ABSTRACT
Pain is a universal human experience, yet no two individuals experience and respond to pain exactly the same way and also pain is the predominant complaint patients have after surgery. Anxiety is an emotional state characterized by feelings of apprehension, discomfort, restlessness, or worry. Music therapy is one of the non-pharmacological interventions to reduce postoperative pain and anxiety. To assess the effectiveness of music therapy in controllingAIM: postoperative pain and anxiety among surgical patients. Quasi-experimental designMATERIAL AND METHODS: Time series with multiple institutions of treatment) was adopted. A total of 40 patients 20 in experimental and 20 in control group chosen by convenient sampling technique. The instrument consisted of two sections: First section comprises of demographic and clinical variables of the patient. Second section was Speilberger State-Trait Anxiety Scale Form Y-1 and Numerical Pain Rating Scale. Reiki instrumental music was selected for intervention. Music therapy was provided through head phone on second and third postoperative day to the experimental group in two sessions in each day totaling four sessions lasting for 30 minutes each. Assessment was done periodically for two sessions at a interval of 2 hours per day after music therapy. The postoperative pain intensity score of the experimentalRESULTS: group was significantly reduced from severe to mild level, where as in the control group pain intensity score was reduced from moderate to mild level. (p< 0.001).The postoperative anxiety level reduction for experimental group was from moderate to mild level, where as in the control group anxiety level remained constantly at moderate level. (p< 0.001). There was no significant association between preoperative anxiety with previous experience of surgery. CONCLUSION: Music therapy is a simple, safe and effective method for reducing postoperative pain and anxiety.
ABSTRACT
La sedación intravenosa se ha convertido en una de las técnicas más comúnmente empleadas para evitar traumas psicológicos a los pacientes que necesiten de algún tipo de cirugía bucal. Pues como todos sabemos el término Cirugía está asociado a miedo y ansiedad, y si se agrega la palabra Bucal que implica Odontología, para muchos es sinónimo de dolor y angustia. La necesidad de manejar el paciente que se somete a una cirugía bucal sin ansiedad, tensión, miedo, ni dolor, plantea la posibilidad de usar la sedación intravenosa como método para eliminar esas situaciones ante el procedimiento quirúrgico pero es muy importante la presencia del Anestesiólogo como integrante indispensable junto con el Cirujano para poder ser utilizada, además del ayudante del cirujano y el personal auxiliar. En el presente trabajo se revisarán las funciones de cada uno de los integrantes del equipo multidisciplinario que se necesita para que éste tipo de alternativa de tratamiento quirúrgico se aplique coordinada y eficazmente, permitiendo reducir al mínimo o evitando el riesgo que pudiera alguna vez ocasionar su aplicación, brindando al paciente la vigilancia de parámetros vitales y el suficiente confort antes, durante y después de la cirugía.
Intravenous sedation has become the most common procedure to avoid psychological trauma in the oral surgery patients. As we know the word Surgery is associated with fear and anxiety and if we add the word Oral that imply Dentistry for the majority of the people is synonymous of pain and suffer. The importance of management these feelings bring the possibility of use the intravenous sedation as a technique that controls and avoid those situations but it is very important to use an anesthesiologist as a indispensably member with the surgeon besides the surgical assistant and the hygienist. We are going to expose the specific functions of each member of the multidisciplinary team that is needed to apply this kind of surgical treatment efficiently and allowing to minimize or avoid the risks that in any case it should occur, taking good care of the patient before, during and after the surgery.