Music Therapy for Surgical Patients: Approach for Managing Pain and Anxiety.
Identifieur interne : 000082 ( Main/Exploration ); précédent : 000081; suivant : 000083Music Therapy for Surgical Patients: Approach for Managing Pain and Anxiety.
Auteurs : Genesis R. Bojorquez ; Kimmeth E. Jackson ; Amy K. AndrewsSource :
- Critical care nursing quarterly [ 1550-5111 ]
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Abstract
Music therapy (MT) in the inpatient setting has demonstrated positive outcomes worldwide. There was no protocol to utilize MT at this organization. The purpose of this project was to incorporate and evaluate MT as an adjunct intervention to address pain and anxiety in adult surgical step-down patients. Evidence-based practice change using the 8A's method integrated individualized MT provided by a board-certified music therapist to hospitalized patients over a 3-month period. Training was provided to 35 nurses and unit-assigned social worker on the utilization of MT for patients exhibiting pain or anxiety symptoms. The clinical social worker and staff nurses provided referrals for MT directly to the music therapist. Evaluation of MT included paired t-test and Wilcoxon signed-rank score comparisons of the numerical pain rating scale and the DSM-5 Patient Reported Outcome Measurement Information System Anxiety short form before and after the MT encounter. Among patients who received MT (n = 42), there was a statistically significant reduction in both pain (pre (Equation is included in full-text article.)= 6.07, post (Equation is included in full-text article.)= 3.45, t = 7.046, P = < .001) and anxiety (pre (Equation is included in full-text article.)= 56.47, post (Equation is included in full-text article.)= 46.52, t = 7.787, P ≤ .001). The reduction in pain (moderate to mild) and anxiety (mild to none) was also clinically significant.
DOI: 10.1097/CNQ.0000000000000294
PubMed: 31789881
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Music Therapy for Surgical Patients: Approach for Managing Pain and Anxiety.</title><author><name sortKey="Bojorquez, Genesis R" sort="Bojorquez, Genesis R" uniqKey="Bojorquez G" first="Genesis R" last="Bojorquez">Genesis R. Bojorquez</name><affiliation><nlm:affiliation>University of California: San Diego Health System, San Diego, California (Mss Bojorquez and Jackson); and Sonata Hospice, San Diego, California (Ms Andrews).</nlm:affiliation><wicri:noCountry code="subField">California (Ms Andrews)</wicri:noCountry></affiliation></author><author><name sortKey="Jackson, Kimmeth E" sort="Jackson, Kimmeth E" uniqKey="Jackson K" first="Kimmeth E" last="Jackson">Kimmeth E. Jackson</name></author><author><name sortKey="Andrews, Amy K" sort="Andrews, Amy K" uniqKey="Andrews A" first="Amy K" last="Andrews">Amy K. Andrews</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020 Jan/Mar</date><idno type="RBID">pubmed:31789881</idno><idno type="pmid">31789881</idno><idno type="doi">10.1097/CNQ.0000000000000294</idno><idno type="wicri:Area/Main/Corpus">000383</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000383</idno><idno type="wicri:Area/Main/Curation">000383</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000383</idno><idno type="wicri:Area/Main/Exploration">000383</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Music Therapy for Surgical Patients: Approach for Managing Pain and Anxiety.</title><author><name sortKey="Bojorquez, Genesis R" sort="Bojorquez, Genesis R" uniqKey="Bojorquez G" first="Genesis R" last="Bojorquez">Genesis R. Bojorquez</name><affiliation><nlm:affiliation>University of California: San Diego Health System, San Diego, California (Mss Bojorquez and Jackson); and Sonata Hospice, San Diego, California (Ms Andrews).</nlm:affiliation><wicri:noCountry code="subField">California (Ms Andrews)</wicri:noCountry></affiliation></author><author><name sortKey="Jackson, Kimmeth E" sort="Jackson, Kimmeth E" uniqKey="Jackson K" first="Kimmeth E" last="Jackson">Kimmeth E. Jackson</name></author><author><name sortKey="Andrews, Amy K" sort="Andrews, Amy K" uniqKey="Andrews A" first="Amy K" last="Andrews">Amy K. Andrews</name></author></analytic><series><title level="j">Critical care nursing quarterly</title><idno type="eISSN">1550-5111</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Anxiety (psychology)</term><term>Critical Care Nursing (MeSH)</term><term>Hospitalization (MeSH)</term><term>Humans (MeSH)</term><term>Inpatients (psychology)</term><term>Music Therapy (MeSH)</term><term>Pain Management (MeSH)</term><term>Stress, Psychological (psychology)</term><term>Surgical Procedures, Operative (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Anxiété (psychologie)</term><term>Gestion de la douleur (MeSH)</term><term>Hospitalisation (MeSH)</term><term>Humains (MeSH)</term><term>Musicothérapie (MeSH)</term><term>Patients hospitalisés (psychologie)</term><term>Procédures de chirurgie opératoire (MeSH)</term><term>Soins infirmiers intensifs (MeSH)</term><term>Stress psychologique (psychologie)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Anxiété</term><term>Patients hospitalisés</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anxiety</term><term>Inpatients</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Critical Care Nursing</term><term>Hospitalization</term><term>Humans</term><term>Music Therapy</term><term>Pain Management</term><term>Surgical Procedures, Operative</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Gestion de la douleur</term><term>Hospitalisation</term><term>Humains</term><term>Musicothérapie</term><term>Procédures de chirurgie opératoire</term><term>Soins infirmiers intensifs</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Music therapy (MT) in the inpatient setting has demonstrated positive outcomes worldwide. There was no protocol to utilize MT at this organization. The purpose of this project was to incorporate and evaluate MT as an adjunct intervention to address pain and anxiety in adult surgical step-down patients. Evidence-based practice change using the 8A's method integrated individualized MT provided by a board-certified music therapist to hospitalized patients over a 3-month period. Training was provided to 35 nurses and unit-assigned social worker on the utilization of MT for patients exhibiting pain or anxiety symptoms. The clinical social worker and staff nurses provided referrals for MT directly to the music therapist. Evaluation of MT included paired t-test and Wilcoxon signed-rank score comparisons of the numerical pain rating scale and the DSM-5 Patient Reported Outcome Measurement Information System Anxiety short form before and after the MT encounter. Among patients who received MT (n = 42), there was a statistically significant reduction in both pain (pre (Equation is included in full-text article.)= 6.07, post (Equation is included in full-text article.)= 3.45, t = 7.046, P = < .001) and anxiety (pre (Equation is included in full-text article.)= 56.47, post (Equation is included in full-text article.)= 46.52, t = 7.787, P ≤ .001). The reduction in pain (moderate to mild) and anxiety (mild to none) was also clinically significant.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31789881</PMID><DateCompleted><Year>2020</Year><Month>04</Month><Day>09</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1550-5111</ISSN><JournalIssue CitedMedium="Internet"><Volume>43</Volume><Issue>1</Issue><PubDate><MedlineDate>2020 Jan/Mar</MedlineDate></PubDate></JournalIssue><Title>Critical care nursing quarterly</Title><ISOAbbreviation>Crit Care Nurs Q</ISOAbbreviation></Journal><ArticleTitle>Music Therapy for Surgical Patients: Approach for Managing Pain and Anxiety.</ArticleTitle><Pagination><MedlinePgn>81-85</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/CNQ.0000000000000294</ELocationID><Abstract><AbstractText>Music therapy (MT) in the inpatient setting has demonstrated positive outcomes worldwide. There was no protocol to utilize MT at this organization. The purpose of this project was to incorporate and evaluate MT as an adjunct intervention to address pain and anxiety in adult surgical step-down patients. Evidence-based practice change using the 8A's method integrated individualized MT provided by a board-certified music therapist to hospitalized patients over a 3-month period. Training was provided to 35 nurses and unit-assigned social worker on the utilization of MT for patients exhibiting pain or anxiety symptoms. The clinical social worker and staff nurses provided referrals for MT directly to the music therapist. Evaluation of MT included paired t-test and Wilcoxon signed-rank score comparisons of the numerical pain rating scale and the DSM-5 Patient Reported Outcome Measurement Information System Anxiety short form before and after the MT encounter. Among patients who received MT (n = 42), there was a statistically significant reduction in both pain (pre (Equation is included in full-text article.)= 6.07, post (Equation is included in full-text article.)= 3.45, t = 7.046, P = < .001) and anxiety (pre (Equation is included in full-text article.)= 56.47, post (Equation is included in full-text article.)= 46.52, t = 7.787, P ≤ .001). The reduction in pain (moderate to mild) and anxiety (mild to none) was also clinically significant.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bojorquez</LastName><ForeName>Genesis R</ForeName><Initials>GR</Initials><AffiliationInfo><Affiliation>University of California: San Diego Health System, San Diego, California (Mss Bojorquez and Jackson); and Sonata Hospice, San Diego, California (Ms Andrews).</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jackson</LastName><ForeName>Kimmeth E</ForeName><Initials>KE</Initials></Author><Author ValidYN="Y"><LastName>Andrews</LastName><ForeName>Amy K</ForeName><Initials>AK</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Crit Care Nurs Q</MedlineTA><NlmUniqueID>8704517</NlmUniqueID><ISSNLinking>0887-9303</ISSNLinking></MedlineJournalInfo><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D064648" MajorTopicYN="N">Critical Care Nursing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007297" MajorTopicYN="N">Inpatients</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009147" MajorTopicYN="Y">Music Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059408" MajorTopicYN="Y">Pain Management</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013315" MajorTopicYN="N">Stress, Psychological</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013514" MajorTopicYN="Y">Surgical Procedures, Operative</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>12</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>12</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>4</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31789881</ArticleId><ArticleId IdType="doi">10.1097/CNQ.0000000000000294</ArticleId><ArticleId IdType="pii">00002727-202001000-00010</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Tedesco D, Gori D, Desai KR, et al. 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