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Background and Aims Peri-operative pain is mostly managed pharmacologically. Evidence suggests 75% of patients feel anxious pre surgery, and 40-65% moderate to severe pain post-operatively, leading onto distress, dissatisfaction and prolonged hospital stay. Alternative cost effective modalities including music may help, with beneficial effects on stress responses and reduced medication requirements.
Methods PubMed, MBase, GoogleScholar searches
Results A recent meta-analysis evaluated RCT’s on effects of music intervention on anxiety and pain levels before and after surgery. Of the 92 RCT’s identified, 81 were included and found a significant reduction in all these measures. Individual preferences for certain music types and rhythm and harmony were noted. While evidence was compelling publication bias and heterogeneity.were noted. Future study The IMPROVE study (Netherlands) aims to be the first study actively implementing music intervention in a colorectal surgical cohort. Qualitative methods assessing patients and professionals attitudes towards musical interventions, and a multifaceted strategy to optimise delivery of music, followed by evaluation of effects and experiences of the intervention, and adjustments that may need to be made is planned. The intervention includes pre, intra and post- operative targeted music with at two 30 minute sessions daily during the whole hospital stay and surgical procedure. Aims include providing a systematic framework on the implementation of music intervention in real clinical settings.
Conclusions A willingness to seek alternative, holistic, patient centred approaches to care and acknowledging the impact of calming distraction strategies, such as music in peri-operative care, that are also low in cost and harm is seen with both published and planned research.
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