Brazilian Journal of Otorhinolaryngology (Jul 2020)
The effects of music therapy in patients undergoing septorhinoplasty surgery under general anesthesia
Abstract
Introduction: Music has been used for several years as a relaxation method to reduce stress and anxiety. It is a painless, safe, inexpensive and practical nonpharmacologic therapeutic modality, widely used all over the world. Objectives: We aimed to evaluate the effect of music therapy on intraoperative awareness, patient satisfaction, awakening pain and waking quality in patients undergoing elective septorhinoplasty under general anesthesia. Methods: This randomized, controlled, prospective study was conducted with 120 patients undergoing septorhinoplasty within a 2 months period. The patients were randomly selected and divided into two groups: group music (music during surgery) and control group (without music during surgery). All patients underwent standard general anesthesia. Patients aged 18–70 years who would undergo a planned surgery under general anesthesia were included. Patients who had emergency surgery, hearing or cognitive impairment, were excluded from the study. Results: A total of 120 patients were enrolled, and separated into two groups. There were no statistically significant differences between the groups in terms of demographic characteristics, anesthesia and surgery durations (p > 0.05). In the music group, sedation agitation scores were lower than those in the control group at the postoperative period (3.76 ± 1.64 vs. 5.11 ± 2.13; p 0,05). No grupo musicoterapia, os escores de agitação da sedação foram menores do que no grupo controle no período pós-operatório (3,76 ± 1,64 vs. 5,11 ± 2,13; p < 0,001). Além disso, nos pacientes do grupo musicoterapia, o nível de dor (2,73 ± 1,28 vs. 3,61 ± 1,40) foi menor (p < 0,001) e a necessidade de analgésicos foi menor no pós-operatório. Conclusão: A musicoterapia, uma intervenção não farmacológica, é um método eficaz, sem efeitos colaterais, que leva a efeitos positivos no despertar, nos parâmetros hemodinâmicos e nas necessidades analgésicas no pós-operatório, além de reduzir a ansiedade por estresse, a dor e a chance de despertar durante a cirurgia.
