Traditional Chinese Music Therapy as Adjunct Post-operative Pain Management among Chinese Women after Cesarean Delivery

Journal: Journal of Clinical Medicine Research DOI: 10.32629/jcmr.v3i2.817

Xueying Han1, Paul Froilan U. Garma2

1. Philippine Women's University, Manila, Philippines
2. Far Eastern University, Manila, Philippines

Abstract

Purpose This study aimed to determine the effects of traditional Chinese music therapy as adjunct post-operative pain management among Chinese women after cesarean delivery. Background Post-operative pain is common in women after cesarean delivery and has a number of adverse effects. Chinese traditional music therapy as a non-invasive, adjunct therapy of pain has been applied in a variety of gynecological diseases, but the effect on post-operative pain following cesarean delivery needs to be established. Method A quasi-experimental nonequivalent control group design pretest-posttest design was used to carry out the study. Sixty-six participants who met the eligibility criteria were purposively selected and the first thirty-three participants were assigned into experiment group, and the other thirty-three participants were conveniently assigned into the control group. Numeric Pain Rating Scale (NPRS) was used to measure the post-operative pain on several time periods (at baseline for pre-test, and subsequently at 4 hours, 8 hours, 16 hours, 24 hours for the post-test). Wilcoxon Sign Test and Mann Whitney Test were used to determine significant difference between and within groups. Results At baseline (pre-intervention), there is no significant difference between the post-operative pain scores between the control group (M=6.67, SD=0.65) and the experiment group (M= 6.70, SD=0.65), p-value is 0.879. However, significant differences in the post-operative pain scores within and between the control and experimental groups were observed after 4 hours (T1), 8 hours (T2), 16 hours (T3) and 24 hours (T4) as compared to baseline (T0) after cesarean delivery (p-value < 0.0005). Conclusion Traditional Chinese music therapy as adjunct therapy significantly reduces post-operative pain among Chinese women after cesarean delivery.

Keywords

traditional Chinese music therapy, post-operative pain management, cesarean delivery

References

[1] Elvir-Lazo, O. L., White, P. F., Yumul, R., & Cruz Eng, H. (2020). Management strategies for the treatment and prevention of postoperative/postdischarge nausea and vomiting: an updated review. F1000Research, 9, 983. https://doi.org/10.12688/f1000research.21832.1
[2] Bollag, L., & Nelson, G. (2020). Enhanced Recovery After Cesarean (ERAC) – beyond the pain scores. International Journal of Obstetric Anesthesia, 43, 36–38. https://doi.org/10.1016/j.ijoa.2020.05.006
[3] Martin-Saavedra, J. S., Vergara-Mendez, L. D., Pradilla, I., Vélez-van-Meerbeke, A., & Talero-Gutiérrez, C. (2018). Standardizing music characteristics for the management of pain: A systematic review and meta-analysis of clinical trials. Complementary Therapies in Medicine, 41, 81–89. https://doi.org/10.1016/j.ctim.2018.07.008
[4] Zhu, T., & He, L. (2020). Evaluation of the physiological response and automatic efficacy of music therapy: a case study of Chinese traditional music (in Chinese). Science & Technology Vision, 36(24), 63–66. https://doi.org/10.19694/j.cnki.issn2095-2457.2020.36.24
[5] Jensen, M. P., & McFarland, C. A. (1993b). Increasing the reliability and validity of pain intensity measurement in chronic pain patients. Pain, 55(2), 195–203. https://doi.org/10.1016/0304-3959(93)90148-i
[6] Topham, D., & Drew, D. (2017). Quality Improvement Project: Replacing the Numeric Rating Scale with a Clinically Aligned Pain Assessment (CAPA) Tool. Pain Management Nursing, 18(6), 363-371. doi: 10.1016/j.pmn.2017.07.001
[7] Meng, X., & Wang, D. (2017). Analysis on the theory and application of music therapy of five elements in TCM (in Chinese). Global Chinese Medicine, 10(10), 1118-1120.
[8] Li, L. (2019). Effects of traditional Chinese music therapy combined with operating room company on pain and bleeding during cesarean section (in Chinese). Chinese Folk Therapy, 27(1), 107-110.
[9] Bai, H. (2020). Modern medical value and cultural connotation of traditional Chinese music therapy (in Chinese). China Academic Journal, 32(64), 64–65.
[10] Yang, X., Wang, J., & Lai, W. (2015). The application and progress of music therapy in pain field (in Chinese). International Journal of Stomatology, 40(4), 513-515.

Copyright © 2022 Xueying Han, Paul Froilan U. Garma

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License