Implementation of music in the perioperative standard care of colorectal surgery (IMPROVE study)

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Hauptverfasser: Ellaha Kakar, Oddeke van Ruler, Bas Hoogteijling, Eelco J. R. de Graaf, Erwin Ista, Johan F. Lange, Johannes Jeekel, Markus Klimek
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Veröffentlicht: Wiley 2024
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author Ellaha Kakar
Oddeke van Ruler
Bas Hoogteijling
Eelco J. R. de Graaf
Erwin Ista
Johan F. Lange
Johannes Jeekel
Markus Klimek
author_facet Ellaha Kakar
Oddeke van Ruler
Bas Hoogteijling
Eelco J. R. de Graaf
Erwin Ista
Johan F. Lange
Johannes Jeekel
Markus Klimek
Ellaha Kakar
Oddeke van Ruler
Bas Hoogteijling
Eelco J. R. de Graaf
Erwin Ista
Johan F. Lange
Johannes Jeekel
Markus Klimek
collection Wiley Open Access
contents Implementation of music in the perioperative standard care of colorectal surgery (IMPROVE study) Ellaha Kakar Oddeke van Ruler Bas Hoogteijling Eelco J. R. de Graaf Erwin Ista Johan F. Lange Johannes Jeekel Markus Klimek Colorectal Disease AbstractAimPatients undergoing surgery experience perioperative anxiety and pain. Music has been shown to reduce perioperative anxiety, pain and medication requirement. This study assessed the feasibility and effectiveness of implementing a perioperative music intervention.MethodA prospective pre‐ and post‐implementation pilot study was conducted to assess adherence to the intervention and the initial effect of music on postoperative pain scores (Numerical Rating Scale, 0–10) compared to a control group. Secondary outcomes encompassed pain scores throughout hospital admission, anxiety levels, medication usage, complications and hospital stay length.ResultsAdherence to the music intervention was preoperative 95.2%, intraoperative 95.7%, postoperative 31.9% and overall 29.7%. The intervention did influence postoperative pain. Patient's willingness to receive music was high (73%), they appreciated the intervention (median 8.0, interquartile range 7.0–9.0) and healthcare professionals were willing to apply the intervention. Music significantly reduced postoperative anxiety (2.0 vs. 3.0, p = 0.02) and the consumption of benzodiazepines on the first postoperative day (number of patients: zero [0%] vs. five [10%], p = 0.04).ConclusionImplementation of music resulted in reduced postoperative anxiety and decreased consumption of benzodiazepines, and the strategy was feasible, but adjustments are needed to improve postoperative adherence. Both patients and healthcare professionals had a positive attitude towards the intervention. 10.1111/codi.17200 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1111/codi.17200
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spellingShingle Implementation of music in the perioperative standard care of colorectal surgery (IMPROVE study)
Ellaha Kakar
Oddeke van Ruler
Bas Hoogteijling
Eelco J. R. de Graaf
Erwin Ista
Johan F. Lange
Johannes Jeekel
Markus Klimek
Colorectal Disease
Implementation of music in the perioperative standard care of colorectal surgery (IMPROVE study) Ellaha Kakar Oddeke van Ruler Bas Hoogteijling Eelco J. R. de Graaf Erwin Ista Johan F. Lange Johannes Jeekel Markus Klimek Colorectal Disease AbstractAimPatients undergoing surgery experience perioperative anxiety and pain. Music has been shown to reduce perioperative anxiety, pain and medication requirement. This study assessed the feasibility and effectiveness of implementing a perioperative music intervention.MethodA prospective pre‐ and post‐implementation pilot study was conducted to assess adherence to the intervention and the initial effect of music on postoperative pain scores (Numerical Rating Scale, 0–10) compared to a control group. Secondary outcomes encompassed pain scores throughout hospital admission, anxiety levels, medication usage, complications and hospital stay length.ResultsAdherence to the music intervention was preoperative 95.2%, intraoperative 95.7%, postoperative 31.9% and overall 29.7%. The intervention did influence postoperative pain. Patient's willingness to receive music was high (73%), they appreciated the intervention (median 8.0, interquartile range 7.0–9.0) and healthcare professionals were willing to apply the intervention. Music significantly reduced postoperative anxiety (2.0 vs. 3.0, p = 0.02) and the consumption of benzodiazepines on the first postoperative day (number of patients: zero [0%] vs. five [10%], p = 0.04).ConclusionImplementation of music resulted in reduced postoperative anxiety and decreased consumption of benzodiazepines, and the strategy was feasible, but adjustments are needed to improve postoperative adherence. Both patients and healthcare professionals had a positive attitude towards the intervention. 10.1111/codi.17200 http://creativecommons.org/licenses/by/4.0/
title Implementation of music in the perioperative standard care of colorectal surgery (IMPROVE study)
topic Colorectal Disease
url https://onlinelibrary.wiley.com/doi/10.1111/codi.17200