Perioperative Psychological and Music Interventions in Elderly Patients Undergoing Spinal Anesthesia: Effect on Anxiety, Heart Rate Variability, and Postoperative Pain
Journal
Yonsei Medical Journal
Year
2014
Abstract
PURPOSE: The aim of this study was to evaluate the effects of perioperative psychological and music interventions in elderly patients undergoing elective surgery on anxiety, post-operative pain, and changes in heart rate variability (HRV) to ascertain if perioperative psychological and music interventions can affect overall anxiety levels. MATERIALS AND METHODS: Fourty elderly patients undergoing elective surgery were randomized to two groups; one group received psychological and music intervention, and the other was the control. The intervention group underwent psychological intervention and listening to music for 30 min before surgery. RESULTS: The mean change in HRV as determined by low frequency (LF) power measurements. After the intervention, the ratio of mean LF to high frequency (HF) power decreased significantly in the intervention group compared to before the intervention (p<0.05). In the control group, mean LF measurements and the ratio of LF:HF did not change significantly. In the intervention group, mean HF power was significantly higher after the procedure than before (p<0.01). Moreover, the mean self-rating anxiety score of the intervention group decreased after the procedure compared to before (p<0.05). The mean visual analogue score of the intervention group 6 hours after surgery was significantly lower than that of the control group (p<0.01). CONCLUSION: Perioperative psychological and music interventions can reduce anxiety and postoperative pain in elderly patients.
Music and Health Institute Terms
Anxiety; Anxiety Scales; Elderly; Heart Rate; Hospital Setting; Hospitalized Patients; Music Listening; Music Medicine; Pain; Pain Management and Control; Pain Score or Rating; Postoperative Pain; Recorded Music Listening; Self-Report Measures; Surgery; Surgical Patients; Visual Analog Scale (VAS); Vital signs
Indexed Terms
Elderly; Elderly; Anesthesia, Spinal; Anxiety; Heart Rate; Postoperative Pain; Relaxation Therapy; Psychological interventions; elderly patient; heart rate variability; music interventions; postoperative pain; spinal anesthesia
Study Type
Randomized Controlled Trial; Quantitative Methods
PubMed ID
24954343
Document Type
Article
Recommended Citation
Wang, Y., Dong, Y., & Li, Y. (2014). Perioperative Psychological and Music Interventions in Elderly Patients Undergoing Spinal Anesthesia: Effect on Anxiety, Heart Rate Variability, and Postoperative Pain. Yonsei Medical Journal, 55 (4), 1101-5. Retrieved from https://remix.berklee.edu/mhi-citations/632