Heart Rate Variability in Surgical Patients Experiencing Live Bedside Music; An Explorative Study

IF 2.2 3区心理学 Q2 PSYCHOLOGY, CLINICAL Applied Psychophysiology and Biofeedback Pub Date : 2023-11-20 DOI:10.1007/s10484-023-09609-y

Hanneke van der Wal-Huisman, Remko Soer, Grigory Sidorenkov, Erik Heineman, Pauline de Graeff, Barbara L. van Leeuwen

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Abstract

It’s known that surgery elicits a stress response involving the autonomic nervous system (ANS) which is important in general recovery but can also have detrimental effects in older patients. Music seems to positively effect postoperative recovery, although the mechanism requires further unravelling. Our objective was to explore the response of the ANS to live bedside music in older surgical patients, by using heart rate variability (HRV) as a proxy. This explorative prospective non-randomized controlled cohort study included 101 older non-cardiac surgical patients, with a median age of 70 (range 60–88 years). HRV was measured in a cohort receiving live bedside music provided by professional musicians and in a control group that did not receive music. HRV was measured pre-intervention, during the intervention, 30 min after the intervention, and again after three hours. Mixed linear modelling was used to assess the effect of the intervention compared to the control group over time. A significant change in both the low and high frequency bands (p = 0.041) and (p = 0.041) respectively, was found over time in the music group compared to the control group indicating relaxation and increased parasympathetic activity in the music group. Other measures revealed a trend but no significant effect was shown. These results provide a first glance and contribute to a better understanding of the effect of music on the recovery of older surgical patients.

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现场床边音乐对手术患者心率变异性的影响探索性研究。

众所周知，手术会引起涉及自主神经系统(ANS)的应激反应，这对一般恢复很重要，但对老年患者也有不利影响。音乐似乎对术后恢复有积极的影响，尽管其机制需要进一步揭示。我们的目的是通过使用心率变异性(HRV)作为替代指标，探讨老年外科患者的ANS对床边现场音乐的反应。这项探索性前瞻性非随机对照队列研究纳入101例老年非心脏手术患者，中位年龄为70岁(60-88岁)。在接受专业音乐家提供的现场床边音乐的队列和不接受音乐的对照组中测量HRV。分别在干预前、干预期间、干预后30分钟和3小时后测量HRV。使用混合线性模型来评估与对照组相比的干预效果。与对照组相比，随着时间的推移，音乐组的低频和高频波段分别发生了显著变化(p = 0.041)和(p = 0.041)，这表明音乐组的副交感神经活动有所放松和增加。其他措施显示出一种趋势，但没有显示出显著的效果。这些结果提供了第一眼，有助于更好地理解音乐对老年手术患者康复的影响。

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来源期刊

Applied Psychophysiology and Biofeedback PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

13.30%

发文量

期刊介绍： Applied Psychophysiology and Biofeedback is an international, interdisciplinary journal devoted to study of the interrelationship of physiological systems, cognition, social and environmental parameters, and health. Priority is given to original research, basic and applied, which contributes to the theory, practice, and evaluation of applied psychophysiology and biofeedback. Submissions are also welcomed for consideration in several additional sections that appear in the journal. They consist of conceptual and theoretical articles; evaluative reviews; the Clinical Forum, which includes separate categories for innovative case studies, clinical replication series, extended treatment protocols, and clinical notes and observations; the Discussion Forum, which includes a series of papers centered around a topic of importance to the field; Innovations in Instrumentation; Letters to the Editor, commenting on issues raised in articles previously published in the journal; and select book reviews. Applied Psychophysiology and Biofeedback is the official publication of the Association for Applied Psychophysiology and Biofeedback.