Hüseyin ŞEN, Ali SIZLAN, Ömer YANARATEŞ, Mustafa KUL, Emre KILIÇ, Sezai ÖZKAN, Güner DAĞLI

The effect of musical therapy on postoperative pain after caesarean section

AMAÇ: Biz preoperatif dönemde müzik terapisinin- hastalara kolay uygulanabilir, basit ve yan etkisi olmayan bir yöntem olan- postoperatif ağrı üzerinde etkilerini araştırmayı amaçladık. YÖNTEM: Yaşları 20-40 arasında, genel anestezi altında sezaryen planlanan yüz hasta çalışmaya dahil edildi. Hastalar randomize, her grupta 50 hasta olacak şekilde iki gruba ayrıldılar, grup 1’deki hastalara cerrahiden 1 saat önce, kulaklık ile müzik dinletildi. Buna karşın, grup 2’de cerrahi öncesi hastalara müzik dinletilmedi. Tüm hastalara standart anestezi tekniği uygulandı. Tüm yeni doğanlar değerlendirildi ve apgar skorları kaydedildi. Postoperatif dönemde comutlara cevap alındığında hastalara i.v. PCA takıldı. Hastaların memnuniyet düzeyleri ve posoperatif ağrı şiddeti 10cm görsal analog skala ile değerlendirildi. BULGULAR: Postoperatif tramadol tüketimi, total tramadol tüketim miktarı, ek analjezik kullanımı ve tüm VAS değerleri grup 1’de düşüktü (p

Anahtar Kelimeler:

Ağrı ölçümü, Sezaryen, Analjezikler, Ağrı, ameliyat sonrası, Ameliyat öncesi dönem, Müzik tedavisi

Müzik terapisinin postoperatif sezaryen ağrısına etkisi

AIM: We reasoned that addition of musicotherapy -a simple and convenient method with no adverse effects- in the preoperative period would have favorable effects pertaining to postoperative pain. METHODS: One hundred patients, between the ages of 20-40 years, who were undergoing elective caesarean delivery under general anaesthesia, were enrolled. The patients were randomly allocated into two groups (with 50 patients in each) and in group 1, patients listened to music through a headphone for one hour immediately before surgery whereas in group 2, patients did not listen to any music during the same period. The anaesthetic technique was standardized. All neonates were also assessed and Apgar scores were recorded. In the postanaesthesia care unit, patients were connected to i.v.-PCA device when they were able to respond to commands. The patient’s level of satisfaction with perioperative care was assessed by a 10-cm visual analogue scale and the severity of postoperative pain was assessed with VAS. RESULTS: Postoperative tramadol consumption, total amount of tramadol consumption, additional analgesic use and all VAS values were lower in group 1 (p<0.05). Apgar scores were significantly greater in group 1. CONCLUSION: We imply that music therapy given before surgery decreases postoperative pain and analgesic requirement.

Keywords:

Pain Measurement, Cesarean Section, Analgesics, Pain, Postoperative, Preoperative Period, Music Therapy,

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