The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA)
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. Pos...
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iium-752452020-02-05T07:31:43Z http://irep.iium.edu.my/75245/ 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 RT Nursing 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. Elsevier 2019-06-14 Article PeerReviewed application/pdf en http://irep.iium.edu.my/75245/1/The%20influence%20of%20music%20therapy%20on%20mental%20well-being%20among%20postoperative%20patients%20of%20total%20knee%20arthroplasty%20%28TKA%29%20_%20Elsevier%20Enhanced%20Reader.pdf application/pdf en http://irep.iium.edu.my/75245/2/pii/S1130862119300907_dgcid%3Dauthor application/pdf en http://irep.iium.edu.my/75245/7/75245_The%20influence%20of%20music%20therapy%20on%20mental%20well-being%20among%20postoperative%20patients%20of%20total%20knee%20arthroplasty%20%28TKA%29_Scopus.pdf Aris, Aishairma and Sulaiman, Suliza and Che Hasan, Muhammad Kamil (2019) The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA). Enfermeria Clinica, 29 (Supp 2). pp. 16-23. ISSN 1130-8621 E-ISSN 1579-2013 https://www.journals.elsevier.com/enfermeria-clinica 10.1016/j.enfcli.2019.04.004 |
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Digital Repository |
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Local University |
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International Islamic University Malaysia |
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IIUM Repository |
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Online Access |
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English English English |
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RT Nursing |
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RT Nursing Aris, Aishairma Sulaiman, Suliza Che Hasan, Muhammad Kamil The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA) |
| description |
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. |
| format |
Article |
| author |
Aris, Aishairma Sulaiman, Suliza Che Hasan, Muhammad Kamil |
| author_facet |
Aris, Aishairma Sulaiman, Suliza Che Hasan, Muhammad Kamil |
| author_sort |
Aris, Aishairma |
| title |
The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA) |
| title_short |
The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA) |
| title_full |
The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA) |
| title_fullStr |
The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA) |
| title_full_unstemmed |
The influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (TKA) |
| title_sort |
influence of music therapy on mental well-being among postoperative patients of total knee arthroplasty (tka) |
| publisher |
Elsevier |
| publishDate |
2019 |
| url |
http://irep.iium.edu.my/75245/ http://irep.iium.edu.my/75245/ http://irep.iium.edu.my/75245/ http://irep.iium.edu.my/75245/1/The%20influence%20of%20music%20therapy%20on%20mental%20well-being%20among%20postoperative%20patients%20of%20total%20knee%20arthroplasty%20%28TKA%29%20_%20Elsevier%20Enhanced%20Reader.pdf http://irep.iium.edu.my/75245/2/pii/S1130862119300907_dgcid%3Dauthor http://irep.iium.edu.my/75245/7/75245_The%20influence%20of%20music%20therapy%20on%20mental%20well-being%20among%20postoperative%20patients%20of%20total%20knee%20arthroplasty%20%28TKA%29_Scopus.pdf |
| first_indexed |
2023-09-18T21:46:28Z |
| last_indexed |
2023-09-18T21:46:28Z |
| _version_ |
1777413482908483584 |