The Efficacy of Quran Sound on Anxiety and Pain of Patients under Cesarean Section with Regional Anesthesia: A Randomized Case-Controlled Clinical Trial

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Associate Professor, Department of Anesthesiology and Critical Care, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Student of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

4 Epidemiologist, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Women candidate for cesarean section experience a high degree of anxiety due to fear of anesthesia and its complications. On the other hand, post-operative pain induces unfavorable psychosomatic effects. Pharmaceutical and non-pharmaceutical approaches, like listening to music, use to decrease these adverse effects. Regard to the belief of Muslims to Quran sound, we assessed its effect on the grade of pain and anxiety of the patients underwent cesarean section with regional anesthesia.Methods: In a case-controlled clinical trail, 64 candidates of cesarean section were included. Cases were exposed to Quran sound but the controls did not expose. The degree of pain and anxiety were compared during and after operation between two groups.Findings: There was no statistically significant difference between the groups in sedation score, heart rate, respiratory rate and vomiting (P > 0.050). Recovery duration in controls was significantly longer (P < 0.001). Pain was significantly lower in cases at 1, 2 and 24 hours after the surgery (P < 0.050). Mean arterial pressure was significantly lower in cases before, during, and after the (P < 0.050). Anxiety score was higher in controls during and 1 hour after the surgery (P = 0.001). The level of satisfaction between the groups was statistically different (P < 0.001).Conclusion: Quran sound decreased the degree of anxiety and pain, and increased the patients’ satisfaction.

Keywords


  1. Mahdevar A. The efficacy of Qoran sound on anxiety, tolerance, blood pressure and heart rate in patients undergoing spinal anesthesia [Thesis]. Isfahan, Iran: Isfahan University of Medical Sciences; 2000. [In Persian].
  2. Heidari M. The efficacy of Qoran sound on vital signs and anxiety of patients before induction of anesthesia [Thesis]. Isfahan, Iran: Isfahan University of Medical Sciences; 1998. [In Persian].
  3. Wikipedia, the Free Encyclopedia. Music therapy [Online] 2012. Available from: URL: http://fa.wikipedia.org/wiki/musictherapy.
  4. Söylemez MM. The Jundishapur School: its history, structure, and functions. The American Journal of Islamic Social Sciences 2013; 22(2): 1-27.
  5. Mavridou P, Dimitriou V, Manataki A, Arnaoutoglou E, Papadopoulos G. Patient's anxiety and fear of anesthesia: effect of gender, age, education, and previous experience of anesthesia. A survey of 400 patients. J Anesth 2013; 27(1): 104-8.
  6. Fischer SP, Bader AM, Sweitzer B. Preoperative evaluation. In: Miller RD, editors. Miller's anesthesia. Philadelphia, PA: Elsevier Health Sciences; 2010. p. 1001-63.
  7. Macario A, Feeley T. The postanesthesia care unit. In: Miller RD, editor. Miller's anesthesia. Philadelphia,PA: Elsevier, Churchill Livingstone; 2005. p. 2709-15.
  8. Christopherl WU. Acute postoperative pain textbook. In: Miller RD, editor. Miller's anesthesia. Philadelphia, PA: Elsevier, Churchill Livingstone; 2005. p. 2370.
  9. Ferrante FM, VadeBoncouer TR. Postoperative pain management. London, UK: Churchill Livingstone; 1993.
  10. Sadock BJ. Anxiety disorder. In: Castle D, Bassett D, editors. A primer of clinical psychiatry. Philadelphia, PA: Elsevier Health Sciences; 2010. p. 39.
  11. Egbert LD, Battit GE, Welch CE, Bartlett MK. Reduction of postoperative pain by encouragement and instruction of patients. A study of doctor-patient rapport. N Engl J Med 1964; 270: 825-7.
  12. Satoh M. Music therapy for dementia and higher cognitive dysfunction: a review. Brain Nerve 2011; 63(12): 1370-7.
  13. Uyar M, Akin KE. The effect of music therapy on pain and anxiety in intensive care patients. Agri 2011; 23(4): 139-46.
  14. Reza N, Ali SM, Saeed K, Abul-Qasim A, Reza TH. The impact of music on postoperative pain and anxiety following cesarean section. Middle East J Anesthesiol 2007; 19(3): 573-86.
  15. Laopaiboon M, Lumbiganon P, Martis R, Vatanasapt P, Somjaivong B. Music during caesarean section under regional anaesthesia for improving maternal and infant outcomes. Cochrane Database Syst Rev 2009; (2): CD006914.
  16. Li Y, Dong Y. Preoperative music intervention for patients undergoing cesarean delivery. Int J Gynaecol Obstet 2012; 119(1): 81-3.
  17. Korhan EA, Khorshid L, Uyar M. The effect of music therapy on physiological signs of anxiety in patients receiving mechanical ventilatory support. J Clin Nurs 2011; 20(7-8): 1026-34.
  18. Sen H, Yanarates O, Sizlan A, Kilic E, Ozkan S, Dagli G. The efficiency and duration of the analgesic effects of musical therapy on postoperative pain. Agri 2010; 22(4): 145-50.
  19. Binns-Turner PG, Wilson LL, Pryor ER, Boyd GL, Prickett CA. Perioperative music and its effects on anxiety, hemodynamics, and pain in women undergoing mastectomy. AANA J 2011; 79(4 Suppl): S21-S27.