Music Therapy for Pain and Anxiety Management in Nasal Bone Fracture Reduction: Randomized Controlled Clinical Trial
Journal
Otolaryngology–Head and Neck Surgery
ISSN
0194-5998
1097-6817
Date Issued
2019
Author(s)
Alvaro Ortega
Felipe Gauna
Daniel Munoz
Gerardo Oberreuter
Hayo A. Breinbauer
LORETO ALEJANDRA CARRASCO MUJICA
Type
Resource Types::text::journal::journal article
Abstract
<jats:sec><jats:title>Objective</jats:title><jats:p> To evaluate whether listening to music through binaural headphones contributes to the perception of pain and anxiety in patients undergoing closed nasal bone fracture reductions. </jats:p></jats:sec><jats:sec><jats:title>Study Design</jats:title><jats:p> Randomized controlled trial. </jats:p></jats:sec><jats:sec><jats:title>Subjects and Methods</jats:title><jats:p> We recruited patients from San Juan de Dios Hospital with displaced nasal fractures who required a reduction and assigned them to a control group or a music group. For both groups, a protocolized closed reduction of the nasal fracture with local anesthesia was performed. The music group heard music through headphones during the pre-, intra-, and postprocedural periods of the intervention. Physiological variables (blood pressure and heart rate) were measured. An anxiety survey (State-Trait Anxiety Inventory) and the visual analog scale for measuring pain were also applied. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> The music group exhibited significantly lower levels of systolic blood pressure ( P = .0001), anxiety ( P < .0001), and pain ( P = .0004) than the control group. </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> Listening to music through headphones—a safe and low-cost intervention—appears to aid in pain and anxiety management associated with procedures that are usually uncomfortable, such as the reduction of nasal bone fractures with local anesthesia. We believe that this effect is achieved by the modulation of pain and anxiety on an emotional-affective dimension at a central level. Given its safety, feasibility, and low cost, music therapy should be considered a complementary treatment for pain and anxiety management for nasal fracture reduction performed with local anesthesia, as well as for other medical procedures of similar pain levels conducted without general anesthesia. </jats:p></jats:sec>
Subjects
nasal fracture
;
reduction
;
music
;
music therapy
;
pain
;
anxiety
;
adolescent
;
adult
;
anxiety
;
blood pressure
;
female
;
fracture fixation
;
fractures, bone
;
heart rate
;
humans
;
male
;
middle aged
;
music
;
music therapy
;
nasal bone
;
pain
;
pain measurement
;
young adult
;
adult
;
ambulatory surgery
;
anxiety
;
article
;
clinical article
;
closed fracture reduction
;
controlled study
;
diastolic blood pressure
;
female
;
heart rate
;
human
;
local anesthesia
;
male
;
music therapy
;
nose fracture
;
patient satisfaction
;
postoperative analgesia
;
postoperative pain
;
postoperative period
;
preoperative evaluation
;
randomized controlled trial
;
recovery room
;
state trait anxiety inventory
;
systolic blood pressure
;
visual analog scale
;
adolescent
;
adverse event
;
anxiety
;
blood pressure
;
fracture
;
fracture fixation
;
injury
;
middle aged
;
music
;
nasal bone
;
pain
;
pain measurement
;
prevention and control
;
psychology
;
young adult