Canadian Journal of Anaesthesia

, Volume 44, Issue 1, pp 43–48 | Cite as

Music increases satisfaction in elderly outpatients undergoing cataract surgery

  • Charles J. Cruise
  • Frances Chung
  • Suntheralingham Yogendran
  • D’Arcy Little
Reports of Investigation

Abstract

Purpose

Music has long been known to reduce anxiety, minimize the need for sedatives, and make patients feel more at ease. The purpose of the study was to evaluate the effect of music in elderly outpatients undergoing elective cataract surgery with retrobulbar block and monitored anaesthetic care using fentanyl or alfentanil and midazolam.

Methods

One hundred and twenty one patients were prospectively and randomly assigned to hear relaxing suggestions, white noise, operating room noise or relaxing music via audio-cassette headphones. Vital signs were documented before and after retrobulbar block and every 15 min thereafter. Anxiety was assessed using the State-Trait Anxiety Inventory (STAI) before and after surgery. Visual analogue scales (VAS) were used to assess anxiety and patient satisfaction postoperatively with a standardized questionnaire. Between group comparisons were made using Chi-Square, or ANOVA, where appropriate.

Results

There were no differences between groups in STAI or anxiety VAS scores at any time. Differences were noted in systolic blood pressure, but not in other vital signs. Patients’ ratings of the whole operative experience, satisfaction with the tape played, general level of relaxation and preference for the chosen tape for subsequent surgery were different (music > relaxing suggestions > white noise and OR noise, P< 0.05).

Conclusions

Elderly patients undergoing cataract surgery under retrobulbar block were more satisfied with their experience if they heard relaxing music, rather than relaxing suggestions or white noise or OR noise. The type of auditory stimuli to which the patients were exposed did not influence the level of anxiety.

Résumé

Objectif

On sait depuis longtemps que la musique réduit l’anxiété, diminue le besoin de sédatifs, et procure du confort au patient. L’objectif de cette étude était d’évaluer l’influence de la musique chez des patients âgés opérés pour une cataracte en chirurgie ambulatoire réglée sous bloc rétrobulbaire associé à du fentanyl ou de l’alfentanil avec midazolam et sous surveillance anesthésique.

Méthodes

Cent vingt et un patients étaient prospectivement et aléatoirement assignés à entendre avec des écouteurs une vidéocassette qui transmettait un langage relaxant, le silence, les bruits d’une salle d’opération ou une musique reposante. Les signes vitaux étaient enregistrés avant et après le bloc rétrobulbaire et à toutes les 15 min par la suite. L’anxiété était évaluée sur l’inventaire des traits d’anxiété (STAI) avant et après la chirurgie. Une échelle visuelle analogue (EVA) servait à évaluer l’anxiété alors que le degré de satisfaction postopératoire était estimé sur un questionnaire standard. Les groupes étaient comparés avec le chi-carré ou l’ANOVA selon le cas.

Résultats

II n’a jamais eu de différences entre les groupes pour le STAI et à l’EVA. Quant aux signes vitaux, on n’a observé des différences que pour la pression artérielle systolique. L’évaluation de l’expérience chirurgicale par le patient, sa satisfaction de la bande magnétique écoutée, son degré de relaxation et sa préférence pour la bande qu’il choisirait pour une chirurgie à venir était différents (musique > langage relaxant > silence et bruits de la salle d’opération, P< 0,05).

Conclusion

Des patients âgés soumis à une chirurgie pour cataracte sous bloc rétrobulbaire ont été plus satisfaits de leur expérience s’ils entendaient de la musique reposante plutôt qu’un langage relaxant, le silence ou les bruits d’une salle d’opération.

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Copyright information

© Canadian Anesthesiologists 1997

Authors and Affiliations

  • Charles J. Cruise
    • 1
    • 2
  • Frances Chung
    • 1
    • 2
  • Suntheralingham Yogendran
    • 1
    • 2
  • D’Arcy Little
    • 1
    • 2
  1. 1.Department of AnaesthesiaUniversity of TorontoToronto
  2. 2.Western DivisionThe Toronto HospitalTorontoCanada

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