Abstract
Background. Music therapy has emerged as a promising evidence-based adjuvant method of intervention. This study aims to assess the effect of live oud music on physiological and psychological parameters in patients undergoing cardiac surgery, pre- and post-operatively.Methods. Twelve patients undergoing cardiac operations were randomly allocated into either intervention group or control group, six patients in each group. Patients in the intervention group listened to 20 minutes of improvised and personally customized live oud music before and after surgery while patients in the control group heard the normal hospital sounds. While anxiety scores were assessed preoperatively, vital signs and pain scores were assessed postoperatively together with serum levels of cortisol, which was used as a surrogate marker of the stress response.Results. In the intervention group, pain scores and respiratory rates showed statistically significant reduction after listening to music (P values of 0.043 and 0.034 respectively). Additionally, heart rates, anxiety scores and serum cortisol levels showed borderline significant reduction in patients who listened to music with P values, 0.063, 0.066 and 0.068 respectively. These changes were not found in the control group.Conclusions. This preliminary study suggests a role of live oud music therapy in decreasing stress response of the patients undergoing cardiac surgery, in addition to its positive effects on pain perception and anxiety scores.
Highlights
Over the past few decades, music therapy has emerged as promising evidence-based adjuvant treatment addressing various organic and psychiatric illnesses[1,2,3,4,5].Major surgical procedures are known to be associated with considerable pain, anxiety and hemodynamic disturbances
We aimed to explore the effect of live music intervention on various hemodynamic parameters, anxiety and pain perception scores as well as serum cortisol level as a surrogate markers of stress response in patients undergoing cardiac surgery
While various studies have discussed the efficacy of passive music therapy using recorded music as an adjuvant therapeutic intervention[6], much less is known about the efficacy of live music interventions in patients undergoing surgery
Summary
Over the past few decades, music therapy has emerged as promising evidence-based adjuvant treatment addressing various organic and psychiatric illnesses[1,2,3,4,5].Major surgical procedures are known to be associated with considerable pain, anxiety and hemodynamic disturbances. We aimed to explore the effect of live music intervention on various hemodynamic parameters, anxiety and pain perception scores as well as serum cortisol level as a surrogate markers of stress response in patients undergoing cardiac surgery. Heart rates, anxiety scores and serum cortisol levels showed borderline significant reduction in patients who listened to music with P values, 0.063, 0.066 and 0.068 respectively. These changes were not found in the control group. This preliminary study suggests a role of live oud music therapy in decreasing stress response of the patients undergoing cardiac surgery, in addition to its positive effects on pain perception and anxiety scores
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