Stress, Physiological, Stress, Psychological
Conditions
Keywords
Perioperative Period, Music
Brief summary
Preoperative anxiety and stress are present in up to 60% of pediatric patients undergoing surgery, having a great physiological and emotional impact on children in both the short and long term. There are many reports on the use of music therapy in the perioperative period as a complementary technique in the preoperative stress and anxiety management. However, there are no assessments of the effect of this intervention on the physiological variables, such as salivary cortisol.
Detailed description
60 patients aged 5-7 years, ASA (American Society of Anesthesiologists) status I-II, scheduled for general surgery at the Hospital of the Catholic University and associate institutions, will be considered for inclusion. 30 will receive music as intervention and 30 will received usual treatment. Salivary cortisol samples will be obtained preoperatively, in the surgical ward (OR), and in the post-anesthesia care unit (PACU). Secondary outcomes will be M-YPAS (Yale Preoperative Anxiety Scale) for children, and STAI (State-Trait Anxiety Inventory) for parents scales.
Interventions
A previously defined list of songs will be administered by headphones to these patients with an MP3 device with headphones.
Sponsors
Study design
Eligibility
Inclusion criteria
* Elective surgery * ASA I-II * Parents' consent
Exclusion criteria
* History of endocrine diseases (hypothyroidism, treatment with growth hormone, severely obese) * Taking glucocorticoid inhalers or oral corticosteroids * Children with severe hearing problems * Patients requiring emergency surgery * Refusal to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in salivary cortisol concentration | Before intervention (preoperative unit) and at an average of 30 minutes after surgery (at the post-anesthesia care unit) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| M-YPAS | Before intervention (preoperative unit) and at an average of 30 minutes after surgery (at the post-anesthesia care unit) | M-YPAS (Yale Preoperative Anxiety Scale) |
Countries
Chile