The Effect of Jazz on Postoperative Pain and Stress in Patients Undergoing Elective Hysterectomy
| Status: | Completed |
|---|---|
| Conditions: | Anxiety, Chronic Pain, Post-Surgical Pain |
| Therapuetic Areas: | Musculoskeletal, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - 75 |
| Updated: | 4/21/2016 |
| Start Date: | March 2013 |
| End Date: | January 2014 |
The purpose of this study is to investigate the effects of music on patients after surgery
in the Post Anesthesia Care Unit (PACU). For many patients, surgery creates significant
emotional stress and anxiety which can include discomfort or pain. Music therapy has proven
to be a useful adjuvant in various inpatient and outpatient settings by providing a relaxing
effect that decreases heart rate, blood pressure, and hormonal measures of stress. It has
been shown that classical music can cause physiological and psychological differences in
patient outcomes, but few studies have looked specifically at effects of jazz music. Some
have argued that jazz may be too involved to provide the same relaxed state as classical
music, but this may be due in part to the type of jazz played for the patient. It is our
hypothesis that slow jazz music by artists including Miles Davis, Ella Fitzgerald, Diana
Krall, Dave Brubeck, etc. will reduce measures of stress and anxiety in patients in the PACU
following surgery for hysterectomy (laparoscopic or robotic) to a greater extent than the
control group. Jazz music or "no music" will be played through headphones to participants in
the study post-surgically while they are in the PACU and measures of stress, anxiety, and
pain will be monitored.
in the Post Anesthesia Care Unit (PACU). For many patients, surgery creates significant
emotional stress and anxiety which can include discomfort or pain. Music therapy has proven
to be a useful adjuvant in various inpatient and outpatient settings by providing a relaxing
effect that decreases heart rate, blood pressure, and hormonal measures of stress. It has
been shown that classical music can cause physiological and psychological differences in
patient outcomes, but few studies have looked specifically at effects of jazz music. Some
have argued that jazz may be too involved to provide the same relaxed state as classical
music, but this may be due in part to the type of jazz played for the patient. It is our
hypothesis that slow jazz music by artists including Miles Davis, Ella Fitzgerald, Diana
Krall, Dave Brubeck, etc. will reduce measures of stress and anxiety in patients in the PACU
following surgery for hysterectomy (laparoscopic or robotic) to a greater extent than the
control group. Jazz music or "no music" will be played through headphones to participants in
the study post-surgically while they are in the PACU and measures of stress, anxiety, and
pain will be monitored.
- Patients will be identified the morning of surgery from the operating room schedule.
- The patients will be randomized to two groups: jazz music or no music.
- Head phones will be applied to all patients included in the study; in one group jazz
music will be provided through the headphones. The second group no music will be
played.
- Blood pressure will be monitored by a non-invasive blood pressure cuff at 5 minute
intervals throughout the patient's stay in the PACU.
- Heart rate will be measured, using a pulse oximeter, at the same intervals as blood
pressure.
- Before the patient leaves the PACU, she will be asked to rate her perception of her
levels of pain and anxiety on scales that use a numeric scale of 1-10. The primary
variable outcomes are: heart rate and mean blood pressure. Secondary outcomes include:
perceived pain, anxiety, and level of relaxation.
- headphones will be used to deliver one of the following sounds to the patients: 1) jazz
music (BPM<100) by artists including Miles Davis, Ella Fitzgerald, Diana Krall, Dave
Brubeck, etc.; or 2) no music providing.
- The patients will be randomized to two groups: jazz music or no music.
- Head phones will be applied to all patients included in the study; in one group jazz
music will be provided through the headphones. The second group no music will be
played.
- Blood pressure will be monitored by a non-invasive blood pressure cuff at 5 minute
intervals throughout the patient's stay in the PACU.
- Heart rate will be measured, using a pulse oximeter, at the same intervals as blood
pressure.
- Before the patient leaves the PACU, she will be asked to rate her perception of her
levels of pain and anxiety on scales that use a numeric scale of 1-10. The primary
variable outcomes are: heart rate and mean blood pressure. Secondary outcomes include:
perceived pain, anxiety, and level of relaxation.
- headphones will be used to deliver one of the following sounds to the patients: 1) jazz
music (BPM<100) by artists including Miles Davis, Ella Fitzgerald, Diana Krall, Dave
Brubeck, etc.; or 2) no music providing.
Inclusion Criteria:
- Undergoing elective hysterectomy (laparoscopic or robotic)
- ASA 1 or 2
- Normotensive
- Normal heart rate
Exclusion Criteria:
- Patient does not wish to participate in the study
- Deaf or hearing impaired patients
- Ear deformities or abnormalities
- Pre-existing diagnosis of anxiety disorder, depression, substance abuse, or any other
psychiatric diagnoses
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