Diane R Eckhouse1, Mary Hurd, Susan Cotter-Schaufele, Suela Sulo, Malgorzata Sokolowski, Laurel Barbour. 1. Diane R. Eckhouse, MS, APN, OCNS-C, Orthopaedic Advanced Practice Nurse, Advocate Lutheran General Hospital, Park Ridge, IL. Mary Hurd, BSN, RN, MHA, Manager, the Bone Marrow Transplant Program, Advocate Lutheran General Hospital, Park Ridge, IL. Susan Cotter-Schaufele, MA, MT-BC, FAMI, Music Therapy Supervisor, Advocate Lutheran General Hospital, Park Ridge, IL. Suela Sulo, PhD, Patient Centered Outcomes Research Manager, James R. & Helen D. Russell Institute for Research & Innovation, Advocate Lutheran General Hospital, Park Ridge, IL. Malgorzata Sokolowski, MSN, APN, AOCNS, Oncology Advanced Practice Nurse, Advocate Lutheran General Hospital, Park Ridge, IL. Laurel Barbour, MSN, APN, AOCN, was an Oncology Advanced Practice Nurse, Advocate Lutheran General Hospital and the Center for Advanced Care, Park Ridge, IL.
Abstract
BACKGROUND: Nonpharmacological interventions, including combinations of music, education, coping skills, and relaxation techniques, have been found to have a positive effect on patients' perceived anxiety in many settings. However, few research studies have assessed and compared the effectiveness of music and relaxation interventions in reducing the anxiety levels of orthopaedic and oncology patients. PURPOSE: We conducted a prospective, randomized, controlled study to examine the effectiveness of music and relaxation interventions on perceived anxiety during initial hospitalization for patients receiving orthopaedic or cancer care treatment at a Midwestern teaching hospital. METHOD: This was a pre-test/post-test study design utilizing the State-Trait Anxiety Inventory. One hundred twelve patients were randomized into 3 study groups. Thirty-eight subjects (34%) were randomized in the music-focused relaxation group, 35 subjects (31%) in the music and video group, and 39 (35%) subjects in the control group. Fifty-seven (51%) were orthopaedic patients and 55 (49%) were oncology patients. RESULTS: Comparison of the 3 study groups showed no statistically significant differences with regard to patients' demographics. Although reduced anxiety levels were reported for all 3 groups postintervention, the differences were not statistically significant (p > .05). Also, there was no significant difference found between the perceived anxiety levels of patients admitted to the orthopaedic and oncology care units (p > .05). Finally, the results of the intragroup comparisons (regardless of the group assignment) showed a significant decrease in anxiety levels reported by all patients postintervention (p < .001). CONCLUSIONS:Music and relaxation interventions could be an additional tool in assisting patients to become less anxious during their hospital stay. Music focused relaxation and music and video are both valuable and cost-effective strategies that can assist the orthopaedic and oncology patient population. Identifying opportunities to make these interventions easily accessible to healthcare professionals can assist in the management of patient anxiety during hospitalization.
RCT Entities:
BACKGROUND: Nonpharmacological interventions, including combinations of music, education, coping skills, and relaxation techniques, have been found to have a positive effect on patients' perceived anxiety in many settings. However, few research studies have assessed and compared the effectiveness of music and relaxation interventions in reducing the anxiety levels of orthopaedic and oncology patients. PURPOSE: We conducted a prospective, randomized, controlled study to examine the effectiveness of music and relaxation interventions on perceived anxiety during initial hospitalization for patients receiving orthopaedic or cancer care treatment at a Midwestern teaching hospital. METHOD: This was a pre-test/post-test study design utilizing the State-Trait Anxiety Inventory. One hundred twelve patients were randomized into 3 study groups. Thirty-eight subjects (34%) were randomized in the music-focused relaxation group, 35 subjects (31%) in the music and video group, and 39 (35%) subjects in the control group. Fifty-seven (51%) were orthopaedic patients and 55 (49%) were oncology patients. RESULTS: Comparison of the 3 study groups showed no statistically significant differences with regard to patients' demographics. Although reduced anxiety levels were reported for all 3 groups postintervention, the differences were not statistically significant (p > .05). Also, there was no significant difference found between the perceived anxiety levels of patients admitted to the orthopaedic and oncology care units (p > .05). Finally, the results of the intragroup comparisons (regardless of the group assignment) showed a significant decrease in anxiety levels reported by all patients postintervention (p < .001). CONCLUSIONS: Music and relaxation interventions could be an additional tool in assisting patients to become less anxious during their hospital stay. Music focused relaxation and music and video are both valuable and cost-effective strategies that can assist the orthopaedic and oncology patient population. Identifying opportunities to make these interventions easily accessible to healthcare professionals can assist in the management of patientanxiety during hospitalization.
Authors: Peter R Chai; Stephanie Carreiro; Megan L Ranney; Ketki Karanam; Marko Ahtisaari; Robert Edwards; Kristin L Schreiber; Lubabah Ben-Ghaly; Timothy B Erickson; Edward W Boyer Journal: J Med Toxicol Date: 2017-06-23
Authors: Peter R Chai; Kristin L Schreiber; S Wade Taylor; Guruprasad D Jambaulikar; Anna Kikut; Mohammad Adrian Hasdianda; Edward W Boyer Journal: Proc Annu Hawaii Int Conf Syst Sci Date: 2019-01-08
Authors: Rachael Powell; Neil W Scott; Anne Manyande; Julie Bruce; Claus Vögele; Lucie M T Byrne-Davis; Mary Unsworth; Christian Osmer; Marie Johnston Journal: Cochrane Database Syst Rev Date: 2016-05-26