Title | Effects of Music Therapy on Anesthesia Requirements and Anxiety in Women Undergoing Ambulatory Breast Surgery for Cancer Diagnosis and Treatment: A Randomized Controlled Trial. |
Publication Type | Journal Article |
Year of Publication | 2015 |
Authors | Palmer JBradley, Lane D, Mayo D, Schluchter M, Leeming R |
Journal | J Clin Oncol |
Volume | 33 |
Issue | 28 |
Pagination | 3162-8 |
Date Published | 2015 Oct 01 |
ISSN | 1527-7755 |
Keywords | Adolescent, Adult, Aged, Aged, 80 and over, Ambulatory Care, Anesthesia Recovery Period, Anesthesia, General, Anesthetics, Intravenous, Anxiety, Breast Neoplasms, Consciousness Monitors, Emotions, Female, Humans, Intraoperative Neurophysiological Monitoring, Mastectomy, Middle Aged, Music Therapy, Ohio, Patient Satisfaction, Propofol, Time Factors, Treatment Outcome, Young Adult |
Abstract | PURPOSE: To investigate the effect of live and recorded perioperative music therapy on anesthesia requirements, anxiety levels, recovery time, and patient satisfaction in women experiencing surgery for diagnosis or treatment of breast cancer. PATIENTS AND METHODS: Between 2012 and 2014, 207 female patients undergoing surgery for potential or known breast cancer were randomly assigned to receive either patient-selected live music (LM) preoperatively with therapist-selected recorded music intraoperatively (n=69), patient-selected recorded music (RM) preoperatively with therapist-selected recorded music intraoperatively (n=70), or usual care (UC) preoperatively with noise-blocking earmuffs intraoperatively (n=68). RESULTS: The LM and the RM groups did not differ significantly from the UC group in the amount of propofol required to reach moderate sedation. Compared with the UC group, both the LM and the RM groups had greater reductions (P<.001 in="" anxiety="" scores="" preoperatively="" changes="" standard="" deviation:="" and="" respectively.="" the="" lm="" rm="" groups="" did="" not="" differ="" from="" uc="" group="" with="" respect="" to="" recovery="" time="" however="" had="" a="" shorter="" compared="" difference="" of="" minutes="" ci="" p=".018)." satisfaction="" for="" those="" group.=""> CONCLUSION: Including music therapy as a complementary modality with cancer surgery may help manage preoperative anxiety in a way that is safe, effective, time-efficient, and enjoyable. |
DOI | 10.1200/JCO.2014.59.6049 |
Alternate Journal | J. Clin. Oncol. |
PubMed ID | 26282640 |
PubMed Central ID | PMC4979095 |
Grant List | UL1 TR000439 / TR / NCATS NIH HHS / United States UL1TR 000439 / TR / NCATS NIH HHS / United States |