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Clinical Outcomes of Preoperative Music Medicine and
Relaxation Technique in Geriatric Surgical Patients: A
Randomized Controlled Study
Panate Pukrittayakamee1, Siriporn Pitimana-aree2, Arunotai Siriussawakul2, Panida Yomaboot1
,
Gothchawan Charoenprasopsuk2, Rachaneekorn Ramlee3
, Thanwalai Pisalayon3*
1 Department of Psychiatry, Faculty of Medicine, Siriraj Hospital, Mahidol University
2 Department of Anesthesiology, Faculty of Medicine, Siriraj Hospital, Mahidol University
3 Siriraj Integrated Perioperative Geriatric (SiPG) Excellent Research Center, Faculty of Medicine, Siriraj
Hospital, Mahidol University
Background: Objective: *Corresponding Author E-mail: thanwalai.pis@mahidol.ac.th
Abstract
Preoperative anxiety can lead to negative postoperative outcomes in elderly patients
undergoing surgery. Though evidence supports the effectiveness of music medicine
and relaxation techniques in reducing perioperative anxiety, few studies have examined
long-term interventions and their effects.
This study aims to examine the short-term and long-term effects of 1-week interventions,
including music medicine and relaxation techniques, on preoperative anxiety.
Method: Results: Conclusion: A total of 140 patients aged 60 or older scheduled for elective surgery were recruited
from the tertiary care hospital in Thailand. These patients were randomized into 4 groups,
including music medicine, relaxation techniques, music medicine plus relaxation
techniques, and control (35 participants in each group). Patients in the intervention groups
were assigned to practice music medicine and/or relaxation techniques daily along 7
consecutive days before surgery. Their anxiety levels were assessed by the Hospital Anxiety
and Depression Scale – Anxiety subscale (HADS-A) on the day of recruitment (baseline),
the day of admission (time 1), and at 3 days (time 2), 1 month (time 3), and 3 months (time
4) postoperatively.
There were no significant differences in any of the demographic variables between the
groups at baseline. The HADS scores were significantly influenced by the passage of time
(F = 44.98, p < 0.001). However, neither the study group nor the interaction between time
and group exhibited a significant effect. Excluding participants with a baseline HADS score
of 0, the music group showed a significantly higher mean change score from baseline to
immediate post-intervention (time 1) compared to the control group.
Although surgical anxiety typically diminishes after surgery, listening to music can help
reduce anxiety beforehand. Therefore, listening to music can be an effective method for
managing pre-surgical anxiety in older patients.
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