Anxiety, Surgery
Conditions
Keywords
wide-awake hand surgery, music intervention, patient care
Brief summary
The purpose of this study is to examine if patients have a lower anxiety level during wide awake hand surgery while listening to their choice of music vs standardized relaxation music. Patients who are planning to undergo wide awake (local anesthetic only hand surgery) and agree to participate will be randomized to either a music intervention where they listen to their choice of music genre or standardized relaxation music during their time in the operating room. 170 participants will be enrolled and can expect to be on study for 2 weeks.
Detailed description
Music has been shown to decrease anxiety and pain during surgery. Wide awake local anesthesia no tourniquet (WALANT) surgery on the hand is gaining popularity due to efficiency, cost savings and patient safety. Despite the popularity of WALANT, it still can be anxiety producing even for patients who choose to proceed with surgery without sedation. Music has been shown to decrease anxiety during surgery, but patients' music choices vary widely. The frequency (Hz) of the music intervention has been shown to impact pain reduction, and patient choice of music has been shown to increase sense of control which can decrease anxiety. No study has evaluated the intraoperative effect of patient choice of music vs standardized relaxation music on intraoperative anxiety. The primary objective of this research is to compare the effect of patient music choice vs standardized relaxation music played during surgery on anxiety levels in patients undergoing WALANT hand surgery. The investigators hypothesize that standardized relaxation music will result in reduced anxiety compared to patient's choice of music.
Interventions
OTHERStandardized Relaxation Music
Participants listen to standardized relaxation music during surgery.
OTHERPersonal Choice of Music
Participants listen to their preferred music during surgery.
Sponsors
University of Wisconsin, Madison
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult (18 years of age or older) patients * Undergoing Wide Awake Local Anesthesia No Tourniquet (WALANT) hand surgery
Exclusion criteria
* Patients under the age of 18 * Patients unable to consent for themselves * Patients unwilling to consent * Non-English speaking patients * Patients with significant hearing impairment not able to be corrected with assistive devices
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Visual Analog Scale-Anxiety (VAS-A) Score | day 0 post-operative, up to day 14 | The VAS-A is scored from 0-10 where 0 is 'feeling calm' and 10 is 'extremely anxious'. |
| Change in State Trait Anxiety Inventory (STAI) Score | day 0 post-operative, up to day 14 | The STAI is a 20-item questionnaire (form Y-1) scored on a 4 point likert scale where 1 is 'not at all', 2 is 'somewhat', 3 is 'moderately so', and 4 is 'very much so' for a total possible range of scores from 20-80 where higher scores indicate increased anxiety. |
Secondary
| Measure | Time frame |
|---|---|
| Participant Heart Rate | day 0, pre- and intraoperative |
| Participant Systolic Blood Pressure | pre- and intraoperative on day 0 |
| Participant Diastolic Blood Pressure | pre- and intraoperative on day 0 |
| Participant Respiratory Rate | pre- and intraoperative on day 0 |
Countries
United States
Contacts
CONTACTKatie Schjei
PRINCIPAL_INVESTIGATORLisa Kruse, MD
University of Wisconsin, Madison
Outcome results
None listed