Ignite Creation Date:
2024-05-06 @ 7:31 PM
Last Modification Date:
2024-10-26 @ 3:09 PM
Study NCT ID:
NCT06048952
Status:
COMPLETED
Last Update Posted:
2023-12-15
First Post:
2022-01-12
Brief Title:
The Effect of Music Therapy After Bariatric Surgery on Postoperative Nausea Vomiting and Patient Satisfaction
Sponsor:
Sibel Yilmaz Sahin
Organization:
Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
Study Overview
Official Title:
Bariatrik Cerrahi Sonrası Müzik Terapinin Postoperatif Bulantı Kusmayı Azaltma ve Hasta Memnuniyeti Üzerine Etkisi
Status:
COMPLETED
Status Verified Date:
2023-12
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
BSMusicPONV
Brief Summary:
In this study it was planned to evaluate the effectiveness of the use of music therapy which is a non-pharmacological method in addition to pharmacological treatment in patients with PONV after bariatric surgery whose application frequency is increasing in the treatment of obesity and to determine its effect on patient satisfaction The findings of this study are considered to be effective in preventing nausea and vomiting providing patient comfort increasing evidence-based nursing knowledge and increasing the quality of care
Detailed Description:
Postoperative nausea and vomiting POBK according to ASPAN American Society of PeriAnesthesia Nurses are Nausea and vomiting seen in the first 24 hours after surgery 1 While PONV is seen in 20-30 of patients after general anesthesia this rate increases up to 80 in high-risk patients 2 PONV which is the second most common postoperative complaint after pain is a stressful and uncomfortable situation for patients but it can cause serious complications These complications are dehydration electrolyte imbalance acid-base imbalance pulmonary aspiration pneumothorax hypoxia esophageal rupture increased intracranial pressure suture rupture bleeding 3 Due to the long duration of general anesthesia and the use of high-dose opioids the incidence of PONV is higher in some types of surgery eg abdominal surgeries 4 Recent studies have shown that laparoscopic gynecological and cholecystectomy surgeries are high-risk surgeries in terms of PONV 5
While obesity ranks second among the preventable causes of death in the world bariatric surgery is seen as the most effective method in the treatment of morbid obesity 6 Bariatric surgeries are surgeries that carry a high risk in terms of PONC since they are abdominal surgery performed under general anesthesia and the laparoscopic method is preferred Antiemetics can be used in high-risk patients after risk factors are determined to prevent PONV However due to complications the effectiveness of the use of antiemetic drugs in the management of PONC remains limited 7 Published guidelines on PONC management recommend the use of non-pharmacological methods in addition to pharmacological treatment in patients at high risk for PONV Some of the complementary methods used to prevent PONV are acupuncture aromatherapy acupressure progressive relaxation exercises hypnosis massage and music therapy 7 It has been reported in the literature that music therapy is a non-pharmacological nursing practice that is used to manage nausea-vomiting and the severity of symptoms has no side effects is easy to use 8 In addition it has been noted that music therapy has positive effects on analgesic requirement hospital stay reducing fatigue and the use of antiemetic drugs 8 Çetinkayas study to determine the effect of music on the severity of postoperative nausea and vomiting after laparoscopic cholecystectomy showed that listening to music reduces the severity of nausea and the frequency of nausea 9 According to a randomized controlled study conducted by Madson and Silverman in a group of 58 solid organ transplant patients less nausea and vomiting were found in the music therapy group 10 In a study conducted by Nilsson et al on hysterectomy patients who underwent general anesthesia in the intraoperative period it was observed that music did not affect nausea and vomiting 11 In another study by Laurion and Fetzer it was reported that music had no effect on PONV 12 In the fourth consensus guideline on the treatment of postoperative nausea and vomiting it has been reported that music is not an effective prophylactic method for PONV but this information is based on a single randomized controlled study 1213 When the literature is examined it has been determined that there is no common view on the use of music therapy as a complementary method in the management of PONV and more studies should be done on this subject
While obesity ranks second among the preventable causes of death in the world bariatric surgery is seen as the most effective method in the treatment of morbid obesity 6 Bariatric surgeries are surgeries that carry a high risk in terms of PONC since they are abdominal surgery performed under general anesthesia and the laparoscopic method is preferred Antiemetics can be used in high-risk patients after risk factors are determined to prevent PONV However due to complications the effectiveness of the use of antiemetic drugs in the management of PONC remains limited 7 Published guidelines on PONC management recommend the use of non-pharmacological methods in addition to pharmacological treatment in patients at high risk for PONV Some of the complementary methods used to prevent PONV are acupuncture aromatherapy acupressure progressive relaxation exercises hypnosis massage and music therapy 7 It has been reported in the literature that music therapy is a non-pharmacological nursing practice that is used to manage nausea-vomiting and the severity of symptoms has no side effects is easy to use 8 In addition it has been noted that music therapy has positive effects on analgesic requirement hospital stay reducing fatigue and the use of antiemetic drugs 8 Çetinkayas study to determine the effect of music on the severity of postoperative nausea and vomiting after laparoscopic cholecystectomy showed that listening to music reduces the severity of nausea and the frequency of nausea 9 According to a randomized controlled study conducted by Madson and Silverman in a group of 58 solid organ transplant patients less nausea and vomiting were found in the music therapy group 10 In a study conducted by Nilsson et al on hysterectomy patients who underwent general anesthesia in the intraoperative period it was observed that music did not affect nausea and vomiting 11 In another study by Laurion and Fetzer it was reported that music had no effect on PONV 12 In the fourth consensus guideline on the treatment of postoperative nausea and vomiting it has been reported that music is not an effective prophylactic method for PONV but this information is based on a single randomized controlled study 1213 When the literature is examined it has been determined that there is no common view on the use of music therapy as a complementary method in the management of PONV and more studies should be done on this subject
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None