The Effectiveness of Music Therapy for Post-Operative Pain Control among Total Knee Replacement Patients
- Author:
Santhna LP
;
Norhamdan MY
;
Damrudi M
- Publication Type:Journal Article
- Keywords:
pain management, music therapy;
TKR;
non-pharmacological intervention;
nurses
- MeSH:
Pain Management
- From:Medicine and Health
2015;10(1):66-79
- CountryMalaysia
- Language:English
-
Abstract:
Pain is an unpleasant sensation that can cause physical and psychological problems
for the patient. Despite the pharmacological intervention for reducing pain, it remains
as an issue after surgery. Music therapy as non-pharmacological intervention can
effect post-operative pain and patients’ requirement of analgesics. The purpose
of this study was to determine effect of music therapy on pain after elective total
knee replacement (TKR) surgery. This study compared analgesics consumption
by patients post-operatively for five days. A Quasi-experimental design with
convenience sample of patient with a mean of 64.35 (49-76) who underwent TKR
in UKM Medical Centre from May to December 2012 was used. Forty patients were
randomly assigned in one of the two groups using a sealed-envelope technique.
The experimental group listened to music for five days post-operatively and were
on analgesics and control group were treated with pharmacological intervention
only. Pain was measured by McGill Pain Questionnaire-Short Form (MPQ-SF) for
patient on bed rest on day one, day three and day five post-operatively. Statistical
(Mann- Whitney) findings between groups showed the experimental group
significantly had less pain on day one and day five rather than the control group at
0.05 level using Pain Rating Intensity (PRI), Visual Analogue Scale (VAS) and Present
Pain Intensity (PPI). Statistical (Friedman) tests within group showed that the patient
had significantly decreased pain over time at level 0.05 using PRI, VAS and PPI.
Statistical (Mann- Whitney) tests revealed that there was no significant difference
when using analgesics between the two groups in five days post-operatively at
milligram but comparing median showed experimental group used less analgesic
than control group. Music therapy is simple, available, save and cheap effective
intervention for pain management post-operatively. Pain management is one of the
key roles of nursing and nurses can use music therapy as a simple intervention to
reduce pain.
- Full text:P020150602482271707158.pdf
