Effect of slow tempo music on markers of anxiety during cataract surgery: Randomized control trial

PURPOSE: This study aims to objectively measure the effect of slow tempo music on various markers for anxiety. MATERIALS AND METHODS: This is a repeated measure randomized control trial of patients with age-related cataracts undergoing cataract extraction through phacoemulsification under local anes...

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Main Authors: Azlan Musa, Qi Xiong Ng, Yong Zheng Wai, Tajunisah Iqbal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Taiwan Journal of Ophthalmology
Subjects:
Online Access:http://www.e-tjo.org/article.asp?issn=2211-5056;year=2022;volume=12;issue=1;spage=74;epage=81;aulast=Musa
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author Azlan Musa
Qi Xiong Ng
Yong Zheng Wai
Tajunisah Iqbal
author_facet Azlan Musa
Qi Xiong Ng
Yong Zheng Wai
Tajunisah Iqbal
author_sort Azlan Musa
collection DOAJ
description PURPOSE: This study aims to objectively measure the effect of slow tempo music on various markers for anxiety. MATERIALS AND METHODS: This is a repeated measure randomized control trial of patients with age-related cataracts undergoing cataract extraction through phacoemulsification under local anesthesia. Patients were randomized into two groups: music group where a standardized piano music was played and control group. Salivary alpha-amylase (sAA) levels were measured at the beginning and at the end of surgery. Blood pressure and heart rate were also measured at 5 min before surgery and at four other standardized points during and after surgery. Visual Analog Scale for anxiety was also gauged: preoperatively, perioperatively, and 15 min postoperatively. RESULTS: Ninety-two patients were randomized equally to the music group and control group. Paired sample t-test showed a reduction in the level of sAA during surgery in the music group (P = 0.019). The odds ratio for a drop in sAA with music was 4.407 (P = 0.001). Lower systolic blood pressure was observed in the music group: at delivery of local anesthesia (P = 0.047), at first incision (P = 0.023), and during sculpting (P = 0.15). Similarly, diastolic blood pressure was lower at first incision (P = 0.019) in the music group. The visual analog scale for anxiety during surgery was found to be lower in the music group (P = 0.046). CONCLUSION: A slow tempo music during cataract surgery was shown to significantly reduce several indicators for anxiety at various points during cataract surgery.
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spelling doaj.art-605d399c6c154da6942b7e4b2eabdcd32022-12-22T04:13:21ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722022-01-01121748110.4103/tjo.tjo_10_21Effect of slow tempo music on markers of anxiety during cataract surgery: Randomized control trialAzlan MusaQi Xiong NgYong Zheng WaiTajunisah IqbalPURPOSE: This study aims to objectively measure the effect of slow tempo music on various markers for anxiety. MATERIALS AND METHODS: This is a repeated measure randomized control trial of patients with age-related cataracts undergoing cataract extraction through phacoemulsification under local anesthesia. Patients were randomized into two groups: music group where a standardized piano music was played and control group. Salivary alpha-amylase (sAA) levels were measured at the beginning and at the end of surgery. Blood pressure and heart rate were also measured at 5 min before surgery and at four other standardized points during and after surgery. Visual Analog Scale for anxiety was also gauged: preoperatively, perioperatively, and 15 min postoperatively. RESULTS: Ninety-two patients were randomized equally to the music group and control group. Paired sample t-test showed a reduction in the level of sAA during surgery in the music group (P = 0.019). The odds ratio for a drop in sAA with music was 4.407 (P = 0.001). Lower systolic blood pressure was observed in the music group: at delivery of local anesthesia (P = 0.047), at first incision (P = 0.023), and during sculpting (P = 0.15). Similarly, diastolic blood pressure was lower at first incision (P = 0.019) in the music group. The visual analog scale for anxiety during surgery was found to be lower in the music group (P = 0.046). CONCLUSION: A slow tempo music during cataract surgery was shown to significantly reduce several indicators for anxiety at various points during cataract surgery.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2022;volume=12;issue=1;spage=74;epage=81;aulast=Musacataractlensmusicphacoemulsificationsalivary alpha-amylasestress
spellingShingle Azlan Musa
Qi Xiong Ng
Yong Zheng Wai
Tajunisah Iqbal
Effect of slow tempo music on markers of anxiety during cataract surgery: Randomized control trial
Taiwan Journal of Ophthalmology
cataract
lens
music
phacoemulsification
salivary alpha-amylase
stress
title Effect of slow tempo music on markers of anxiety during cataract surgery: Randomized control trial
title_full Effect of slow tempo music on markers of anxiety during cataract surgery: Randomized control trial
title_fullStr Effect of slow tempo music on markers of anxiety during cataract surgery: Randomized control trial
title_full_unstemmed Effect of slow tempo music on markers of anxiety during cataract surgery: Randomized control trial
title_short Effect of slow tempo music on markers of anxiety during cataract surgery: Randomized control trial
title_sort effect of slow tempo music on markers of anxiety during cataract surgery randomized control trial
topic cataract
lens
music
phacoemulsification
salivary alpha-amylase
stress
url http://www.e-tjo.org/article.asp?issn=2211-5056;year=2022;volume=12;issue=1;spage=74;epage=81;aulast=Musa
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AT yongzhengwai effectofslowtempomusiconmarkersofanxietyduringcataractsurgeryrandomizedcontroltrial
AT tajunisahiqbal effectofslowtempomusiconmarkersofanxietyduringcataractsurgeryrandomizedcontroltrial