DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20190916

Music: an effective anxiolytic during caesarean section under spinal anaesthesia

Gopal L. Bansal, Harpreet Kaur, Veena Shukla, Harsh Kumar Harsh, Anshul Gupta

Abstract


Background: Parturient undergoing repeat caesarean section (CS) under spinal anaesthesia usually experience anxiety due to unpleasant operative environment. Music therapy has been found to have positive psychological impact to relieve anxiety, improve patient satisfaction and provide stable haemodyanamics.

Methods: Sixty patients without any co morbidity having history of previous CS, scheduled for another caesarean under spinal anaesthesia were included in the study. Patients were divided into two groups of 30 each. Group(M) patients were subjected to hearing music of their choice with the help of headphones after administration of spinal anaesthesia till the end of surgery. Group(N) patients were not made to listen to any music but headphones were applied. Haemodyanamic parameters including mean arterial pressure (MAP) and heart rate (HR), visual analogue score for anxiety (VASA) after administering spinal block and at the end of surgery, patient satisfaction score (PSS) and comparison of anxiety with previous CS were observed and recorded.

Results: Both MAP and HR in Group M started falling after 10 minutes of spinal anaesthesia as compared to Group N and difference was significant (P <0.005), VASA 2 (2.2±1.8) in Group M was significantly lower than VASA 1 (5.4±1.7). PSS was also in favour of music group (Group M) and difference was highly significant as compared to group N (p=0.018). Patient’s anxiety as compared to anxiety with previous CS was lesser in Group M as compared to Group N(p=0.009).

Conclusions: Music is a non-invasive tool to relieve anxiety during intraoperative period along with higher patient satisfaction and stable haemodyanamics.


Keywords


Anxiety, Caesarean section, Music, Patient satisfaction, Pregnancy

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References


Bansal P, Kharod U, Patel P, Sanwantsarkar S, Patel H, Kamat H. The Effect of Music Therapy on Sedative Requirements and Haemodynamic Parameters In Patients Under Spinal Anaesthesia; A Prospective Study. JCDR, 2010August; (4):2782-9.

Sarkar D, Chakrabarty K, Bhadra B, Singh R, Mandal U, Ghosh D. Effects of music on patients undergoing caesarean section under spinal anesthesia. Int J Recent Trends Sci Tech. 2015;13 (3):633-7.

Palmer JB, Lane D, Mayo D, Schluchter M, Leeming R. Effects of music therapy on anesthesia requirements and anxiety in women undergoing ambulatory breast surgery for cancer diagnosis and treatment: a randomized controlled trial. J Clin Oncol. 2015 Oct 1;33(28):3162-8.

Gooding L, Swezey S, Zwischenberger JB. Using music interventions in perioperative care. South Med J. 2012;105:486-90.

Chang EF, Bao S, Imaizumi K, Schreiner CE, Merzenish M . Devlopment of spectral and temporal response selectivity in the auditory cortex. Proc. Natl Acad Sci. U.S.A. 2005;102:16460-5.

Koelsch S, Fuermetz J, Sack U, Bauer K, Hohenadel M, Wiegel M, et al. Effects of music listening on cortisol levels and propofol consumption during spinal anesthesia. Frontiers Psychology. 2011 Apr 5;2:58.

Jha M, Yadav N, UrsekarR, AphaleS. Effect of Music and therapeutic suggestions under general anesthesia on post-operative analgesic and anti-emetic outcomes. Innovative J Med Health Sci. 2014;6(4);6:182-7.

Kalyani NP, Poonam GG, Shalini KT. Impact of intraoperative music therapy on the anesthetic requirement and stress response in laparoscopic surgeries under general anesthesia. Ain-Shams J Anaesthesiol. 2015 Oct 1;8(4):580.

Wang Y, Dong Y, Li Y. Perioperative psychological and music interventions in elderly patients undergoing spinal anesthesia: effect on anxiety, heart rate variability, and postoperative pain. Yonsei Med J. 2014 Jul;55(4):1101-5.

Kahloul M, Mhamdi S, Nakhli MS, Sfeyhi AN, Azzaza M, Chaouch A, et al. Effects of music therapy under general anesthesia in patients undergoing abdominal surgery. Libyan J Med. 2016; 12(1): 1260886.

Ayoub CM, Rizk LB, Yaacoub CI, Gaal D, Kain ZN. Music and ambient operating room noise in patients undergoing spinal anesthesia. Anesth Analg. 2005 May 1;100(5):1316-9.

Mok E, Wong KY. Effects of music on patient anxiety. AORN J. 2003 Feb 1;77(2):396-410.

Clark M, Isaacks-Downton G, Wells N, Redlin-Frazier S, Eck C, Hepworth JT, et al. Use of preferred music to reduce emotional distress and symptom activity during radiation therapy. J Music Therapy. 2006 Oct 1;43(3):247-65.

Binns-Turner PG, Wilson LL, Pryor ER. Perioperative music and its effects on anxiety, hemodynamics, and pain in women undergoing mastectomy. AANA J. 2011;79(4):21-7.

Bradt J, Dileo C, Potvin N. Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database Sys Rev. 2013(12).

Tsuchiya M, Asada A, Ryo K, Noda K, Hashino T, Sato Y, et al. Relaxing intraoperative natural sound blunts haemodynamic change at the emergence from propofol general anaesthesia and increases the acceptability of anaesthesia to the patient. Acta Anaesthesiol Scand. 2003 Sep;47(8):939-43.

Wiwatwongwana D, Vichitvejpaisal P, Thaikruea L, Klaphajone J, Tantong A, Wiwatwongwana A. The effect of music with and without binaural beat audio on operative anxiety in patients undergoing cataract surgery: A randomized controlled trial. Eye. 2016 Nov;30(11):1407.

Laopaiboon M, Lumbiganon P, Martis R, Vatanasapt P, Somjaivong B. Music during caesarean section under regional anaesthesia for improving maternal and infant outcomes. Cochrane Database Sys Rev. 2009(2).

Jaber S, Bahloul H,Guétin CG. Effects of music therapy in intensive care unit without sedation in weaning patients versus non-ventilated patients. AFAR. 2007; 26(1):30-8.

Shu MW, Kulkarni L, Jackqulin D, Kain ZN. Music and Preoperative Anxiety. Anesth Analg. 2002;94:1489-94.

Ebneshahidi A, Mohseni M. The effect of patient-selected music on early postoperative pain, anxiety, and Haemodynamic profile in cesarean section surgery. J Altern Complement Med. 2008 Sep; 14(7):827-31.

Siedliecki SL, Good M. Effect of music on power, pain, depression and disability J Adv Nurs. 2006 Jun; 54(5):553-62.

Dunn K, Music and the reduction of post-operative pain. Nurs Stand. 2004 May 19-25;18(36):33-9.

Wang SM, Kulkarni L, Dolev J. Music and preoperative anxiety: a randomized, controlled study. Anesth Analg. 2002;94(6):1489-94.

Kurdi MS, Gasti V. Intraoperative meditation music as an adjunct to subarachnoid block for the improvement of postoperative outcomes following cesarean section: A randomized placebo-controlled comparative study. Anesth Essays Res. 2018;12:618-24.

Chang SC, Chen CH. Effects of music therapy on women's physiologic measures, anxiety, and satisfaction during cesarean delivery. Res Nur Health. 2005 Dec;28(6):453-61.

Bringman H, Giesecke K, Thörne A, Bringman S. Relaxing music as pre‐medication before surgery: a randomised controlled trial. Acta Anaesthesiol Scand. 2009 Jul;53(6):759-64.

Nilsson U, Unosson M, Rawal N. Stress reduction and analgesia in patients exposed to calming music postoperatively: A randomized controlled trial. Eur J Anaesthesiol. 2005;22:96-102.

Ottaviani S, Bernard JL, Bardin T, Richette P. Effect of music on anxiety and pain during joint lavage for knee osteoarthritis. Clin Rheumatol. 2012;31:531-4.

Hosseini SE, Bagheri M, Honarparvaran N. Investigating the effect of music on labor pain and progress in the active stage of first labor. Eur Rev Med Pharmacol Sci. 2013 Jun; 17(11):1479-87.

Syal K, Singh D, Verma R, Kumar R, Sharma A. Effect of music therapy in relieving anxiety in patients undergoing surgery. IJARS. 2017 Jan; 6(1):1-4.