Pre-operative Stress Reduction With Music
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 10 - 16 |
| Updated: | 3/2/2019 |
| Start Date: | January 2017 |
| End Date: | May 2023 |
| Contact: | Carolyn Barbieri, MD |
| Email: | cbarbieri@hmc.psu.edu |
The Effect of Music on Pre-operative Stress in Pediatric Orthopedic Patients
The purpose of this study is to assess the effect of music, played prior to a surgical
procedure, on stress levels during induction of anesthesia. Hypothesis: playing "calming"
music, pre-selected by the investigator and the patient, beginning just prior to induction
and terminating after induction will positively reduce the patient's heart rate, blood
pressure, and respiratory rate during this period. For this study, noise-cancelling
headphones with the ability to play music via an iPod will be utilized.
procedure, on stress levels during induction of anesthesia. Hypothesis: playing "calming"
music, pre-selected by the investigator and the patient, beginning just prior to induction
and terminating after induction will positively reduce the patient's heart rate, blood
pressure, and respiratory rate during this period. For this study, noise-cancelling
headphones with the ability to play music via an iPod will be utilized.
Reduced stress and relaxation positively contribute to patient healing after surgery (1).
Reduction of stress associated with surgery is even more important in children, for whom a
traumatic experience can have even more damaging and long-lasting effects (2). One
stress-reduction technique of current interest is music. In global studies outside of the
surgical realm, music has been shown to reduce heart rate, blood pressure, respiratory rate,
and stress hormone levels as well as alleviate anxiety (3).
Evidence has also been found that listening to music pre-operatively in both adult and
pediatric cases can reduce patients' stress and anxiety levels before surgery (3,7) Of the
studies that have addressed the benefits of pre-operative music, however, none have assessed
the impact of pre-operative music on stress levels during induction. In addition, almost all
prior studies of the benefits of perioperative music have assessed the effect of only one
style of music on each patient group. This set-up is beneficial in eliminating variables
within the study design, but it fails to consider the individuality of each patient and what
he/she might find to be relaxing. This study aims to assess the effect of music (selected by
the pediatric patient from one of several pre-compiled playlists) played pre-operatively and
during induction on patient stress levels.
Reduction of stress associated with surgery is even more important in children, for whom a
traumatic experience can have even more damaging and long-lasting effects (2). One
stress-reduction technique of current interest is music. In global studies outside of the
surgical realm, music has been shown to reduce heart rate, blood pressure, respiratory rate,
and stress hormone levels as well as alleviate anxiety (3).
Evidence has also been found that listening to music pre-operatively in both adult and
pediatric cases can reduce patients' stress and anxiety levels before surgery (3,7) Of the
studies that have addressed the benefits of pre-operative music, however, none have assessed
the impact of pre-operative music on stress levels during induction. In addition, almost all
prior studies of the benefits of perioperative music have assessed the effect of only one
style of music on each patient group. This set-up is beneficial in eliminating variables
within the study design, but it fails to consider the individuality of each patient and what
he/she might find to be relaxing. This study aims to assess the effect of music (selected by
the pediatric patient from one of several pre-compiled playlists) played pre-operatively and
during induction on patient stress levels.
Inclusion Criteria:
- Aged 10 - 16 years
- Present to the OR for correction of an orthopedic complaint not involving the head or
neck
- Consent to participate in the study obtained from both the guardian and child
- Patients and guardians are English-speaking
Exclusion Criteria:
- Hearing impairments or ear abnormalities
- Pre-existing issues with substance abuse, anxiety, or depression
- Pre-existing psychiatric disorders
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