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The effect of music on the level of cortisol, blood glucose and physiological variables in patients undergoing spinal anesthesia.

Mottahedian Tabrizi E, Sahraei H, Movahhedi Rad S, Hajizadeh E, Lak M - EXCLI J (2012)

Bottom Line: Therefore, this study was carried out to define the effect of music on the level of cortisol, blood glucose and physiological variables in patients under spinal anesthesia.The level of blood cortisol didn't have any increase in the music group after operation compared to the time before that.Our data showed that listening to music during surgery under regional anesthesia has effects on cortisol levels and some of the physiological variables.

View Article: PubMed Central - PubMed

Affiliation: MS in Nursing, School of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.

ABSTRACT
Surgical procedures performed using spinal anesthetic techniques present a special challenge to anesthesiologists, because patients are awake and are exposed to multiple anxiety provoking visual and auditory stimuli. Therefore, this study was carried out to define the effect of music on the level of cortisol, blood glucose and physiological variables in patients under spinal anesthesia. In this semi-experimental research, 90 men aging from 18-48 years with ASA (acetylsalicylic acid) class I, who underwent urological and abdominal surgery, were investigated. Patients were divided randomly into three groups of thirty subjects. Music group (headphone with music), Silence group (headphone without music) and the control group (without interference). The level of cortisol and blood sugar was measured half an hour before and after the operation. Moreover, the physiological indicators in each of these three groups were monitored and recorded from ten minutes before getting spinal anesthesia to ten minutes after the operation. The level of blood cortisol didn't have any increase in the music group after operation compared to the time before that. However, in the groups of silence and control this level had risen (p< 0.05). The level of blood glucose in music group had declined and in the other two groups it had increased. Our data showed that listening to music during surgery under regional anesthesia has effects on cortisol levels and some of the physiological variables. Therefore the researcher offers to be used music therapy as a complementary method in patients on the reduce anxiety.

No MeSH data available.


Related in: MedlinePlus

Comparison of diastolic blood pressure; Repeated Measures ANOVAT1: pre operative; T2: intra operative; T3: post operative; DBP: Diastolic Blood Pressure
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Figure 4: Comparison of diastolic blood pressure; Repeated Measures ANOVAT1: pre operative; T2: intra operative; T3: post operative; DBP: Diastolic Blood Pressure

Mentions: The comparison of physiologic parameters before playing music in all three groups did not show a significant difference (p > 0.05). But the average level of systolic blood pressure in all three groups was noticeably different after interference (p < 0.01). The average pulse rate was also significantly different in three groups after interference (p < 0.01). But one-way analysis of variance test didn't demonstrate a significant difference in respiration rate and diastolic blood pressure in all three groups (Table 4(Tab. 4)). The comparison of physiologic variables before, during and after operation was made by means of repeated variance analysis. Most physiologic variables except for the degree of oxygen in arterial blood followed a declining trend over a period of time. The decline in music group was more than the other two groups (Figures 3-6(Fig. 3)(Fig. 4)(Fig. 5)(Fig. 6)).


The effect of music on the level of cortisol, blood glucose and physiological variables in patients undergoing spinal anesthesia.

Mottahedian Tabrizi E, Sahraei H, Movahhedi Rad S, Hajizadeh E, Lak M - EXCLI J (2012)

Comparison of diastolic blood pressure; Repeated Measures ANOVAT1: pre operative; T2: intra operative; T3: post operative; DBP: Diastolic Blood Pressure
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4920039&req=5

Figure 4: Comparison of diastolic blood pressure; Repeated Measures ANOVAT1: pre operative; T2: intra operative; T3: post operative; DBP: Diastolic Blood Pressure
Mentions: The comparison of physiologic parameters before playing music in all three groups did not show a significant difference (p > 0.05). But the average level of systolic blood pressure in all three groups was noticeably different after interference (p < 0.01). The average pulse rate was also significantly different in three groups after interference (p < 0.01). But one-way analysis of variance test didn't demonstrate a significant difference in respiration rate and diastolic blood pressure in all three groups (Table 4(Tab. 4)). The comparison of physiologic variables before, during and after operation was made by means of repeated variance analysis. Most physiologic variables except for the degree of oxygen in arterial blood followed a declining trend over a period of time. The decline in music group was more than the other two groups (Figures 3-6(Fig. 3)(Fig. 4)(Fig. 5)(Fig. 6)).

Bottom Line: Therefore, this study was carried out to define the effect of music on the level of cortisol, blood glucose and physiological variables in patients under spinal anesthesia.The level of blood cortisol didn't have any increase in the music group after operation compared to the time before that.Our data showed that listening to music during surgery under regional anesthesia has effects on cortisol levels and some of the physiological variables.

View Article: PubMed Central - PubMed

Affiliation: MS in Nursing, School of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.

ABSTRACT
Surgical procedures performed using spinal anesthetic techniques present a special challenge to anesthesiologists, because patients are awake and are exposed to multiple anxiety provoking visual and auditory stimuli. Therefore, this study was carried out to define the effect of music on the level of cortisol, blood glucose and physiological variables in patients under spinal anesthesia. In this semi-experimental research, 90 men aging from 18-48 years with ASA (acetylsalicylic acid) class I, who underwent urological and abdominal surgery, were investigated. Patients were divided randomly into three groups of thirty subjects. Music group (headphone with music), Silence group (headphone without music) and the control group (without interference). The level of cortisol and blood sugar was measured half an hour before and after the operation. Moreover, the physiological indicators in each of these three groups were monitored and recorded from ten minutes before getting spinal anesthesia to ten minutes after the operation. The level of blood cortisol didn't have any increase in the music group after operation compared to the time before that. However, in the groups of silence and control this level had risen (p< 0.05). The level of blood glucose in music group had declined and in the other two groups it had increased. Our data showed that listening to music during surgery under regional anesthesia has effects on cortisol levels and some of the physiological variables. Therefore the researcher offers to be used music therapy as a complementary method in patients on the reduce anxiety.

No MeSH data available.


Related in: MedlinePlus