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Relaxing music as pre-medication before surgery: a randomised controlled trial.
H Bringman1, K Giesecke, A Thörne
1Department of Surgery, Södertälje Hospital, SE-152 86 Södertälje, Sweden.
Acta Anaesthesiologica Scandinavica
|April 25, 2009
Summary
Pre-operative relaxing music significantly reduced patient anxiety more effectively than midazolam. This music intervention offers a safe and effective alternative for pre-surgical anxiety management.
Area of Science:
- Anesthesiology
- Psychology
- Health Sciences
Background:
- Pre-surgical anxiety is common and can be managed with anxiolytic drugs.
- Relaxing music presents a potential alternative with fewer adverse effects.
- This study directly compared midazolam with relaxing music for pre-operative anxiety reduction.
Purpose of the Study:
- To compare the efficacy of pre-operative relaxing music versus midazolam in reducing patient anxiety.
- To evaluate the impact of these interventions on State Trait Anxiety Inventory (STAI) scores.
Main Methods:
- A randomized clinical trial involving 372 patients scheduled for elective surgery.
- Patients received either oral midazolam (0.05-0.1 mg/kg) or relaxing music.
- Anxiety levels were measured using the STAI X-1 before and after the intervention.
Main Results:
- The music group (n=177) showed a greater significant decrease in STAI-state anxiety scores (34 to 30) compared to the midazolam group (n=150, 36 to 34).
- The difference in anxiety reduction between music and midazolam groups was statistically significant (P<0.001).
Conclusions:
- Relaxing music is more effective than midazolam in decreasing pre-operative anxiety.
- Pre-operative music is a viable, effective alternative to midazolam for pre-medication due to its higher efficacy and lack of adverse effects.
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