Background <p>Studies have demonstrated the benefits of therapeutic music listening in reducing anxiety for patients undergoing breast-related surgical procedures. However, specific factors contributing to the effects remain unclear, nor do the patient experience with such interventions.</p> Purpose <p>This study aimed to explore factors associated with peri-operative music listening that influence anxiety and patient satisfaction.</p> Methods <p>This study employed a prospective, cross-sectional observational design with a descriptive focus. Forty patients undergoing breast-related surgical procedures were enrolled at Guangzhou Concord Cancer Center, with 39 completing the survey. Recruitment and data collection commenced after surgical procedures that integrated peri-operative music listening. Considering effects of the intervention on psycho-physiological indicators during the peri-operative period, patient perspectives regarding their experience was collected via electronic surveys for analysis.</p> Results <p>Results indicated significant reductions in peri-operative anxiety (<i>p</i> &lt;&#xa0;0.001), pre-operative heart rate (<i>p</i> =&#xa0;0.23), pre-operative respiration rate (<i>p</i> =&#xa0;0.008), post-operative heart rate (<i>p</i> =&#xa0;0.003), while post-operative blood pressure increased (systolic: <i>p</i> =&#xa0;0.020; diastolic: <i>p</i> =&#xa0;0.027). Music listening duration showed no significant impact on changes in anxiety (<i>r</i> = -0.108, <i>p</i> =&#xa0;0.513), procedural satisfaction (<i>r</i> = -0.026, <i>p</i> =&#xa0;0.876), or music selection satisfaction (<i>r</i> =&#xa0;0.015, <i>p</i> =&#xa0;0.933). Music selection satisfaction positively correlated with procedural satisfaction (<i>r</i> =&#xa0;0.766, <i>p</i> &lt;&#xa0;0.001). Over half of the participants had no preference between self-selected and interventionist-selected music and emphasized the need for trained interventionists.</p> Conclusion <p>Findings suggest that improving music selection satisfaction may enhance procedural experiences. Future considerations for peri-operative music-based interventions include trained interventionists,&#xa0;music therapist-curated selections, purpose-tailored music, and interventions suitable for patients' peri-operative states. Limitations include a small sample size and no control group. Future studies should investigate the effects of listening duration on pre- and post-operative anxiety, refine the music selection, and develop training guidelines for medical staff to implement effective and patient-need-based interventions.</p>

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Exploring patient health index, perceptions and satisfaction: the role of understanding music listening in peri-operative care for breast-related surgical procedures in China

  • Ying-Lan He,
  • Jessica Nhan,
  • Kai-Jung Chen,
  • Chao-Nan Qian

摘要

Background

Studies have demonstrated the benefits of therapeutic music listening in reducing anxiety for patients undergoing breast-related surgical procedures. However, specific factors contributing to the effects remain unclear, nor do the patient experience with such interventions.

Purpose

This study aimed to explore factors associated with peri-operative music listening that influence anxiety and patient satisfaction.

Methods

This study employed a prospective, cross-sectional observational design with a descriptive focus. Forty patients undergoing breast-related surgical procedures were enrolled at Guangzhou Concord Cancer Center, with 39 completing the survey. Recruitment and data collection commenced after surgical procedures that integrated peri-operative music listening. Considering effects of the intervention on psycho-physiological indicators during the peri-operative period, patient perspectives regarding their experience was collected via electronic surveys for analysis.

Results

Results indicated significant reductions in peri-operative anxiety (p < 0.001), pre-operative heart rate (p = 0.23), pre-operative respiration rate (p = 0.008), post-operative heart rate (p = 0.003), while post-operative blood pressure increased (systolic: p = 0.020; diastolic: p = 0.027). Music listening duration showed no significant impact on changes in anxiety (r = -0.108, p = 0.513), procedural satisfaction (r = -0.026, p = 0.876), or music selection satisfaction (r = 0.015, p = 0.933). Music selection satisfaction positively correlated with procedural satisfaction (r = 0.766, p < 0.001). Over half of the participants had no preference between self-selected and interventionist-selected music and emphasized the need for trained interventionists.

Conclusion

Findings suggest that improving music selection satisfaction may enhance procedural experiences. Future considerations for peri-operative music-based interventions include trained interventionists, music therapist-curated selections, purpose-tailored music, and interventions suitable for patients' peri-operative states. Limitations include a small sample size and no control group. Future studies should investigate the effects of listening duration on pre- and post-operative anxiety, refine the music selection, and develop training guidelines for medical staff to implement effective and patient-need-based interventions.