Friday, November 2, 2007

Research: Title Page: The Effect of Preferred Sedative Music on the Anxiety of Patients During Pacemaker Implant Surgery and Heart Catheterization

The Effect of Preferred Sedative Music on the Anxiety of Patients During Pacemaker Implant Surgery and Heart Catheterization

by

Daniel B. Tague

B. A., Texas Tech University, 1994

Submitted to the Department of Music and Dance

and the Faculty of the Graduate School

of the University of Kansas

in partial fulfillment of the requirements for the degree of Master of Music Education (Music Therapy)

Thesis Committee:

_________________________

Chair

_________________________

_________________________

May, 2000

Date Defended

Research: Appendix: The Effect of Preferred Sedative Music on the Anxiety of Patients During Pacemaker Implant Surgery and Heart Catheterization

References

American Heart Association (1998). Medical procedures, facilities and costs [on-line]. Available: http://www.americanheart.org/Scientific/HSstats98/09medicl.html.

Augustin, P., & Haines, A. A. (1996). Effect of music on ambulatory surgery patient’s preoperative anxiety. AORN Journal, 63, 750-758.

Bolwerk, C. A. (1990). Effects of relaxing music on state anxiety in myocardial infarction patients. Critical Care Nursing Quarterly, 13, (2), 63-72.

Cheitlin, G. G., Epstein, C. A., Ferguson, F. C., Freedman, Hlatky, Naccarelli, Schlant, S. S., & Silka (1998). Journal of American College of Cardiology, 31, 1175-1209.

Chetta, H. D. (1981). The effect of music and desensitization on preoperative anxiety in children. Journal of Music Therapy, 28, 74-87.

Corah, N. L., Gale, E. N., Pace, L. F., & Seyrek, S. K. (1981). Relaxation and musical programming as means of reducing psychological stress during dental procedures. JADA, 103, 232-234.


Davis, C. A. (1992). The effects of music and basic relaxation instruction on pain and anxiety of women undergoing in-office gynecological procedures. Journal of Music Therapy, 29, 202-216.

Hanser, S. B. (1985). Music therapy and stress reduction research. Journal of Music Therapy, 22, 193-206.

Jiang, W., Babyak, M., Krantz, D. S., Waugh, R. A., Coleman, R. E., Hanson, M. M., Frid, D. J., McNulty, S., Morris, J. J., O’Connor, C. M., & Blumenthal, J. A. (1996). Mental stress induced myocardial ischemia and cardiac events. Journal of the American Medical Association, 275, 1651-1656.

Kaempf, G., & Amodei, M. E. (1989). The effect of music on anxiety. AORN Journal, 50, 112-118.

MacClelland, D. (1979). Music in the operating room. AORN Journal, 29, 252-260.

Metzler, R. K., & Berman, T. (1991). Selected effects of sedative music on the anxiety of bronchoscopy patients. In C. D. Maranto (Ed.), Applications of music in medicine (pp. 163-178). Silver Spring, MD: The National Association for Music Therapy.

Patel, C. (1993). Yoga-based therapy. In P. M. Lehrer & R. L. Woolfolk (Eds.), Principles and practice of stress management (2nd ed.) (pp. 89-137). New York: Guilford Press.


Peretti, P. O., & Swenson, K. (1974). Effects of music on anxiety as determined by physiological skin responses. Journal of Research in Music Education, 22, 278-283.

Robb, S. L., Nichols, R. J., Rutan, R. L., Bishop, B. L., & Parker, J. C. (1995). The effects of music assisted relaxation on preoperative anxiety. Journal of Music Therapy, 32, 2-21.

Spielberger, C. D. (1983). Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologists Press.

Standley, J. M. (1996). Music research in medical/dental treatment: An update of a prior meta-analysis. In C. E. Furman (Ed.), Effectiveness of music therapy procedures: Documentation of research and clinical practice (2nd ed.) (pp. 1-60). Silver Spring, MD: The National Association for Music Therapy.

Stein, A. M. (1991). Music to reduce anxiety during cesarean births. In C. D. Maranto (Ed.), Applications of music in medicine (pp. 163-178). Silver Spring, MD: The National Association for Music Therapy.

St. Jude Medical (1998a). Background information [on-line]. Available: http://www.sjm.com/stjude/patients/

htm/back.htm.


St. Jude Medical (1998b). Market analysis (9805020.DOC). Minneapolis, MN: Paul Levine.

St. Jude Medical (1998c). Pre-operative [on-line]. Available: http://www.sjm.com/stjude/patients/htm/

pre.htm.


Table 1

Mean Anxiety Scores Before and After Surgery for Pacemaker and Heart Catheterization Patients

_________________________________________________________


_________________________________________________________

Heart Catheterization M Control: n: 7 Pre: 29.71 Post: 31.29 Experimental: n: 8 Pre: 31.75 Post: 25.87


Pacemaker M Control: n:2 Pre: 40.00 Post: 34.00 Experimental: n:1 Pre: 51.00 Post: 30.00

_________________________________________________________

Note. The higher the score is, the greater the anxiety.


Appendix A

Consent Form

The Effect of Preferred Sedative Music on the Anxiety of Patients During Pacemaker Implant Surgery and Heart Catheterization

The Department of Art, Music Education and Music Therapy at the University of Kansas supports the practice of protection for human subjects participating in research. The following information is provided for you to decide whether you wish to participate in the present study. You should be aware that even if you agree to participate, you are free to withdraw at any time without penalty.

The purpose of this research is to attempt to decrease anxiety in patients undergoing pacemaker implant or heart catheterization surgery by providing them with preferred music to focus on during the procedure.

You will be asked to answer a set of questions directly before and after your surgery. This will take approximately ten minutes per set of questions. You may also be asked to choose a group of music selections which you will listen to during the surgery.

There are not documented risks to listening to music while undergoing surgery. Therefore, there are no foreseeable risks to you if you participate in this study. There are also no direct benefits to you for participating in this study.

Your participation is solicited although strictly voluntary. The records of this study will be kept private. Records will be kept in a secured file. Only researchers will have access to the records.

The researcher conducting this study is Daniel B. Tague. You may ask any questions you have now. If you would like additional information concerning this study before or after it is complete, please feel free to contact me by phone or mail.


Sincerely,

Daniel B. Tague Alicia Ann Clair, Ph. D.

Principle Investigator Faculty Supervisor

2435 Alabama St. AMEMT Dept.

Lawrence, KS 66046 311 Bailey Hall

(785) 331-3188 Lawrence, KS, 66045

(913) 864-4784

________________________________________

Signature of subject agreeing to participate

With my signature I affirm that I am at least 18 years of age and have received a copy of the consent form to keep.


Appendix B

Self-Evaluation Questionnaire

Directions: Answer each statement to indicate how you feel right now, that is, at this moment. There are no right or wrong answers. Give the answer which seems to describe your present feelings best.

Not at all = 1

Somewhat = 2

Moderately so = 3

Very much so = 4

1. I feel calm ........................ 1 2 3 4

2. I feel secure ...................... 1 2 3 4

3. I am tense ......................... 1 2 3 4

4. I feel strained .................... 1 2 3 4

5. I feel at ease ..................... 1 2 3 4

6. I feel upset ....................... 1 2 3 4

7. I am presently worrying over possible misfortunes

..............……………………………1 2 3 4

8. I feel satisfied ................... 1 2 3 4

9. I feel frightened .................. 1 2 3 4

10. I feel comfortable ................. 1 2 3 4

11. I feel self-confident .............. 1 2 3 4


12. I feel nervous ..................... 1 2 3 4

13. I am jittery ....................... 1 2 3 4

14. I feel indecisive .................. 1 2 3 4

15. I am relaxed ....................... 1 2 3 4

16. I feel content ..................... 1 2 3 4

17. I am worried ....................... 1 2 3 4

18. I feel confused .................... 1 2 3 4

19. I feel steady ...................... 1 2 3 4

20. I feel pleasant .................... 1 2 3 4


Appendix C

Music

Tape 1: New Age

1. Seasons: Sisters of Paradise, Guitar and Chamber Nouveau, Steven Pasero

2. Heart of Midnight (Original Soundtrack), Yanni, Carol’s Theme

3. Seasons: Silhouettes of Dawn

4. Rocky Mountain High: John Denver, Winter-Spring

5. Watermark: Enya, Watermark

6. Picture This: Jim Brickman, Sweet Dreams

7. Forest: George Winston, Walking on Air

8. Winter Solstice: Snow in the Prairies

9. Babies First Lullabies, Dance to Your Daddy

10. Red River Crossing: Marshall Styler, Red River Crossing

11. Red River Crossing: Marshall Styler, Ballad of Brenham Road

12. Meet Joe Black (Original Soundtrack): Meet Joe Black

13. Reflections of Passion: Yannie, A Word in Private

Tape 2: Easy Listening

1. Swinging on a Star: Bing Crosby, Moonlight Becomes You

2. Swinging on a Star: Bing Crosby, The Day After Forever


3. For Sentimental Reasons: Linda Ronstadt, You Go to My Head

4. Unforgettable Natalie Cole: You Go to My Head

5. Unforgettable Natalie Cole: Our Love is Here to Stay

6. Til Their Eyes Shine: Emmy Lou Harris, Child of Mine

7. Colors of the Day: Judy Collins, Since You Asked

8. Colors of the Day: Judy Collins, Who Knows Where the Time Goes

9. Colors of the Day: Judy Collins, In My Life

10. Come On Over: Shania Twain, You’ve Got a Way

Tape 3: Classical

1. The Harmonious Harp: Nicamer Zabaleta, Concerto for Harp and Orchestra in G major

2. Mozart Piano Sonatas: Adagio, Sonata in E-flat (partial)

3. Early Music: Henry Purcell, Adagio from the Fairy Queen

4. Eine Kleine Nachtmusik: Mozart, Andante K. 525

5. JS Bach: Air on a G String

6. Mozart Piano Sonatas: Andante Graziozo

7. Mozart Piano Sonatas: Sonata in E-flat, Adagio

8. Out of Africa: Mozart, Concerto for Clarinet and Orchestra in A


9. Out of Africa: Alone on the Farm

10. 101 Famous Classical Pieces: Brahms Lullaby, Cradle Song, Opus 49

11. JS Bach: Arioso in F

12. 101 Famous Classical Pieces; Sadie, Gymnopedie

13. Baby Sleep: Schumann, Scenes from childhood, Foreign Lands and People

14. JS Bach: Concerto in D minor, Siciliano

15. Meet Joe Black (Original Soundtrack): Track 3

16. Meet Joe Black (Original Soundtrack): Track 8

Research: Abstract: The Effect of Preferred Sedative Music on the Anxiety of Patients During Pacemaker Implant Surgery and Heart Catheterization

Abstract

The purpose of this study was to examine the effect of patient preferred, sedative music on the state anxiety level of patients undergoing heart catheterization or pacemaker implant. Subjects were alternately assigned to experimental and control groups in order of admission to the operating room. Male subjects (N=22) in each group (N=11) completed a pre and post anxiety inventory in questionnaire format. Patients in the experimental group were allowed to choose from three different styles of sedative music to which to listen to during the surgical procedure. The change in anxiety levels between pre and post tests were compared between the control group and the experimental group using a one-way ANOVA test for two groups. Results indicated that patient preferred, sedative music significantly decreased state anxiety in patients who listened to preferred, sedative music during heart catheterization or pacemaker implant. Implications for clinical practice and further research are given.


Table of Contents

Page

Chapter I............................................ 1

Introduction..................................... 1

Heart Catheterization........................ 2

Patient Anxiety.............................. 4

Research Question............................ 6

Definitions.................................. 7

Chapter II........................................... 7

Literature Review................................ 7

Music to Reduce Anxiety...................... 8

Preferred Music.............................. 9

Studies Related to Using Music in Medical

Settings.................................. 10

Chapter III.......................................... 16

Methods and Procedures........................... 16

Participants................................. 16

Apparatus.................................... 16

Instrument................................... 17

Music........................................ 17

Procedures................................... 17

Data Analysis................................ 20

Chapter IV........................................... 21

Results.......................................... 21


Chapter V............................................ 23

Discussion....................................... 23

References........................................... 27

Table 1.............................................. 31

Appendices........................................... 32

Appendix A: Consent Form

Appendix B: Self-Evaluation Questionnaire

Appendix C: Music


Acknowledgments

I would like to express my gratitude to the following people, without whose assistance this thesis would not have been possible.

To my committee members, Dr. Alicia Ann Clair, Dr. Alice-Ann Darrow, and Dr. James Daugherty for their guidance, knowledge and encouragement.

To my father, Gary Tague, whose assistance and support was fundamental to this project. His time spent in gaining approval for the research and assistance during all parts of the research process deserves the greatest thanks.

To Michail Parekh, M.D., Ram Kolluru, M.D., Madhava Agusala, M.D., Sudhir Amaram, M.D., Suresh Gadasalli, M.D., and Shanti Neerukonda, M.D., whose interest in this project and sincere concern for their patients allowed this research to take place.

To the catheterization lab staff and nurses whose support and friendliness made this research possible.

To the patients who took part in this project and so willingly gave of themselves and their time.

And finally to my wife, who through all of my research and schooling has been my unbreakable foundation.
Amazon orders originating with clicks on any Amazon product link on the site help to benefit Music Makes Sense and its ongoing contribution to the world of music and music therapy. Thank You so much!
Related Posts with Thumbnails