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Presented by: Carol Lewallen BSN, RN, BC

Does Listening to Music Improve the Recovery Experience of Adolescent Same Day Surgery Patients Age 13-18 years old?. Presented by: Carol Lewallen BSN, RN, BC. Introduction. It is well known that: Surgical procedures may cause patients to experience pain and anxiety.

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Presented by: Carol Lewallen BSN, RN, BC

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  1. Does Listening to Music Improve the Recovery Experience of Adolescent Same Day Surgery Patients Age 13-18 years old? Presented by: Carol Lewallen BSN, RN, BC

  2. Introduction • It is well known that: • Surgical procedures may cause patients to experience pain and anxiety. • Music has the ability to affect moods and emotions. • Adolescents listen to music as a form of relaxation.

  3. Statement of the Problem • There is a direct correlation between preoperative anxiety, postoperative pain, and increased risk of infection. - Vaughn et al, (2007) • There are many negative side effects to taking pain medications. • Pain can increase lengths of stay and increase costs. • Limited research is available related to adolescent pain.

  4. Purpose of the Study • To improve the recovery experience for adolescent same day surgery patients age 13-18.

  5. Research Question • Does Listening to Music Improve the Recovery Experience of Adolescent Same Day Surgery Patients Age 13-18 years old?

  6. Significance • Decreased post-operative pain • Decreases risk of infection • Decreases the need pain medications • Decreases costs • Improves satisfaction

  7. Literature Review • Music was used an early nursing intervention. - McCaffey & Locsin (2002) • Music diverts feelings of anxiety, fear, and pain. - Cooke et al (2005) • Music relieves postoperative pain. - Engwall & Duppils (2009)

  8. Literature Review Cont. • Music reduces the need for medications. -Nilsson (2008) • Music offers comfort and familiarity. - McCaffrey & Good (2000) • Music reduces the effects of stress in adolescents. - Yahaw and Cohen (2008) • Respecting musical choice needs to be considered. - Wong & Mok (2003)

  9. Clinical Research Project • IRB approval through Briar Cliff University and Spencer Hospital • Experimental project – 8 participants and 8 controls • Parental consent and adolescent assent obtained • Similar outpatient surgical procedures • Both groups were injected with Marcaine or Ropivicaine in OR by the surgeon.

  10. Clinical Research Project • Research measures: • Amount of time in recovery (PACU and SDS). • Pain rating 0/10 scale (1st, highest, DC scores) • Postop medication requirements.

  11. Clinical Research Project Control Group Participant Group • 5 females, 3 males ages 13-18. • 2 of 8 had femoral nerve blocks. 7 of 8 had pain med in the OR. • Information was obtained through retrospective chart audits. • 6 females, 2 males ages 13-18. • 3 of 8 had femoral nerve blocks. 7 of 8 had pain med in OR. • Information was gathered during the patient’s flow through the recovery process. • Average time listening to music = 35.25 min.

  12. Results -Medication Requirements Control Group Participant Group • 7 of 8 = 88% were administered additional pain medication in PACU. • 3 of 8 = 38% were administered additional pain medication in PACU.

  13. Results for Recovery Times

  14. Statistical Significance • Two-tail t-test PACU RECOVERY TIME • p = .15 SDS RECOVERY TIME • p = .27

  15. Results of Pain Scores

  16. Statistical Significance • Two-tail t-test PACU PAIN SCORES • 1st score--- p= .12 • high score ---p=.037, (p<.05) • DC score--- p= .09 SDS PAIN SCORES • 1st score--- p=.15 • high score--- p=.06 • DC score--- p=.058

  17. References • Canon Communications LLC (2008). Nearly half of teen activities are driven by technology. Retrieved November 25, 2008, from http://www.appliancemagazine.com/news_print.php?article=122567 • Cooke, M., Chaboyer, W., & Hiratos, M. A. (2005). Music and its effect on anxiety in short waiting periods: A critical appraisal. Journal of Clinical Nursing, 14(2), 145-155. McCaffrey, R., & Locsin, R. C. (2002). Music listening as a nursing intervention: A symphony of practice. Holistic Nursing Practice, 16(3), 70-77. • Engwall, M. & Duppils, G. (2009). Music as a nursing intervention for postoperative pain: A systematic review. Journal of Perianesthesia Nursing, 24(6), 370-383.

  18. References • Kemper, K. & Danhauer, S. (2005). Music as Therapy. Southern Medical Journal, 98(3),282-288. • Maranets, I., & Kain, Z. N. (1999). Preoperative anxiety and intraoperative anesthetic requirements. Anesthesia Analgesia, 89(6), 1346-1351. • Mitchell, M. (2003). Patient anxiety and modern elective surgery: a literature review. Journal of Clinical Nursing, 12(6), 806-815. • Mok, E., & Wong, K. (2003). Effects of music on patient anxiety. Association of Perioperative Registered Nurses (AORN) Journal, 77(2), 401-4, 406.

  19. References • Nilsson, U. (2008). The anxiety and pain reducing effects of music interventions: A systematic review. Association of Perioperative Registered Nurses (AORN) Journal, 87(4), 780, 782, 785-794, 797-807. • Parris, W., Matt, D., Jamison, R. N., & Maxon, W. (1988). Anxiety and postoperative recovery in ambulatory surgery patients. Anesthesia Progress, 35(2), 61-64. • Yahaw, R., & Cohen, M. (2008). Evaluation of a cognitive-behavioral intervention for adolescents. International Journal of Stress Management, 15(2), 173-188.

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