Objective
To evaluate the effect of bed rest with music on the first postoperative day to decrease
stress for patients who have undergone heart surgery.
Methods
A repeated-measures randomized controlled trial was used. The study took place in
a cardiothoracic intermediary unit of a university hospital in Sweden. Fifty-eight
patients who had undergone open coronary artery bypass grafting or aortic valve replacement
surgery were included. Stress response was assessed by determining the serum cortisol,
heart rate, respiratory rate, mean arterial pressure, arterial oxygen tension, arterial
oxygen saturation, and subjective pain and anxiety levels. At 12:00 noon on postoperative
day 1, patients were allocated to receive 30 minutes of uninterrupted bed rest with
music and then 30 minutes of bed rest or alternatively 60 minutes of uninterrupted
bed rest. The music was soft and relaxing, included different melodies in new-age
style, played with a volume at 50 to 60 dB, and distributed through a music pillow
connected to an MP3 player.
Results
After 30 minutes of bed rest, there was a significant difference in s-cortisol levels
between the groups; 484. 4 mmol/L in the music group versus 618.8 mmol/L in the control
group (P < .02). However, this difference in s-cortisol levels was not found 30 minutes later
(ie, after a total of 60 minutes). There was no difference in heart rate, respiratory
rate, mean arterial pressure, arterial oxygen tension, arterial oxygen saturation,
and subjective pain and anxiety levels between the groups.
Conclusion
There is sufficient practical evidence of stress reduction to suggest that a proposed
regimen of listening to music while resting in bed after open heart surgery be put
into clinical use.
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Article info
Publication history
Published online: October 06, 2008
Footnotes
This study was supported by grants from the Research Committee of Örebro County Council.
Identification
Copyright
© 2009 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
