Effects of Types of Music in Music Therapy on Anxiety and Vital signs of Surgical Patients Undergoing Operation Using Spinal Anesthesia

음악요법 유형이 척추마취 수술환자의 수술 중 불안 및 활력징후에 미치는 영향

  • Kim, Yeoun-Ok (Department of Nursing, Hallym University Medical Center) ;
  • Kim, Joo-Hyun (Department of Nursing, Kangwon National University)
  • 김연옥 (한림대학교 춘천성심병원) ;
  • 김주현 (강원대학교 간호학과)
  • Received : 2011.07.21
  • Accepted : 2011.08.19
  • Published : 2011.08.31

Abstract

Purpose: The purpose of this research is to examine types of music (relax music or preferred music that patients have chosen) can effects on anxiety, blood pressure and pulse, and whether there are differences depending on the kinds of music in order to reduce anxiety of surgical patients using spinal anesthesia. Methods: This research's design is quasi-experimental design and non-equivalent control group pretest-posttest experimental design conducted on 60 surgical patients(experimental group 1=relax music therapy group, experimental group 2=preferred music therapy group, and group 3=control group) using spinal anesthesia. The Variables were trait anxiety, state anxiety, blood pressure, and pulse. Results: 1) In the state anxiety, there was a significant difference among the experimental groups 1, group 2 and the control group. 2) There was a significant difference in systolic blood pressure among the experimental group 1, group 2, and the control group. 3) In pulse, no significant difference among the experimental group 1, group 2 and the control group was detected. Conclusion: Regardless of the types of music, music therapy is thought to be effective nursing mediation to mitigate the state anxiety of surgical patients undergoing spinal anesthesia.

Keywords

References

  1. Bradt, J., Dileo, C., Grocke, D., & Magill, L. (2011). Music interventions for improving psychological and physical outcomes in cancer patients. Cochrane Database Syst Rev. Aug 10, (8):CD006911.
  2. Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
  3. Cho, M. J. (2000). Study on the effect of the supportive nursing care to the anxiety reduction of the patient immediately before surgery in the operating room. Unpublished master's thesis, Chonnam National University, Gwangju.
  4. Cook, J. D. (1986). Music as an intervention in the oncology settinng. Cancer Nursing, 9, 23-28.
  5. Damas, R.G. (1963). Psychological preparation for surgery. American Journal of Nursing, 63, 52-55.
  6. Doh, B. N.(1992). The effect of planned patient education before surgery on recovery depending on the patterns of reaction. Unpublished master's thesis, Yonsei University, Seoul.
  7. Eckenhoff, E.J. (1956). Some operative warning of potential room death. New England Journal of Medicine, 255,1075-1079. https://doi.org/10.1056/NEJM195612062552304
  8. Heiser, R.M., Chiles, K., Fudge, M., & Gray, S.E. (1997) The use of music during the immediate postoperative recovery period. AORN (American Operation Room Nurse) Journal, 65, 777-8, 781-5.
  9. Hong, S. T. (1994). The effect of music therapy on vital sign changes of operational patients. Journal of Korean Academy Adult Nursing, 24, 377-387.
  10. Jeong, H. C. (1997). Effect of music therapy during surgery for the patient under a regional anesthesia. Unpublished master's thesis, Hanyang University, Seoul.
  11. Kim, J. J. (1972). The study on the effect of psychological nursing on recovery of surgical patients. Journal of Korean Academy of Nursing, 2, 97-113.
  12. Kim, K. B., Kim, I. S., Jeong, M. Y., Oh, H. K., Kwon, Y. S., Lee, E. J., et al. (1999). The effect of the musical therapy on depression and quality of life in the institutional elderly. Journal of Korea Gerontological Nursing Society, 1, 213-223.
  13. Kim, J. T., & Shin, D. K. (1978). A study on the standardization of STAI for Korea. New England Journal of Medicine, 21(11), 69-75.
  14. Kim, K. S., Kim, J. H., & Kim, S. J. (2008) The effects of the closed and open musical therapies to the patients with spinal and epidural anesthesia operation. Journal of Biological Nursing Science, 10, 154-161.
  15. Kim, M. S. (2004). Effects on anxiety of nursing intervention therapy using music in the patients undergoing regional anesthesia. Unpublished master's thesis, Kosin University, Busan.
  16. Kim, S. J., & Jun, E. H. (2000). The effect of music therapy on recovery of consciousness and vital signs in post operative patient in the recovery room. Journal of Korean Academy of Fundamental Nursing, 7, 222-238.
  17. Kim, Y. M. (2002). Effects of Nursing Information and Music Therapy on Anxiety of The Patient Undergo Operation with Epidural Anesthesia. Unpublished master's thesis, Kyunghee University, Seoul.
  18. Kwon, N. L. (2002). Effect of music therapy on anxiety and vitality of operation patients. Unpublished master's thesis, Yonsei University, Seoul.
  19. Kwon, Y. S., & Kim, T. H. (2000). The effect of music therapy on anxiety of cesarean section women. Journal of Korean Academy of Fundamental Nursing, 7, 466-478.
  20. Lee, J. M., & Hong, H. S. (2008). The effect of music therapy on anxiety and vital signs of spinal anesthesia operative patients. Journal of Biological Nursing Science, 10, 113-120. https://doi.org/10.1177/1099800408323218
  21. Lee, S. H. (2005). Effect of music therapy on the anxiety and vital sign of operative patient. Unpublished master's thesis, Daejeon University, Daejeon.
  22. Lee, S. H., Kim, S. H., Jung, M. H., & Kim, Y. S. (2008). The effects of music therapy on the quality of life of stroke patient. Journal of Welfare for the Aged, 41, 205-234.
  23. Lee, S. M. (2010). The effects of music therapy on postpartum blues and maternal attachment of puerperal women. Journal of Korean Academy of Nursing, 40, 60-68. DOI: 10.4040/jkan.2010.40.1.60
  24. Park, H. S., & Choi, E. S.(1997). Effects of musical listening on anxiety in patients before undergoing hysterectomy. Korean Journal of Women Health Nursing, 3, 58-66.
  25. Park, K. K., (1995). Health & Music Therapy. Bitsaem: Seoul.
  26. Park, S. H., & Park, K. S. (2000). The effect of music therapy on the preoperative anxiety of surgical patients. Journal of Korean Academy Adult Nursing, 12, 654-665.
  27. Park, Y. J. (2002). Effect of music therapy on the anxiety and the vital sign of patients with LASIK surgery under local anesthesia. Unpublished master's thesis, Gyeongsang National University, Jinju.
  28. Park, Y. S., & Kim K. S.(1996). The effect of music therapy on depressive mood and disorganized behaviors of psychiatric patients. Journal of Korean Academy of Adult Nursing, 10, 53-69.
  29. Shin, H. Y. (2004). Effect of intraoperative music therapy on anxiety for patients undergoing local anesthesia. Unpublished master's thesis, Seoul National University, Seoul.
  30. Spileberger, C. D. (1972). Anxiety as an emotional state : Current trend in theory and research. Vol 1. Academic Press Inc, 481-493.
  31. Steelman, V. M. (1990). Intraoperative music therapy: Effects on anxiety, blood pressure. AORN Journal, 52, 1026-1034. https://doi.org/10.1016/S0001-2092(07)69164-9
  32. White, J. M. (1992). Effects of relaxing music on cardiac autonomic balance and anxiety after acute myocardial infarction. American Journal of Critical Care, 8, 220-230.