Professional Documents
Culture Documents
_REVIEW_
Electra Economidou
Papaflessa 21b
N. Psihiko
15451 Athens
Greece
Tel: 6945194901
Email: electraecon@gmail.com
INTRODUCTION
ain is a known consequence of
health
professionals
looking
after
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can
contribute
to
complications,
prolonging hospitalization.2
impact
humans.
music
time
enhancing
operatively,
always
The
to
postoperative
and
and
patients
most
do
effective
period
not
approach
may
include
music
begun
has
always
to
emotional
be
had
used
well-being.
on
more
Music
is
interventions.7
depression,
Music
has
for
including
system.10
and
and
between
when
used
movement
extensively
Plato,
been
promote
art,
persons
religion,
physical
and
guided
the
imagery
autonomic
nervous
techniques.
And,
Page | 366
should
easily
required.
applied
intervention,
with
be
measured
by
appropriate
Methods
intervention
patients
undergoing
elective
surgery,
under
anaesthesia,
and
(post-operative
major
general
calming,
listened
to
through
is
applied
during
patients),
the
the
not
interfere,
either
intra
or
post-
(1980-present)
Table
music,
music
will
difference.
not
The
make
outcome
significant
is
1:
and
CINAHL
post?opetati$,
music
therapy,
were
post?surg$,
pain
and
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Findings
review.
relaxation.
Methodological
question,
studies
accessibility
and
English
quality
of
included
five
checklist
techniques
factors
their
requiring
relief.
al.,7
music
using
music
post-operative
intervention.
or
pain
Heiser
et
randomized
for
controlled
articles
combination.
All
trials16-20
describing
studies
were
Page | 368
type
for
assessment
was
patient-controlled
opioids
(either
checked
routes on request.
the results.
Wallis
slow
demographic
of
premeditation,
provided
analgesia
by
with
jazz,
to
the
drugs
treatment
group.
was
before
done
and
ANOVA)
after
was
data,
during
used
the
to
anaesthetic
the
data
test
and
music
reported
to
be
relaxing
and
Results
silence
to
Subjects
pain
or
operating
they
theatres
were
exposed
sounds.
intensity
postoperatively,
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group
(p-value<0.002),
not
Postoperative
well-
headache,
were
also
examined;
no
difference
was
found
between
the
anxiety,
but
nausea,
groups.
treatment
orthopaedic
well-being.
minutes
hernia
groups:
post
the measures.
measuring
as
intra
operative
stress
music,
markers
such
group
of
pain
were
listening
experienced
to
studied
music
by
the
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searched.
until
the
discharge
measurements.
The
duration
studies
the
effect
free
music
of
included
music
intervention,
could
only
exposure.
would
result
in
not
non
Discussion
out
reduce
different
studies
difference
post-operative
compared
with
the
control
groups,
regardless
of
the
different
ways
whether
postoperative
music
pain.
between
could
The
six
stages
post-operatively,
www.hsj.gr
22
the
input25
painful
26
causing
inhibition.
muscular
endogenous
pain
focused
components of pain.28
on
interventions
pharmacological
minimize
and
music
mental
opiates
impulses
reduce
tension
in
the
and
and
central
modulating
patient
postoperative
be
discomfort
to
Soothing
pain
during
the
encouraged
to
listen
to
music
can
decreased
via
are
numerous
and
of
The
mechanism
of
this
gates,
diverse
effect
which
points
screen
descending
inhibition
systems.23
some
of
the
PACU
noises
The
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are
studies
preferences
showing
play
that
large
musical
role
in
in
In
for
after surgery.
practice,
patients
scheduled
mind
that
music
is
non-
REFERENCES
1. International Association for the Study
of
Pain.
Pain
Definitions
Recommended
Subcommittee
1979;6:249.
Terms:
and
Notes
by
on
List
on
with
Usage.
the
IASP
Taxonomy.
Pain
alongside
with
other
therapies
and
started
complementary
exploring
the
systematically.
Nowadays,
although
Department
of
Health
and
Human
Ha
health
in
tool in general.
77057709.
professionals
who
believe
B,
Chen
JI,
Carrier
B.
Pain
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Medical
Association.
Pain
ME,
Kain
The
Ayoub
Rosenbaum
analgesic
cmeonline.com/pain_mgmt/module01/in
dex.htm.
SH.
ZN,
sparing
sedative
effect
of
C,
and
music.
Stanton-Hicks
Geras J. Pain
U,
Rawal
N,
Unesthl
LE,
1997; 65 :777785.
LA,
Buckwalter
16.Nilsson
U,
Rawal
N,
Engqvist
B.
Music
JC
Nursing
Nursing
McCloskey,
Interventions.
Treatments,
KC.
812817.
Editors,
Effective
Saunders,
Philadelphia,
1999.
2003; 47 : 278283.
17.Nilsson U, Unosson M, Rawal N. Stress
reduction
and
in
exposed
postoperatively:
4350.
calming
patients
to
analgesia
A
music
randomized
22 : 96102.
18.Good M, Stanton-Hicks M, Grass JA.
Cranston Anderson G, Choi C,
Page | 374
77: 396-7,401-6,409-10.
81: 163172.
patients
during
28.Evans MM,
interventions
on
the
2003;18 : 254261.
practice.
Holist
2002;16(3):70-7.
Nurs
Pract
2006.
22.Gilbert HC. Pain relief methods in the
postanesthesia care unit. J Post Anesth
Nurs 1990;5: 615.
23.Melzack R. Pain and the Neuromatrix in
the brain. J Dent Educ 2001;65: 1378
1382.
24.Mac
Lellan
Strategy
experiences,
K.
for
Postoperative
improving
Journal
of
pain:
patient
Advanced
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ANNEX
Table 1: search terms and their combination
Population
Intervention
Post?operati$
Postoperative period
(MeSH term)
A
Music
(text word &
MeSH term)
OR
OR
Analgesia
(text word &
OR
Post?serg$
Postoperative care
(MeSH term)
Music therapy
(text word &
MeSH term)
Outcome
Pain
Pain postoperative
(MeSH term)
MeSH term)
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Study
Nilsson et al.,
Sample
75
(2005)
Nilsson et al.,
125
(2003)
Nilsson et al.,
Intervention
No limit since
arrival at PACU
58
Intra-operatively
(2001)
Good et al.,
500
(1999)
Masuda et al.,
44
(2005)
Laurion
(2003)
84
VAS
2.1-2.4m
3.8c
Opioids
1.0-1.8m
2.9c
2.1m
2.6m
2.9 c
3.4c
1.8m
2.22m
2.7c
3.28c
15intervals prior
2.8m
to assessment
3.6c
20 intervals prior
2.2m
NA
NA
to assessment
3.3c
2.1m
7.0m
post operation
3.5c
9.8c
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