Perioperative Music Listening on Anxiety, Pain, Analgesia Use and Patient Satisfaction

Summary

Participation Requirements

Description

Some tissue injury is often unavoidable during surgery, which leads to unavoidable pain and anxiety during the perioperative and post-operative period. Acute post-operative pain and anxiety have been managed via pharmacological interventions (e.g. opioid-based analgesia) for over a century. However,...

Some tissue injury is often unavoidable during surgery, which leads to unavoidable pain and anxiety during the perioperative and post-operative period. Acute post-operative pain and anxiety have been managed via pharmacological interventions (e.g. opioid-based analgesia) for over a century. However, non-pharmacological interventions - such as music - have also been shown to be safe and cost-effective, improve the overall patient experience, and improve outcomes across a variety of surgical settings. Music has been shown to decrease pain in the perioperative period, to reduce plasma, urine, and salivary cortisol levels, modulate the inflammatory response (natural killer lymphocytes), blood pressure, and heart rate.Additionally, anxiety scores and pain scores (measured using the visual analog scale (VAS)) have shown statistically significant reductions in the perioperative period, when music therapy was available. While music therapy in the hospital has been offered as a part of cognitive rehabilitation services or end of life care, there are very few studies which investigate its effects during the perioperative period, especially in the local setting. In KK Women's and Children's Hospital (KKH), there were over 31,000 surgeries done in a year (April 2015 to March 2016). Based on the above rationale, the investigators shall therefore investigate the feasibility and practicability of deploying music listening in pain management in KKH, and further determine the nature of the music (duration, genre) by fitting the local context in order to improve the patient outcome in perioperative settings.

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