Does Listening to Music Improve the Recovery Experience of
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Does Listening to Music Improve the Recovery Experience of Adolescent Same Day Surgery Patients Age 13-18 years old?. Presented by: Carol Lewallen BSN, RN, BC. Introduction. It is well known that: Surgical procedures may cause patients to experience pain and anxiety.

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Does Listening to Music Improve the Recovery Experience of Adolescent Same Day Surgery Patients Age 13-18 years old?

Presented by:

Carol Lewallen BSN, RN, BC


Introduction
Introduction

  • It is well known that:

    • Surgical procedures may cause patients to experience pain and anxiety.

    • Music has the ability to affect moods and emotions.

    • Adolescents listen to music as a form of relaxation.


Statement of the problem
Statement of the Problem

  • There is a direct correlation between preoperative anxiety, postoperative pain, and increased risk of infection.

    - Vaughn et al, (2007)

  • There are many negative side effects to taking pain medications.

  • Pain can increase lengths of stay and increase costs.

  • Limited research is available related to adolescent pain.


Purpose of the study
Purpose of the Study

  • To improve the recovery experience for adolescent same day surgery patients age 13-18.


Research question
Research Question

  • Does Listening to Music Improve the Recovery Experience of Adolescent Same Day Surgery Patients Age 13-18 years old?


Significance
Significance

  • Decreased post-operative pain

    • Decreases risk of infection

    • Decreases the need pain medications

    • Decreases costs

    • Improves satisfaction


Literature review
Literature Review

  • Music was used an early nursing intervention.

    - McCaffey & Locsin (2002)

  • Music diverts feelings of anxiety, fear, and pain.

    - Cooke et al (2005)

  • Music relieves postoperative pain.

    - Engwall & Duppils (2009)


Literature review cont
Literature Review Cont.

  • Music reduces the need for medications.

    -Nilsson (2008)

  • Music offers comfort and familiarity.

    - McCaffrey & Good (2000)

  • Music reduces the effects of stress in adolescents.

    - Yahaw and Cohen (2008)

  • Respecting musical choice needs to be considered. - Wong & Mok (2003)


Clinical research project
Clinical Research Project

  • IRB approval through Briar Cliff University and Spencer Hospital

  • Experimental project – 8 participants and 8 controls

  • Parental consent and adolescent assent obtained

  • Similar outpatient surgical procedures

  • Both groups were injected with Marcaine or Ropivicaine in OR by the surgeon.


Clinical research project1
Clinical Research Project

  • Research measures:

    • Amount of time in recovery (PACU and SDS).

    • Pain rating 0/10 scale (1st, highest, DC scores)

    • Postop medication requirements.


Clinical research project2
Clinical Research Project

Control Group

Participant Group

  • 5 females, 3 males ages 13-18.

  • 2 of 8 had femoral nerve blocks. 7 of 8 had pain med in the OR.

  • Information was obtained through retrospective chart audits.

  • 6 females, 2 males ages 13-18.

  • 3 of 8 had femoral nerve blocks. 7 of 8 had pain med in OR.

  • Information was gathered during the patient’s flow through the recovery process.

  • Average time listening to music = 35.25 min.


Results medication requirements
Results -Medication Requirements

Control Group

Participant Group

  • 7 of 8 = 88% were administered additional pain medication in PACU.

  • 3 of 8 = 38% were administered additional pain medication in PACU.



Statistical significance
Statistical Significance

  • Two-tail t-test

    PACU RECOVERY TIME

  • p = .15

    SDS RECOVERY TIME

  • p = .27



Statistical significance1
Statistical Significance

  • Two-tail t-test

    PACU PAIN SCORES

  • 1st score--- p= .12

  • high score ---p=.037, (p<.05)

  • DC score--- p= .09

    SDS PAIN SCORES

  • 1st score--- p=.15

  • high score--- p=.06

  • DC score--- p=.058


References
References

  • Canon Communications LLC (2008). Nearly half of teen activities are driven by technology. Retrieved November 25, 2008, from http://www.appliancemagazine.com/news_print.php?article=122567

  • Cooke, M., Chaboyer, W., & Hiratos, M. A. (2005). Music and its effect on anxiety in short waiting periods: A critical appraisal. Journal of Clinical Nursing, 14(2), 145-155. McCaffrey, R., & Locsin, R. C. (2002). Music listening as a nursing intervention: A symphony of practice. Holistic Nursing Practice, 16(3), 70-77.

  • Engwall, M. & Duppils, G. (2009). Music as a nursing intervention for postoperative pain: A systematic review. Journal of Perianesthesia Nursing, 24(6), 370-383.


References1
References

  • Kemper, K. & Danhauer, S. (2005). Music as Therapy. Southern Medical Journal, 98(3),282-288.

  • Maranets, I., & Kain, Z. N. (1999). Preoperative anxiety and intraoperative anesthetic requirements. Anesthesia Analgesia, 89(6), 1346-1351.

  • Mitchell, M. (2003). Patient anxiety and modern elective surgery: a literature review. Journal of Clinical Nursing, 12(6), 806-815.

  • Mok, E., & Wong, K. (2003). Effects of music on patient anxiety. Association of Perioperative Registered Nurses (AORN) Journal, 77(2), 401-4, 406.


References2
References

  • Nilsson, U. (2008). The anxiety and pain reducing effects of music interventions: A systematic review. Association of Perioperative Registered Nurses (AORN) Journal, 87(4), 780, 782, 785-794, 797-807.

  • Parris, W., Matt, D., Jamison, R. N., & Maxon, W. (1988). Anxiety and postoperative recovery in ambulatory surgery patients. Anesthesia Progress, 35(2), 61-64.

  • Yahaw, R., & Cohen, M. (2008). Evaluation of a cognitive-behavioral intervention for adolescents. International Journal of Stress Management, 15(2), 173-188.


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