Effects of Music Therapy on Pain and Anxiety in Patients Undergoing Port Catheter Placement Procedure

Journal

Complementary Therapies in Medicine

Year

2013

Abstract

BACKGROUND: Patients scheduled to invasive medical procedures experience high levels of anxiety, which may lead to increased perceptions of pain and vital sign instability throughout.AIMS: To examine the effect of a music intervention (MI) on stress hormones, physiologic parameters, pain, and anxiety state before and during port catheter placement procedures (PCPPs).METHODS: We conducted a prospective, randomized, controlled study in 100 oncology patients, who were randomly assigned to an MI group (n=50) or a control group (n=50). The effects of music were assessed by determination of serum cortisol and adrenocorticotropic hormone (ACTH) levels, heart and respiratory rate (HR, RR) and systolic and diastolic blood pressure (SBP, DBP), on arrival in the surgical intervention room, as well as immediately prior to and immediately after the PCPP, in both groups. Furthermore, pain and anxiety levels were identified using visual analogue scale and state-trait anxiety inventory scales.RESULTS: On arrival, there were no differences between the patients in terms of serum cortisol and ACTH levels, HR, RR, SBP, DBP and anxiety levels. There were significant reductions in hormone levels (pCONCLUSION: During invasive medical procedures, MI significantly decreases stress hormone levels, physiological parameters, acute procedural pain and anxiety.

Music and Health Institute Terms

Anxiety; Anxiety Scales; Blood Pressure; Cancer; Cortisol Levels; Heart Rate; Hospital Setting; Hospitalized Patients; Invasive Medical Procedures; Mental Health; Mental Health Hormone Levels; Music Listening; Music Medicine; Pain; Pain Management and Control; Pain Score or Rating; Postoperative Pain; Postoperative Patients; Procedural Pain; Recorded Music Listening; Respiratory Rate; Self-Report Measures; Stress; Surgery; Surgical Patients; Visual Analog Scale (VAS); Vital signs

Indexed Terms

EMBASE keywords; Elderly; anticipatory anxiety; behavior disorder; breathing rate; catheterization; clinical article; controlled study; diastolic blood pressure; heart rate; hormone blood level; human; hydrocortisone blood level; pain; randomized controlled trial; State Trait Anxiety Inventory; systolic blood pressure; visual analog scale; corticotropin; hydrocortisone; stress hormone; Elderly; Adrenocorticotropic Hormone; Anxiety; Anxiety; Catheterization; Catheterization; Hydrocortisone; Prospective Studies; Anxiety; Catheterization; Pain Management

Study Type

Randomized Controlled Trial; Quantitative Methods

PubMed ID

24280479

Document Type

Article

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