The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA)

Aishairma Aris, Suliza Sulaiman, Muhammad Kamil Che Hasan

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: The objective of this study was to investigate whether music therapy affects immediate postoperative well-being among patients who had undergone TKA surgery in the recovery unit. Method: A randomized controlled trial was conducted recruiting patients from Hospital Melaka, Malaysia. Postoperative TKA patients with good hearing and visual acuity, fully conscious and prescribed with patients controlled analgesia (PCA) were randomized to either intervention or control groups using a sealed envelope. Patients in the intervention group received usual care with additional music therapy during recovery, while patients in the control group received the usual care provided by the hospital. Two factors identified affecting mental well-being were the pain (measured using numerical rating scale) and anxiety (measured using a visual analog scale) at five different minutes’ points (0, 10, 20, 30, and 60). Results: A total of 56 (control: 28, intervention: 28) postoperative TKA patients consented in the study. There was no difference in baseline characteristics between the two groups (p > 0.05). Using Mann–Whitney U tests, patients in music therapy group showed significantly lower numerical pain score at 60 min (p = 0.045) whereas there was no significant difference between the two groups at all time points for anxiety scores (p > 0.05). In the intervention group, Friedman tests showed that there was a significant difference in numerical pain (χ2 = 36.957, df = 4, p < 0.001) and anxiety score across times (χ2 = 18.545, p = 0.001). Conclusions: This study found that pain score decreases over time among patients in the music therapy group while no effect is seen for anxiety. It is suggested that music therapy could not affect postoperative TKA patients’ mental well-being. Nonetheless, patients reported better pain score despite the small sample.

Original languageEnglish
JournalEnfermeria Clinica
DOIs
Publication statusPublished - 1 Jan 2019

Fingerprint

Music Therapy
Knee Replacement Arthroplasties
Pain
Anxiety
Patient-Controlled Analgesia
Control Groups
Malaysia
Mentally Ill Persons
Visual Analog Scale
Hearing
Visual Acuity
Randomized Controlled Trials

Keywords

  • Adult
  • Arthroplasty
  • Mental well-being
  • Music therapy
  • Postoperative

ASJC Scopus subject areas

  • Nursing(all)

Cite this

The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA). / Aris, Aishairma; Sulaiman, Suliza; Che Hasan, Muhammad Kamil.

In: Enfermeria Clinica, 01.01.2019.

Research output: Contribution to journalArticle

@article{e9e823abfea04218804004111a6b1d09,
title = "The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA)",
abstract = "Objective: The objective of this study was to investigate whether music therapy affects immediate postoperative well-being among patients who had undergone TKA surgery in the recovery unit. Method: A randomized controlled trial was conducted recruiting patients from Hospital Melaka, Malaysia. Postoperative TKA patients with good hearing and visual acuity, fully conscious and prescribed with patients controlled analgesia (PCA) were randomized to either intervention or control groups using a sealed envelope. Patients in the intervention group received usual care with additional music therapy during recovery, while patients in the control group received the usual care provided by the hospital. Two factors identified affecting mental well-being were the pain (measured using numerical rating scale) and anxiety (measured using a visual analog scale) at five different minutes’ points (0, 10, 20, 30, and 60). Results: A total of 56 (control: 28, intervention: 28) postoperative TKA patients consented in the study. There was no difference in baseline characteristics between the two groups (p > 0.05). Using Mann–Whitney U tests, patients in music therapy group showed significantly lower numerical pain score at 60 min (p = 0.045) whereas there was no significant difference between the two groups at all time points for anxiety scores (p > 0.05). In the intervention group, Friedman tests showed that there was a significant difference in numerical pain (χ2 = 36.957, df = 4, p < 0.001) and anxiety score across times (χ2 = 18.545, p = 0.001). Conclusions: This study found that pain score decreases over time among patients in the music therapy group while no effect is seen for anxiety. It is suggested that music therapy could not affect postoperative TKA patients’ mental well-being. Nonetheless, patients reported better pain score despite the small sample.",
keywords = "Adult, Arthroplasty, Mental well-being, Music therapy, Postoperative",
author = "Aishairma Aris and Suliza Sulaiman and {Che Hasan}, {Muhammad Kamil}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.enfcli.2019.04.004",
language = "English",
journal = "Enfermeria Clinica",
issn = "1130-8621",
publisher = "Ediciones Doyma, S.L.",

}

TY - JOUR

T1 - The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA)

AU - Aris, Aishairma

AU - Sulaiman, Suliza

AU - Che Hasan, Muhammad Kamil

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: The objective of this study was to investigate whether music therapy affects immediate postoperative well-being among patients who had undergone TKA surgery in the recovery unit. Method: A randomized controlled trial was conducted recruiting patients from Hospital Melaka, Malaysia. Postoperative TKA patients with good hearing and visual acuity, fully conscious and prescribed with patients controlled analgesia (PCA) were randomized to either intervention or control groups using a sealed envelope. Patients in the intervention group received usual care with additional music therapy during recovery, while patients in the control group received the usual care provided by the hospital. Two factors identified affecting mental well-being were the pain (measured using numerical rating scale) and anxiety (measured using a visual analog scale) at five different minutes’ points (0, 10, 20, 30, and 60). Results: A total of 56 (control: 28, intervention: 28) postoperative TKA patients consented in the study. There was no difference in baseline characteristics between the two groups (p > 0.05). Using Mann–Whitney U tests, patients in music therapy group showed significantly lower numerical pain score at 60 min (p = 0.045) whereas there was no significant difference between the two groups at all time points for anxiety scores (p > 0.05). In the intervention group, Friedman tests showed that there was a significant difference in numerical pain (χ2 = 36.957, df = 4, p < 0.001) and anxiety score across times (χ2 = 18.545, p = 0.001). Conclusions: This study found that pain score decreases over time among patients in the music therapy group while no effect is seen for anxiety. It is suggested that music therapy could not affect postoperative TKA patients’ mental well-being. Nonetheless, patients reported better pain score despite the small sample.

AB - Objective: The objective of this study was to investigate whether music therapy affects immediate postoperative well-being among patients who had undergone TKA surgery in the recovery unit. Method: A randomized controlled trial was conducted recruiting patients from Hospital Melaka, Malaysia. Postoperative TKA patients with good hearing and visual acuity, fully conscious and prescribed with patients controlled analgesia (PCA) were randomized to either intervention or control groups using a sealed envelope. Patients in the intervention group received usual care with additional music therapy during recovery, while patients in the control group received the usual care provided by the hospital. Two factors identified affecting mental well-being were the pain (measured using numerical rating scale) and anxiety (measured using a visual analog scale) at five different minutes’ points (0, 10, 20, 30, and 60). Results: A total of 56 (control: 28, intervention: 28) postoperative TKA patients consented in the study. There was no difference in baseline characteristics between the two groups (p > 0.05). Using Mann–Whitney U tests, patients in music therapy group showed significantly lower numerical pain score at 60 min (p = 0.045) whereas there was no significant difference between the two groups at all time points for anxiety scores (p > 0.05). In the intervention group, Friedman tests showed that there was a significant difference in numerical pain (χ2 = 36.957, df = 4, p < 0.001) and anxiety score across times (χ2 = 18.545, p = 0.001). Conclusions: This study found that pain score decreases over time among patients in the music therapy group while no effect is seen for anxiety. It is suggested that music therapy could not affect postoperative TKA patients’ mental well-being. Nonetheless, patients reported better pain score despite the small sample.

KW - Adult

KW - Arthroplasty

KW - Mental well-being

KW - Music therapy

KW - Postoperative

UR - http://www.scopus.com/inward/record.url?scp=85067173142&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85067173142&partnerID=8YFLogxK

U2 - 10.1016/j.enfcli.2019.04.004

DO - 10.1016/j.enfcli.2019.04.004

M3 - Article

AN - SCOPUS:85067173142

JO - Enfermeria Clinica

JF - Enfermeria Clinica

SN - 1130-8621

ER -