DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20201584

Evaluation of music interventions for anxiety during dermatosurgery under local anesthesia

Dhivya Deivasigamani, Ambujam Sreedevi, Sumathy Sundar, Sivaprakash Balasundaram, Shakthi Pragasam

Abstract


Background: Music is a safe, non-invasive and affordable adjunct to office surgery with several studies based on the effect of music on anxiety levels in varying age groups proving beneficial. The main aim of the current study was to evaluate the effect of music intervention on the anxiety levels of patients going through dermato-surgery under local anesthesia.

Methods: Participants (n=150) undergoing dermato-surgery were divided equally as control (no music intervention) and experimental group (music intervention). The demographic data, physiological parameters (blood pressure (BP), heart rate (HR) and respiratory rate (RR)) at varying time intervals (baseline, 10 minutes after the commencement of surgery and 20 minutes after the end of surgery) along with the psychological parameter (anxiety) were recorded.

Results: Participants listened to the music of their interest during surgery. The anxiety levels decreased significantly within both the experimental and control groups at varying time intervals (p<0.0001). Within each group, BP, HR, and RR at all time intervals were statistically significant (p<0.0001). On comparing the control and experimental groups, only systolic BP at all time intervals was statistically significant (p<0.05). A negative correlation was observed in RR at 10 minutes with respect to interest in music and social avoidance; at 20 minutes only with interest in music (p<0.05).

Conclusions: The anxiety level of patients going through dermato-surgery under local anesthesia was reduced due to music intervention at varying time intervals.  


Keywords


Music, Anxiety, Blood pressure, Heart rate, Respiratory rate

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References


Oliveira DGS, Holl JL, Carthy MRJ, Butt ZA, Nouriel J, Caffery MK, et al. Overestimation of mortality risk and preoperative anxiety in patients undergoing elective general surgery procedures: a propensity matched analysis. Int J Surg. 2014;12(12):1473-7.

Robleda G, Sillero SA, Puig T, Gich I, Banos JE. Influence of preoperative emotional state on postoperative pain following orthopedic and trauma surgery. Rev Lat Am Enfermagem. 2014;22(5):785-91.

Weiser TG, Haynes AB, Molina G, Lipsitz SR, Esquivel MM, Leitz UT, et al. Size and distribution of the global volume of surgery in 2012. Bull World Health Organ. 2016;94(3):201-9.

Kuhlmann AYR, Rooij DA, Kroese LF, Dijk VM, Hunink MGM, Jeekel J. Meta-analysis evaluating music interventions for anxiety and pain in surgery. Br J Surg. 2018;105(7):773-83.

Leardi S, Pietroletti R, Angeloni G, Necozione S, Ranalletta G, Del Gusto B. Randomized clinical trial examining the effect of music therapy in stress response to day surgery. Br J Surg. 2007; 94(8):943-7.

Syal K, Singh D, Verma R, Kumar R, Sharma A. Effect of music therapy in relieving anxiety in patients undergoing surgery. Int J Anatomy, Radiol Surg. 2017;6(1):NO01-NO04.

Hayes A, Buffum M, Lanier E, Rodahl E, Sasso C. A music intervention to reduce anxiety prior to gastrointestinal procedures. Gastroenterol Nurs. 2003;26(4):145-9.

Lee D, Henderson A, Shum D. The effect of music on preprocedure anxiety in Hong Kong Chinese day patients. J Clin Nurs. 2004;13(3):297-303.

Vachiramon V, Sobanko JF, Rattanaumpawan P, Miller CJ. Music reduces patient anxiety during Mohs surgery: An open-label randomized controlled trial. Dermatol Surg. 2013;39(2):298-305.

Kang JG, Lee JJ, Kim DM, Kim JA, Kim CS, Hahm TS, et al. Blocking noise but not music lowers bispectral index scores during sedation in noisy operating rooms. J Clin Anesth. 2008;20(1):12-6.

Lippi D, Roberti, Sarsina PR, Elios DJP. Music and medicine. J Multidiscip Healthc. 2010;3:137-41.

Leod MR. Evaluating the effect of music on patient anxiety during minor plastic surgery. J Perioperat Pract. 2012;22(1):14-8.

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91.

Gold C, Rolvsjord R, Mossler K, Stige B. Reliability and validity of a scale to measure interest in music among clients in mental health care. Psychol Music. 2013;41(5):665-82.

Davey HM, Barratt AL, Butow PN, Deeks JJ. A one-item question with a Likert or visual analog scale adequately measured current anxiety. J Clin Epidemiol. 2007;60(4):356-60.

Saric HR, Leod MDR. Anxiety and arousal: physiological changes and their perception. J Affect Disord. 2000;61(3):217-24.

Schafer T, Tipandjan A, Sedlmeier P. The functions of music and their relationship to music preference in India and Germany. Int J Psychol. 201247(5):370-80.

Reza N, Ali SM, Saeed K, Qasim AA, Reza TH. The impact of music on postoperative pain and anxiety following cesarean section. Middle East J Anaesthesiol. 2007;19(3):573-86.

Padam A, Sharma N, Sastri OSKS, Mahajan S, Sharma R, Sharma D. Effect of listening to Vedic chants and Indian classical instrumental music on patients undergoing upper gastrointestinal endoscopy: A randomized control trial. Indian J Psychiatry. 2017;59(2):214-8.

Liu Y, Petrini MA. Effect of music therapy on pain, anxiety, and vital signs in patients after thoracic surgery. Complement Ther Med. 2015;23(5):714-8.

Karakul A, Bolışık ZB. The effect of music listened to during the recovery period after day surgery on the anxiety state and vital signs of children and adolescents. The J of Pediatric Research. 2018;5(2):82-7.

MacDonald RAR. Music, health, and well-being: A review. Int J Qual Stud Health Well-being. 2013;8:20635.

Thoma MV, La Marca R, Bronnimann R, Finkel L, Ehlert U, Nater UM. The effect of music on the human stress response. PLoS One. 2013;8(8):70156.

Nilsson U. Soothing music can increase oxytocin levels during bed rest after open-heart surgery: a randomised control trial. J Clin Nurs. 2009;18(15):2153-61.

Nelson K, Adamek M, Kleiber C. Relaxation training and postoperative music therapy for adolescents undergoing spinal fusion surgery. Pain Manag Nurs. 2017;18(1):16-23.

Nielsen E, Wahlin I, Frisman GH. Evaluating pictures of nature and soft music on anxiety and well-being during elective surgery. Open Nurs J. 2018;12:58-66.

Petot T, Bouscaren N, Maillard O, Huiart L, Boukerrou M, Reynaud D. Comparing the effects of self-selected music versus predetermined music on patient anxiety prior to gynaecological surgery: a study protocol for a randomised controlled trial. Trials. 2019;20(1):20.

Bernardi L, Porta C, Sleight P. Cardiovascular, cerebrovascular, and respiratory changes induced by different types of music in musicians and non-musicians: the importance of silence. Heart. 2006;92(4):445-52.

Bernardi NF, Codrons E, Leo DR, Vandoni M, Cavallaro F, Vita G, et al. Increase in synchronization of autonomic rhythms between individuals when listening to music. Front Physiol. 2017;8:785.