Anxiety, Music, Preoperative
Conditions
Keywords
anxiety, music, preoperative
Brief summary
Anxiety is a common phenomenon among patients who are undergoing surgery. It is a condition characterized by stress, nervousness, fear, unpleasant feeling, and higher activity of Autonomic Nervous System. The current studies demonstrated that listening to music, reduces anxiety levels.
Detailed description
Pre-operative anxiety is recognised as a potential and preventable risk factor for post-operative complications. It is estimated that between 25% to 80% of patients admitted to hospital for surgery experience pre-operative anxiety, and anxiety can negatively influence patient recovery.Physiologically pre-operative anxiety can lead to autonomic dysfunction and can modify inflammatory responses, platelet activity, and immunologic functioning. The Beck Anxiety Inventory(BAI), created by Aaron T. Beck is a 21 questions multiple choice self report inventory which measures the severity of an anxiety in adults and adolescents. It has been widely used in clinical research in mental health care mainly to measure general anxiety. The total score for all 21 symptoms can range between 0 and 63 points. A total score of 0 - 7 is interpreted as Minimal level of anxiety, 8 - 15 as Mild; 16 - 25 as Moderate and 26 - 63 as Severe level of anxiety. This study aims to compare the alleviation of Pre-operative anxiety in patients undergoing surgery with or without music.
Interventions
OTHERMusic
For the interventional group, in addition to normal nursing care, patients will listen to instrumental relaxing music genre consist of pitch, rhythm and tone color for 30 minutes pre-operatively, using mp3 player and over-ear headphones to reduce outside interference, at a volume of the patient's preference.
Sponsors
Tribhuvan University Teaching Hospital, Institute Of Medicine.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Researcher provides music to one group and other group will not receive music. medical officer will assess anxiety by using Beck's Anxiety Inventory.
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age more than 18 years scheduled for elective surgery * American Society of Anaesthesiologists Physical Status I, II
Exclusion criteria
* Patient's refusal * Patient's with known auditory disability * Psychiatric disorder * Altered mental status * Patients routinely taking CNS depressant drugs (eg : Diazepam, Clonazepam)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of music therapy on preoperative anxiety in elective surgery | 6 months | preoperative anxiety will be assessed by using Beck's Anxiety Inventory in one group and the other group will only get routine nursing care.The total score for all 21 symptoms can range between 0 and 63 points. A total score of 0 - 7 is interpreted as Minimal level of anxiety, 8 - 15 as Mild; 16 - 25 as Moderate and 26 - 63 as Severe level of anxiety. More the score greater the anxiety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The effect of music therapy on preoperative anxiety in elective surgery | 6 months | systolic blood pressure |
Countries
Nepal
Outcome results
None listed