Using Music as a Non-pharmacological Pain Relief Method in Post-operative Period in Children: A Systematic Review

Öz

Objective: This systematic review was performed to determine the effects of music used as a method of relieving pain in the post-operative period in children. Method: In order to determine the effect of music used in post-operative period on pain in children, Pubmed, Proquest, Science Direct and EBSCOhost, ClinicalKey, Ovid electronic databases were scanned with five keywords. As a result of the study, five studies were included in the study. Results: In three of the studies evaluated, the pain was significantly decreased compared to the control groups, in one study, the need for opioid analgesia decreased and in one study the pain of the two groups decreased but it was not statistically significant. In the studies, it was found that recorded and live music therapy method was used as a non-pharmacological method after surgery in children between the ages of 3-19 and it was effective in reducing pain. Conclusion: It was found that recorded and live music therapy method was used as a non-pharmacological method in children after surgery and decreased the pain. In order to relieve the pain after the surgery, it is recommended that the use of the music therapy method as a nursing initiative should be made widespread and training should be carried out for this purpose.

Anahtar Kelimeler

• Postoperative Pain
• Children
• Music
• Surgery
• Nursing

Çocuklarda Post-Operatif Dönemde Non-Farmakolojik Ağrı Giderme Yöntemi Olarak Müziğin Kullanılması: Sistematik Derleme

Öz

Amaç: Bu sistematik derleme, çocuklarda post-operatif dönemde non-farmakolojik ağrı giderme yöntemi olarak müziğin etkisini incelemek amacıyla yapılmıştır. Yöntem: Çocuklarda post-operatif dönemde kullanılan müziğin ağrıya etkisini belirlemek için Pubmed, Proquest, Science Direct ve EBSCOhost, ClinicalKey, Ovid elektronik veri tabanları beş anahtar sözcük kullanılarak taranmıştır. Tarama sonucunda araştırma kapsamına beş çalışma dahil edilmiştir. Bulgular: Değerlendirmeye alınan çalışmaların üçünde ağrının kontrol gruplarına göre anlamlı derecede azaldığı, bir çalışmada opioid analjezik kullanım ihtiyacının azaldığı ve bir çalışmada ise iki grubun da ağrısının azaldığı fakat istatistiksel açıdan anlamlı olmadığı saptanmıştır. Çalışmalarda kayıtlı ve canlı müzik terapi yönteminin 3-19 yaş grubundaki çocuklarda cerrahi sonrası non-farmakolojik yöntem olarak kullanıldığı ve hissedilen ağrıyı azaltmada etkili olduğu görülmüştür. Sonuç: Çalışmalarda kayıtlı ve canlı müzik terapi yönteminin çocuklarda cerrahi sonrası non-farmakolojik yöntem olarak kullanıldığı ve hissedilen ağrıyı azaltmada etkili olduğu görülmüştür. Çocuklarda cerrahi sonrası ağrıyı gidermek için müzik terapi yönteminin non-farmakolojik bir hemşirelik girişimi olarak kullanılmasının yaygınlaştırılması ve bu amaçla eğitimlerin yapılması önerilmektedir.

Anahtar Kelimeler

• postoperatif ağrı
• çocuk
• müzik
• cerrahi
• hemşirelik

Kaynakça

1. 1. International Association for the Study of Pain. IASP Terminology Pain Terms [Internet]. 2011 [cited 2020 Jun 15]. Available from: https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=2051
2. 2. Giordano F, Zanchi B, De Leonardis F, Rutigliano C, Esposito F, Brienza N, et al. The influence of music therapy on preoperative anxiety in pediatric oncology patients undergoing invasive procedures. Arts Psychother. 2020;68(March).
3. 3. Millett CR, Gooding LF. Comparing Active and Passive Distraction-Based Music Therapy Interventions on Preoperative Anxiety in Pediatric Patients and Their Caregivers. J Music Ther. 2017;54(4):460–78.
4. 4. Apfelbaum JL, Chen C, Mehta SS, Gan and TJ. Postoperative Pain Experience: Results from a National Survey Suggest Postoperative Pain Continues to Be Undermanaged. Anesth Analg. 2003;97(2):534–40.
5. 5. Crowe L, Chang A, Fraser JA, Gaskill D, Nash R, Wallace K. Systematic review of the effectiveness of nursing interventions in reducing or relieving post-operative pain. JBI Database Syst Rev Implement Reports. 2008;6(4):165–224.
6. 6. Astuto Marinella, Rosano G, Rizzo G, Disma Nicola. Methodologies for the treatment of acute and chronic nononcologic pain in children. Minerva Anestesiol. 2007;73(9):459–65.
7. 7. NS M. Management of Postoperative Pain in Children. Arch Dis Child Educ Pract Ed. 2007;92(1).
8. 8. Van der Heijden MJE, Jeekel J, Rode H, Cox S, van Rosmalen J, Hunink MGM, et al. Can live music therapy reduce distress and pain in children with burns after wound care procedures? A randomized controlled trial. Burns. 2018 Jun 1;44(4):823–33.

9. 9. Segerdahl M, Warren-Stomberg M, Rawal N, Brattwall M, Jakobsson J. Children in day surgery: clinical practice and routines. The results from a nation-wide survey. Acta Anaesthesiol Scand. 2008 May 21;52(6):821–8.
10. 10. Taylor EM, Boyer K, Campbell FA. Pain in hospitalized children: A prospective cross-sectional survey of pain prevalence, intensity, assessment and management in a Canadian pediatric teaching hospital. Acute Pain. 2008 Jun;10(2):107–8.
11. 11. Lee JY, Jo YY. Attention to postoperative pain control in children. Korean J Anesthesiol. 2014;66(3):183.
12. 12. Anand KJS. Pain, plasticity, and premature birth: A prescription for permanent suffering? Nat Med. 2000;6(9):971–3.
13. 13. Weisman S, Bernstein B, Schechter N. Consequences of Inadequate Analgesia During Painful Procedures in Children. Arch Pediatr Adolesc Med. 1998;152(2).
14. 14. Miladinia M, Baraz S, Zarea K. Controlling Acute Post-operative Pain in Iranian Children with using of Music Therapy. Int J Pediatr. 2016 May 1;4(5):1725–30.
15. 15. Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ Committee on Regional Anesthesia, Executive Commi. J Pain. 2016;17(2):131–57.
16. 16. Sng QW, He H-G, Wang W, Taylor B, Chow A, Klainin-Yobas P, et al. A Meta-Synthesis of Children’s Experiences of Postoperative Pain Management. Worldviews Evidence-Based Nurs. 2017;14(1):46–54.
17. 17. Howard R, Carter B, Curry J, Morton N, Rivett K, Rose M, et al. Good Practice in Postoperative and Procedural Pain Management. Background. Paediatr Anaesth. 2008;18(1).
18. 18. Standley JM, Gutierrez C. Benefits of a Comprehensive Evidence- Based NICU-MT Program : Family- Therapy for Premature Infants. Pediatr Nurs. 2020;46(1):40–6.
19. 19. Thanh Nhan Nguyen, Nilsson S, Hellström A-L, Bengtson A. Music Therapy to Reduce Pain and Anxiety in Children With Cancer Undergoing Lumbar Puncture: A Randomized Clinical Trial. J Pediatr Oncol Nurs. 2010;27(3):146–55.
20. 20. Noguchi LK. The Effect of Music Versus Nonmusic on Behavioral Signs of Distress and Self-Report of Pain in Pediatric Injection Patients. J Music Ther. 2006;43(1):16–38.
21. 21. Poulsen MJ, Coto J. Nursing Music Protocol and Postoperative Pain. Pain Manag Nurs. 2018;19(2):172–6.
22. 22. Büyükgönenç L, Törüner EK. Çocuk Yaşlarında Ağrı ve Hemşirelik Yönetimi. In: Conk Z, Başbakkal Z, Yilmaz HB, Bolışık B, editors. Pediatri Hemşireliği. 2nd ed. Ankara: Akademisyen Kitabevi A.Ş.; 2018. p. 881–96.
23. 23. Nilsson S, Konkinsky E, Nilsson U, Sidenvall B. School-aged children’s experiences of postoperative music medicine on pain, distress, and anxiety. Pediatr Anesth. 2009;19(12):1184–90.
24. 24. Sunitha Suresh BS, De Oliveira GS, Suresh S. The effect of audio therapy to treat postoperative pain in children undergoing major surgery: a randomized controlled trial. Pediatr Surg Int. 2015;31(2):197–201.
25. 25. Sayar Serap, Ergin Dilek. Ortopedi Servisinde Yatan Çocuk Hastalarda Ameliyat Sonrası Ağrı Yönetiminde Müziğin Etkisinin İncelenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektron Derg. 2019;12(1).
26. 26. Calcaterra V, Ostuni S, Bonomelli I, Mencherini S, Brunero M, Zambaiti E, et al. Music benefits on postoperative distress and pain in pediatric day care surgery. Pediatr Rep. 2014;6(3).
27. 27. Ullsten A, Eriksson M, Klässbo M, Volgsten U. Live music therapy with lullaby singing as affective support during painful procedures: A case study with microanalysis. Nord J Music Ther. 2017;26(2):142–66.
28. 28. Nelson K, Adamek M, Kleiber C. Relaxation Training and Postoperative Music Therapy for Adolescents Undergoing Spinal Fusion Surgery. Pain Manag Nurs. 2017;18(1):16–23.
29. 29. Baş NG, Karatay G, Bozoğlu Ö, Akay M, Kunduracı E, Aybek H. Hemşirelerin Ameliyat Sonrası Ağrıya İlişkin Uygulamaları. Hacettepe Üniversitesi Hemşirelik Fakültesi Derg. 2016;3(2):40–9.
30. 30. Bernardi L, Porta C, Casucci G, Balsamo R, Bernardi NF, Fogari R, et al. Dynamic Interactions Between Musical, Cardiovascular, and Cerebral Rhythms in Humans. Circulation. 2009;119(25):3171–80.
31. 31. Yinger OS. Music Therapy as Procedural Support for Young Children Undergoing Immunizations: A Randomized Controlled Study. J Music Ther. 2016;53(4):336–63.