Download Does Listening to Music Improve the Perioperative Experience of

Presented by:
Carol Lewallen BSN, RN, BC
Introduction
 It is well known that:
 Surgical procedures may cause patients to experience
pain and anxiety.
 Music has the ability to affect moods and emotions.
 Adolescents listen to music as a form of relaxation.
Statement of the Problem
 There is a direct correlation between preoperative anxiety,
postoperative pain, and increased risk of infection.
- Vaughn et al, (2007)
 There are many negative side effects to taking pain
medications.
 Pain can increase lengths of stay and increase costs.
 Limited research is available related to adolescent pain.
Purpose of the Study
 To improve the recovery experience for
adolescent same day surgery patients
age 13-18.
Research Question
 Does Listening to Music Improve the
Recovery Experience of Adolescent Same
Day Surgery Patients Age 13-18 years old?
Significance
 Decreased post-operative pain
 Decreases risk of infection
 Decreases the need pain medications
 Decreases costs
 Improves satisfaction
Literature Review
 Music was used an early nursing intervention.
- McCaffey & Locsin (2002)
 Music diverts feelings of anxiety, fear, and pain.
- Cooke et al (2005)
 Music relieves postoperative pain.
- Engwall & Duppils (2009)
Literature Review Cont.
 Music reduces the need for medications.
-Nilsson (2008)
 Music offers comfort and familiarity.
- McCaffrey & Good (2000)
 Music reduces the effects of stress in adolescents.
- Yahaw and Cohen (2008)
 Respecting musical choice needs to be considered.
- Wong & Mok (2003)
Clinical Research Project
 IRB approval through Briar Cliff University and Spencer
Hospital
 Experimental project – 8 participants and 8 controls
 Parental consent and adolescent assent obtained
 Similar outpatient surgical procedures
 Both groups were injected with Marcaine or Ropivicaine in
OR by the surgeon.
Clinical Research Project
 Research measures:
1.
Amount of time in recovery (PACU and SDS).
2.
Pain rating 0/10 scale (1st, highest, DC scores)
3.
Postop medication requirements.
Clinical Research Project
Control Group
Participant Group
 5 females, 3 males ages 13-18.  6 females, 2 males ages 13-18.
 3 of 8 had femoral nerve
 2 of 8 had femoral nerve
blocks. 7 of 8 had pain med
blocks. 7 of 8 had pain med
in OR.
in the OR.
 Information was gathered
 Information was obtained
during the patient’s flow
through retrospective chart
through the recovery process.
audits.
 Average time listening to
music = 35.25 min.
Results -Medication Requirements
Control Group
Participant Group
 7 of 8 = 88% were
 3 of 8 = 38% were
administered additional pain
medication in PACU.
administered additional pain
medication in PACU.
Results for Recovery Times
160
141.5
140
120
108.625
100
80
63.25
60
47.625
40
20
0
Control PACU Time
Participant PACU Time
Control SDS Time
Participant SDS Time
Average Times in PACU and SDS Postop Minutes
Statistical Significance
 Two-tail t-test
PACU RECOVERY TIME
 p = .15
SDS RECOVERY TIME
 p = .27
Results of Pain Scores
Pain Scores
1st Score
High Score
DC Score
5.5
4.125
4.125
3.375
3.125
2.5
2.375
1.875
1.75
1.625
1.5
0.875
PACU Control Pain Score
PACU Pain Score
SDS Control Pain Score
SDS Pain Score
Statistical Significance
 Two-tail t-test
PACU PAIN SCORES
 1st score--- p= .12
 high score ---p=.037, (p<.05)
 DC score--- p= .09
SDS PAIN SCORES
 1st score--- p=.15
 high score--- p=.06
 DC score--- p=.058
References
 Canon Communications LLC (2008). Nearly half of teen
activities are driven by technology. Retrieved November 25,
2008, from
http://www.appliancemagazine.com/news_print.php?artic
le=122567
 Cooke, M., Chaboyer, W., & Hiratos, M. A. (2005). Music
and its effect on anxiety in short waiting periods: A critical
appraisal. Journal of Clinical Nursing, 14(2), 145-155.
McCaffrey, R., & Locsin, R. C. (2002). Music listening as a
nursing intervention: A symphony of practice. Holistic
Nursing Practice, 16(3), 70-77.
 Engwall, M. & Duppils, G. (2009). Music as a nursing
intervention for postoperative pain: A systematic review.
Journal of Perianesthesia Nursing, 24(6), 370-383.
References
 Kemper, K. & Danhauer, S. (2005). Music as Therapy.
Southern Medical Journal, 98(3),282-288.
 Maranets, I., & Kain, Z. N. (1999). Preoperative anxiety and
intraoperative anesthetic requirements. Anesthesia
Analgesia, 89(6), 1346-1351.
 Mitchell, M. (2003). Patient anxiety and modern elective
surgery: a literature review. Journal of Clinical Nursing,
12(6), 806-815.
 Mok, E., & Wong, K. (2003). Effects of music on patient
anxiety. Association of Perioperative Registered Nurses
(AORN) Journal, 77(2), 401-4, 406.
References
 Nilsson, U. (2008). The anxiety and pain reducing effects of
music interventions: A systematic review. Association of
Perioperative Registered Nurses (AORN) Journal, 87(4),
780, 782, 785-794, 797-807.
 Parris, W., Matt, D., Jamison, R. N., & Maxon, W. (1988).
Anxiety and postoperative recovery in ambulatory surgery
patients. Anesthesia Progress, 35(2), 61-64.
 Yahaw, R., & Cohen, M. (2008). Evaluation of a cognitivebehavioral intervention for adolescents. International
Journal of Stress Management, 15(2), 173-188.