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Sunday, 18 September 2016

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Music therapy in surgical area

UH Seidman Cancer Center music therapists and a nurse anaesthetist share experience from a two-year study finding music reduces anxiety, pain for biopsy patients.

A new paper published in the September 2016 issue of the AORN Journal provides insights into the impact of implementing a music therapy program for surgical patients.


Music therapists at University Hospitals Seidman Cancer Center lowered anxiety among patients undergoing breast biopsies Image Credit: University Hospitals, Cleveland

The paper, written by two music therapists and a nurse anesthetist at University Hospitals Seidman Cancer Center, is based on what they learned while conducting a two-year randomized study to learn the effect of live and recorded music on the anxiety of 207 women undergoing a biopsy for breast cancer diagnosis and treatment.

The authors collaborated to introduce music therapy practices into the surgical area. In the study, they randomized patients into a control group (no music), a live music group, or a recorded music group. Due to limited time before surgery, the researchers presented patients in the experimental groups with a live song performed by a music therapist at bedside or a recorded song played on an iPod through earphones.

When self-rating their anxiety using a visual scale ranging from 'not at all anxious' to 'highly anxious,' participants in both live and recorded-music groups experienced a significant reduction in pre-operative anxiety of 42.5 percent and 41.2 percent, respectively, when compared to the control group.

"During our two-year trial, we gained information on potential benefits, challenges and methods of facilitating a surgical music therapy program," said, lead author Jaclyn Bradley Palmer, a board-certified music therapist at UH Seidman Cancer Center. "In addition, we learned approaches to integrating the program with perioperative nursing staff members."

Palmer said, a music therapist may be highly beneficial in the surgical setting, and music therapy may be a means of enhancing the quality of patient care in collaboration with perioperative nurses.

"As an interdisciplinary surgical staff member, the music therapist may help nurses achieve patient-related goals of anxiety reduction, pain management, effective education and satisfaction," said Palmer. "And, by having professional music therapists facilitate surgical music therapy programs, nursing workloads also may be reduced."

 - MNT

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