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Heart Rate Variability in Surgical Patients Experiencing Live Bedside Music; An Explorative Study
Hanneke van der Wal-Huisman1, Remko Soer2,3, Grigory Sidorenkov4
1Department of Surgery, University of Groningen, University Medical Center Groningen, HPC BA60, P.O. Box 30.001, Groningen, RB 9700, The Netherlands. h.van.der.wal-huisman@umcg.nl.
Live bedside music positively impacts older surgical patients by promoting relaxation and increasing parasympathetic activity, as measured by heart rate variability (HRV). This study explores the autonomic nervous system (ANS) response to music during postoperative recovery.
Area of Science:
- Geriatric Medicine
- Cardiology
- Anesthesiology
Background:
- Surgery triggers a stress response via the autonomic nervous system (ANS), impacting recovery, especially in older adults.
- The positive effects of music on postoperative recovery are recognized, but the underlying mechanisms require further investigation.
- Heart rate variability (HRV) serves as a valuable non-invasive proxy for assessing autonomic nervous system activity.
Purpose of the Study:
- To investigate the autonomic nervous system (ANS) response to live bedside music in elderly surgical patients.
- To explore the potential of music as an intervention to mitigate surgical stress and enhance recovery in older individuals.
- To utilize heart rate variability (HRV) as a quantitative measure of the ANS response to music.
Main Methods:
- An explorative prospective non-randomized controlled cohort study involving 101 older non-cardiac surgical patients (median age 70 years).
- Patients were divided into two groups: one receiving live bedside music and a control group receiving no music.
- Heart rate variability (HRV) was measured at multiple time points: pre-intervention, during, 30 minutes post-intervention, and 3 hours post-intervention.
Main Results:
- The music intervention group showed significant changes in both low and high frequency HRV bands (p=0.041) compared to the control group.
- These HRV changes indicate a state of relaxation and increased parasympathetic activity in patients who received live music.
- While other measures showed a trend, only HRV demonstrated a statistically significant effect, suggesting a specific impact on autonomic regulation.
Conclusions:
- Live bedside music appears to induce relaxation and enhance parasympathetic activity in older surgical patients post-operation.
- This study provides initial evidence for music's beneficial effect on the autonomic nervous system (ANS) during the recovery phase.
- Further research is warranted to fully elucidate the mechanisms and clinical implications of music interventions in geriatric surgical care.
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