Music Therapy for Early Postoperative Pain, Anxiety, and Sleep in Patients after Mitral Valve Replacement

Abstract

Background To investigate the effect of music therapy on early postoperative pain, anxiety, and sleep quality in patients after mechanical mitral valve replacement (MVR).

Methods A total of 222 patients undergoing mechanical MVR were divided into two groups: the music group and the control group. The patients in the music group received 30 minutes of music therapy every day, whereas the patients in the control group had 30 minutes of quiet time. The visual analogue scale (VAS) was used to evaluate the degree of pain, and the Self-Rating Anxiety Scale (SAS) was used to evaluate the degree of early postoperative anxiety. We also recorded the sleep duration of the patients and used the Verran and Snyder-Halpern (VSH) Sleep Scale to evaluate the sleep quality of the patients.

Results The VAS scores in the music group were significantly lower than those in the control group, and early postoperative anxiety in the music group was also significantly improved compared with that in the control group. The sleep duration in the music group was significantly greater than that in the control group. In the evaluation of sleep quality using the VSH Sleep Scale, the scores for sleep interruption, sleep length, sleep depth, degree of rest, and subjective sleep quality in the music group were significantly lower than those in the control group.

Conclusions Music therapy can be an effective intervention to reduce early postoperative pain, relieve early postoperative anxiety, prolong sleep time, and improve the sleep quality of patients after mechanical MVR.

Keyword

mitral valve surgery - music therapy - postoperative care

• Reference

• 1 Golczyk K, Kompis M, Englberger L, Carrel TP, Stalder M. Heart valve sound of various mechanical composite grafts, and the impact on patients' quality of life. J Heart Valve Dis 2010; 19 (02) 228-232
• 2 Nishi K, Eishi K, Shibata Y. , et al. Influence of prosthetic heart valve sound on a patient's quality of life. Ann Thorac Cardiovasc Surg 2010; 16 (06) 410-416
• 3 Alsulami G, Rice AM, Kidd L. Prospective repeated assessment of self-reported sleep quality and sleep disruptive factors in the intensive care unit: acceptability of daily assessment of sleep quality. BMJ Open 2019; 9 (06) e029957
• 4 Chen HM, Clark AP, Tsai LM, Lin CC. Self-reported health-related quality of life and sleep disturbances in Taiwanese people with heart failure. J Cardiovasc Nurs 2010; 25 (06) 503-513
• 5 Kühlmann AYR, de Rooij A, Kroese LF, van Dijk M, Hunink MGM, Jeekel J. Meta-analysis evaluating music interventions for anxiety and pain in surgery. Br J Surg 2018; 105 (07) 773-783
• 6 Wang CF, Sun YL, Zang HX. Music therapy improves sleep quality in acute and chronic sleep disorders: a meta-analysis of 10 randomized studies. Int J Nurs Stud 2014; 51 (01) 51-62
• 7 Zung WW, Gianturco JA. Personality dimension and the Self-Rating Depression Scale. J Clin Psychol 1971; 27 (02) 247-248
• 8 Snyder-Halpern R, Verran JA. Instrumentation to describe subjective sleep characteristics in healthy subjects. Res Nurs Health 1987; 10 (03) 155-163
• 9 Ryu MJ, Park JS, Park H. Effect of sleep-inducing music on sleep in persons with percutaneous transluminal coronary angiography in the cardiac care unit. J Clin Nurs 2012; 21 (5-6): 728-735
• 10 Özer N, Karaman Özlü Z, Arslan S, Günes N. Effect of music on postoperative pain and physiologic parameters of patients after open heart surgery. Pain Manag Nurs 2013; 14 (01) 20-28
• 11 Kwedar K, McNeely C, Zajarias A, Markwell S, Vassileva CM. Outcomes of early mitral valve reoperation in the medicare population. Ann Thorac Surg 2017; 104 (05) 1516-1521
• 12 Ejiofor JI, Hirji SA, Ramirez-Del Val F. , et al. Outcomes of repeat MVR in patients with prior mitral surgery: a benchmark for transcatheter approaches. J Thorac Cardiovasc Surg 2018; 156 (02) 619-627
• 13 Mueller XM, Tinguely F, Tevaearai HT, Revelly JP, Chioléro R, von Segesser LK. Pain location, distribution, and intensity after cardiac surgery. Chest 2000; 118 (02) 391-396
• 14 Tse MM, Chan MF, Benzie IF. ; T MM. The effect of music therapy on postoperative pain, heart rate, systolic blood pressures and analgesic use following nasal surgery. J Pain Palliat Care Pharmacother 2005; 19 (03) 21-29
• 15 Apfelbaum JL, Chen C, Mehta SS, Gan TJ. Postoperative pain experience: results from a national survey suggest postoperative pain continues to be undermanaged. Anesth Analg 2003; 97 (02) 534-540
• 16 Zeng Y, Wu J, Yin J, Chen J, Yang S, Fang Y. Association of the combination of sleep duration and sleep quality with quality of life in type 2 diabetes patients. Qual Life Res 2018; 27 (12) 3123-3130
• 17 Nilsson U. The anxiety- and pain-reducing effects of music interventions: a systematic review. AORN J 2008; 87 (04) 780-807
• 18 Moon Fai C, Oi Chi W, Hoi Lam C. , et al. Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions. J Adv Nurs 2010; 53 (06) 669-679
• 19 Twiss E, Seaver J, McCaffrey R. The effect of music listening on older adults undergoing cardiovascular surgery. Nurs Crit Care 2006; 11 (05) 224-231
• 20 Aragon D, Farris C, Byers JF. The effects of harp music in vascular and thoracic surgical patients. Altern Ther Health Med 2002; 8 (05) 52-54 , 56–60
• 21 McCarley RW. Neurobiology of REM and NREM sleep. Sleep Med 2007; 8 (04) 302-330