications. J Music Ther 1986; 23: 56–122.
 
3. Nilsson U. The anxiety- and pain-reducing effects of music interventions: a systematic review. AORN J 2008; 87: 780–807.
 
4. Lin ST, Yang P, Lai CY, et al. Mental health implications of music: insight from neuroscientific and clinical studies. Harv Rev Psychiatry 2011; 19: 34–46.
 
5. Pittman S, Kridli S. Music intervention and preoperative anxiety: an integrative review. Int Nurs Rev 2011; 58: 157–163.
 
6. Beccaloni AM. The medicine of music: a systematic approach for adoption into perianesthesia practice. J Perianesth Nurs 2011; 26: 323–330.
 
7. Dileo C, Bradt J. Music for preoperative anxiety. Cochrane Database Syst Rev 2008; 1:CD006908.
 
8. American Music Therapy Association. Definitions and quotes about music therapy. http://www.musictherapy.org/about/quotes. Accessed March 10, 2012.
 
9. Kain ZN, Caldwell-Andrews AA, Krivutza DM, et al. Interactive music therapy as a treatment for preoperative anxiety in children: a randomized controlled trial. Anesth Analg 2004; 98: 1260–1266.
 
10. Augustin P, Hains AA. Effect of music on ambulatory surgery patients’ preoperative anxiety. AORN J 1996; 63:750, 753–758.
 
11. Ni CH, Tsai WH, Lee LM, et al. Minimising preoperative anxiety with music for day surgery patients—a randomized control trial. J Clin Nurs 2012; 21: 620–625.
 
12. Bringman H, Giesecke K, Thorne A, et al. Relaxing music as pre-medication before surgery: a randomized controlled trial. Acta Anaesthesiol Scand 2009; 53: 759–764.
 
13. Wang SM, Kulkarni L, Dolev J, et al. Music and preoperative anxiety: a randomized, controlled study. Anesthes Analg 2002; 94: 1489–1894.
 
14. Robb S, Nichols J, Rutan RL, et al. The effects of music assisted relaxation on preoperative anxiety. J Music Ther 1995; 32: 2–21.
 
15. Whipple J. Surgery buddies: a music therapy program for pediatric surgical patients. Music Ther Perspect 1996; 33: 190–196.
 
16. DeMarco J, Alexander JL, Nehrenz G, et al. The benefit of music for the reduction of stress and anxiety in patients undergoing elective cosmetic surgery. Music Med 2012; 4: 44–48.
 
17. Sener EB, Koylu N, Uston FE, et al. The effects of music, white noise and operating room noise on perioperative anxiety in patients under spinal anesthesia: 8AP3-3. Eur J Anaesthesiol 2010; 27: 133.
 
18. Nilsson U, Rawai N, Unestahi LE, et al. Improved recovery after music and therapeutic suggestions during general anesthesia: a double-blind randomized controlled trial. Acta Anaesthes Scand 2001; 45: 812–817.
 
19. Lepage C, Drolet P, Girard M, et al. Music decreases sedative requirements during spinal anesthesia. Anesthes Analg 2001; 93: 912–916.
 
20. Acute Pain Management Guideline Panel, Agency for Health Care Research and Quality.Clinical Practice Guideline: Acute Pain Management: Operative or Medical Procedure and Trauma. AHCPR pub no. 920032. Rockville, MD, Public Health Service, US Department of Health and Human Services; 1992.
 
21. Shang AB, Gan T. Optimsing postoperative pain management in the ambulatory patient. Drugs 2003; 63: 855–867.
 
22. Allred KD, Byers JF, Sole ML. The effect of music on postoperative pain and anxiety. Pain Manag Nurs 2010; 11: 15–25.
 
23. Cepda MS, Carr DB, Lau J, et al. Music for pain relief. Cochrane Database Syst Rev 2006; 2:CD004843.
 
24. Chi GC, Young A. Selection of music for inducing relaxation and alleviating pain. Holist Nurs Pract 2011; 25: 127–135.
 
25. Pelletier CL. The effect of music on decreasing arousal due to stress: a meta-analysis. J Music Ther 2004; 41: 192–214.
 
26. Krout RE. Music listening to facilitate relaxation and promote wellness: integrated aspects of our neurophysiological responses to music. Arts Psychother 2007; 34: 134–141.
 
27. Thorgaard P, Ertmann E, Noerregaard V, et al. Designed sound and music environment in postanaesthesia care units—a multicenter study of patients and staff. Intens Crit Care Nurs 2005; 21: 220–225.
 
28. Schwartz FJ. A pilot study of patients in postoperative cardiac surgery. Music Med 2009; 1: 70–74.
 
29. American Music Therapy Association. Music therapy and medicine. http://www.musictherapy.org/assets/1/7/MT_Medicine_2006.pdf. Accessed April 20, 2012.
 
30. Standley J. Music research in medical/dental treatment: an update of a prior meta-analysis, in Smith D (ed): Effectiveness of Music Therapy Procedures: Documentation of Research and Clinical Practice. Vol 3. Silver Spring, MD, American Music Therapy Association; 2000: 1–64.
 
31. Stouffer JW, Shirk BJ, Polomano RC. Practice guidelines for music interventions with hospital pediatric patients. J Pediatr Nurs 2007; 22: 448–456.
   
33. Robb SL, Burns DS, Carpenter JS. Reporting guidelines for music-based interventions. J Health Psychol 2011; 16: 342–352.

CME:

Portions of this issue may be available for CME credit. Please email education@sma.org for a complete listing of current Southern Medical Journal activities, as well as other SMA educational offerings.

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Member Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

This content is limited to qualifying members. Please click on an option below to view in full. Click here to compare all member plans.

Member Login

Silver/Gold members login for full access. Other members login to view purchase options.

Create a New Account

Create a new complimentary account/login to view purchase options.

Permissions