RCT Results: Does Music Therapy Reduce Perioperative Anxiety in Women Undergoing Total Laparoscopic Hysterectomy?
BACKGROUND AND PURPOSE:
Casarin et al. (JMIG, 2021) assessed the superiority of a music therapy intervention vs usual care in reducing the preoperative anxiety of patients undergoing total laparoscopic hysterectomy (TLH) for benign indications
Randomized controlled study
Patients undergoing TLH for benign disease
1 hour of music therapy with a music therapist prior to anesthesia
Participants were randomized 1:2 to music and control groups, respectively
Anxiety was evaluated with the State-Trait Anxiety Inventory Y Form (STAI-Y)
Pathologic anxiety was defined as STAI-Y state >45
Postoperative pain was registered using the visual analog scale
Anxiety levels at baseline and during preoperative, early postoperative, and late postoperative periods
Music group: 30 patients | Control group: 70 patients
Women in the Music arm experienced lower anxiety levels during the preoperative period (P=0.002)
Music group: median STAI-Y scores 38.0
Control group: 41.0
STAI-Y scores did not vary significantly at each subsequent time point
There was a significant difference in the proportion of women with pathologic anxiety during the
Preoperative period (P=0.04)
Music group: 16.7%
Control group: 37.2%
Early postoperative period (P=0.04)
Music group: 0%
Control group: 12.9%
No significant differences between groups during the
Late postoperative period (P=0.93)
Music group: 6.6%
Control group: 7.1%
Postoperative pain intensity did not significantly differ between the groups at 1, 3, and 6 hours after surgery
Music therapy may reduce the amount of perioperative anxiety patients experience during total laparoscopic hysterectomy for benign indications
The authors state
Music therapy seems a viable complementary modality to usual surgical care in the gynecologic setting for its ability to significantly decrease preoperative anxiety
Women undergoing hysterectomy are a distinct patient group at higher risk of preprocedural anxiety and its detrimental effects and would most benefit from anxiety-reduction interventions
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