Effectiveness of Music Therapy On Postoperative Pain and Bio-Physiological Parameters of Patients Undergo Elective Abdominal Surgery

Saturday, October 31, 2009: 3:35 PM

Nirmal Kaur, MSc, MA, RN
Silver oaks College of Nursing/Affliated to, Baba Farid University, Mohali, India

Learning Objective 1: impart knowledge and skill regarding the music therapy to the clients scheduled for abdominal surgery.

Learning Objective 2: encourage the clients to participate actively in music therapy.

Abstract: INTRODUCTION:  After surgery, patients do not always receive sufficient relief from opioids and may have undesired side-effects. Postoperative pain and nausea may prolong recovery and may affect vital signs. Music therapy is one of the non- pharmacologic methods to distract patient’s mind off from pain. Several studies have recognized music as a safe, inexpensive, and effective complementary medicine, helpful to decrease analgesic requirements and decrease pain intensity for acute postoperative pain. OBJECTIVE: To assess and compare the effect of music therapy on postoperative pain and bio-physiological parameters of experimental group with control group. METHODS AND PROCEDURES: A quasi-experimental design was used. Convenient sample consists of 30 subjects (scheduled for abdominal surgery), 15 in each of the experimental and control group. The data was collected by interview method, with the help of self-structured tool a personnel data questionnaire, verbal rating scale to measure pain and also on bio- physiological parameters ((BP, pulse, respiration, nausea). The subjects of both experimental and control group were interviewed immediately after the recovery from the effect of anesthesia, on first and second postoperative day. Music therapy was given as per patient’s choice only to experimental group whereas intensity of pain and bio-physiological parameters were monitored before and immediately after recovery from anesthesia, during the first and second postoperative day of both the experimental and control group. The data was analyzed using both descriptive and inferential statistics. RESULTS: Data analysis showed that those patients who listened self-selected music tapes had significant differences (P<0.001) in pain and postoperative bio-physiological parameters scores when compared to the control group. Therefore, it concluded that music helped them in relaxation and functioned as distracter in relieving pain. Conclusion:  These finding suggests that music is an effective anxiolitic (relaxing agent) which can be beneficial for the early recovery of surgical patients.