Implementation of music in the perioperative standard care of colorectal surgery (IMPROVE study).

IF 2.9 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Colorectal Disease Pub Date : 2024-10-09 DOI:10.1111/codi.17200

Ellaha Kakar, Oddeke van Ruler, Bas Hoogteijling, Eelco J R de Graaf, Erwin Ista, Johan F Lange, Johannes Jeekel, Markus Klimek

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引用次数: 0

Abstract

Aim: Patients undergoing surgery experience perioperative anxiety and pain. Music has been shown to reduce perioperative anxiety, pain and medication requirement. This study assessed the feasibility and effectiveness of implementing a perioperative music intervention.

Method: A prospective pre- and post-implementation pilot study was conducted to assess adherence to the intervention and the initial effect of music on postoperative pain scores (Numerical Rating Scale, 0-10) compared to a control group. Secondary outcomes encompassed pain scores throughout hospital admission, anxiety levels, medication usage, complications and hospital stay length.

Results: Adherence to the music intervention was preoperative 95.2%, intraoperative 95.7%, postoperative 31.9% and overall 29.7%. The intervention did influence postoperative pain. Patient's willingness to receive music was high (73%), they appreciated the intervention (median 8.0, interquartile range 7.0-9.0) and healthcare professionals were willing to apply the intervention. Music significantly reduced postoperative anxiety (2.0 vs. 3.0, p = 0.02) and the consumption of benzodiazepines on the first postoperative day (number of patients: zero [0%] vs. five [10%], p = 0.04).

Conclusion: Implementation of music resulted in reduced postoperative anxiety and decreased consumption of benzodiazepines, and the strategy was feasible, but adjustments are needed to improve postoperative adherence. Both patients and healthcare professionals had a positive attitude towards the intervention.

查看原文本刊更多论文

在结直肠手术围手术期标准护理中实施音乐疗法（IMPROVE 研究）。

目的：接受手术的病人在围手术期会感到焦虑和疼痛。音乐已被证明可以减轻围手术期的焦虑、疼痛和药物需求。本研究评估了实施围手术期音乐干预的可行性和有效性：方法：进行了一项实施前后的前瞻性试点研究，以评估干预措施的依从性，以及与对照组相比，音乐对术后疼痛评分（数字评分量表，0-10 分）的初步效果。次要结果包括整个入院期间的疼痛评分、焦虑程度、用药情况、并发症和住院时间：结果：音乐干预的坚持率分别为术前 95.2%、术中 95.7%、术后 31.9%，总体坚持率为 29.7%。干预措施确实影响了术后疼痛。患者接受音乐干预的意愿很高（73%），他们对音乐干预表示赞赏（中位数为 8.0，四分位数间距为 7.0-9.0），医护人员也愿意采用音乐干预。音乐明显减轻了术后焦虑（2.0 vs. 3.0，p = 0.02），并减少了术后第一天苯二氮卓类药物的用量（患者人数：0 [0%] vs. 5 [10%]，p = 0.04）：音乐可降低术后焦虑，减少苯二氮卓类药物的用量，该策略是可行的，但需要进行调整以提高术后依从性。患者和医护人员都对干预措施持积极态度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Colorectal Disease 医学-胃肠肝病学

CiteScore

6.10

自引率

11.80%

发文量

406

审稿时长

1.5 months

期刊介绍： Diseases of the colon and rectum are common and offer a number of exciting challenges. Clinical, diagnostic and basic science research is expanding rapidly. There is increasing demand from purchasers of health care and patients for clinicians to keep abreast of the latest research and developments, and to translate these into routine practice. Technological advances in diagnosis, surgical technique, new pharmaceuticals, molecular genetics and other basic sciences have transformed many aspects of how these diseases are managed. Such progress will accelerate. Colorectal Disease offers a real benefit to subscribers and authors. It is first and foremost a vehicle for publishing original research relating to the demanding, rapidly expanding field of colorectal diseases. Essential for surgeons, pathologists, oncologists, gastroenterologists and health professionals caring for patients with a disease of the lower GI tract, Colorectal Disease furthers education and inter-professional development by including regular review articles and discussions of current controversies. Note that the journal does not usually accept paediatric surgical papers.