Effect of Sedative Music and Scheduled Rest on Anxiety, Pain, and Myocardial Oxygen Demand During Chair Rest in Adult Postoperative Open-heart Patients
Review TypeNone: Degree-based Submission
Review StatusNot Applicable (See Review Type)
Repository Posting Date2020-01-08T21:23:58Z
Author(s)Voss, Jo A.
Author DetailsJo A. Voss, PhD, RN, CNS
Lead Author Sigma AffliationPhi
Level of EvidenceQuasi-Experimental Study, Other
Research ApproachQuantitative Research
Open-heart surgery patients in ICU report anxiety and pain with chair rest despite administration of opioid analgesics. In addition, chair rest increases myocardial oxygen demand (MVO2). Non-pharmacological, complementary methods (such as sedative music and scheduled rest) used to reduce anxiety, pain, and MVO2 during chair rest warranted further investigation. The conceptual framework was based on the transactional model of stress and coping. A 3-group pretest-posttest repeated measures experimental design examined the effect of music and rest on anxiety, pain sensation, and pain distress and MVO2 during chair rest in adult postoperative open-heart surgery patients. Sixty-one patients were randomly assigned to receive 30 minutes of sedative music (music group), scheduled rest (rest group), or treatment as usual (control group) during chair rest. Anxiety and pain (sensation and distress) were measured with visual analogue scales at chair rest initiation (pretest) and after 30 minutes (posttest). MVO2 was measured by the rate-pressure product (RPP) at chair rest initiation and at 5, 10, 15, and 30-minutes. RM MANOVA indicated significant group differences in anxiety and pain (sensation and distress) from pretest to posttest, p < .001, Follow-up RM ANOVA tests were significant (p ≤ .001), Post hoc dependent t tests with Bonferroni's adjustment indicated that in the music and rest groups, anxiety and pain (sensation and distress) decreased significantly from pretest to posttest, p < .017; but, in the control group, there was no significant difference. In addition, post hoc independent t tests with Bonferroni's adjustment comparing the groups at posttest indicated significantly less anxiety and pain (sensation and distress) in the music group than in either the rest group or the control group (p < .017). The rest and control groups did not differ significantly at posttest. In the RM ANOVA, no significant difference was found for the RPP between groups. Music was more effective than rest and treatment as usual to decrease anxiety and pain in patients after open-heart surgery during chair rest. Patients should be encouraged to use music as an adjuvant to medication.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3122953; ProQuest document ID: 305279677. The author still retains copyright.
Advisor(s)Yates, Bernice C.
Degree GrantorUniversity of Nebraska
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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