"The Effect of Music Therapy on Anxiety and Pain Scores in Patients Und" by Salih Bürlukkara, Demirhan Örsan Demir et al.
 

The Effect of Music Therapy on Anxiety and Pain Scores in Patients Undergoing Retrograde Intrarenal Surgery (RIRS) Under Spinal Anesthesia: A Prospective, Randomized Controlled Clinical Trial

Journal

Urolithiasis

Year

2024

Abstract

To prospectively investigate the effect of music therapy on patient's anxiety and pain level during retrograde intrarenal surgery under spinal anesthesia. 286 patients aged above 18 years, who underwent Retrograde Intrarenal Surgery (RIRS) under spinal anesthesia for renal or ureteral calculi were evaluated between January 2023 and June 2023 by a prospective, randomized, controlled clinical protocol. Patients were randomized into 2 groups. Group 1 included patients, who listened to music, and Group 2 was comprised of patients, who were not allowed to listen to music. Visual Analog Scale (VAS) results and pain sensation, anxiety level, together with the results of State-Trait Anxiety Inventory (STAI), a self-reported anxiety inventory, were captured. The number of patients, who were randomized to the music group (Group 1) and non-music group (Group 2) was 144 and 142, respectively. Mean heart rate in Group 1 and Group 2 was 60 ± 4.19 and 70 ± 8.36, respectively (p = 0.02), indicative of the fact that mean heart rate was significantly lower in the music group. Heart rate measured post-operatively within the first hour subsequent to the procedure was similar in both groups (p < 0.05). The VAS score was significantly lower in Group 1. STAI score in Group 1 and Group 2 was 45.51 ± 2.968 and 49.16 ± 1.88, respectively. Therefore, there was a statistically significant difference (p < 0.001). Music therapy during the RIRS procedure under spinal anesthesia was associated with a significantly decrease in pain and anxiety scores in patients.

Music and Health Institute Terms

Pain; Procedural Pain; Anxiety; Invasive Medical Procedures; Physiological Measures; Subjective Measures; Music Medicine; Music Listening

Indexed Terms

Elderly; Anesthesia, Spinal; Anxiety; Kidney Calculi; Lithotripsy; Pain Measurement; Postoperative Pain; Prospective Studies; Retrograde intrarenal surgery; State-trait anxiety inventory; Ureteral Calculi; Urologic Surgical Procedures; Visual Analog Scale

Study Type

Randomized Controlled Trial; Quantitative Methods

PubMed ID

PMID: 39402210

Document Type

Article

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