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Does Perioperative Music Prevent Sleep Disturbances in Hospitalized Surgical Patients

Not Applicable
Recruiting
Conditions
Sleep
Interventions
Other: Music
Registration Number
NCT06131034
Lead Sponsor
Erasmus Medical Center
Brief Summary

Sleep disturbances are known to be a prevalent problem in hospitalized, surgical patients, which is of importance since sleep disturbances can lead to a range of negative health outcomes. Music interventions have shown potential in improving sleep quality. Unfortunately, the studies on the effect of music on sleep in surgical patient populations are still scarce and of low quality. Therefore, the aim of this study is to study the effect of music on sleep quality in oncological, gastro-intestinal surgical patients in the form of a randomized controlled trial. Participants will be divided in 2 groups, a music group and a control group, where the music group will receive music interventions perioperatively. The researchers will compare both groups to see if there is a difference in sleep quality.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
126
Inclusion Criteria
  • Patients aged 18 years or older
  • Patients undergoing major elective abdominal surgery for malignant disease, including, but not limited to: Esophageal, gastric, colorectal, hepatic, pancreatic, gynecological and urological surgical procedures.
  • Sufficient knowledge of the Dutch language.
  • Communicable and able to assess the questionnaires
  • Written informed consent acquired from the patient.
Exclusion Criteria
  • Patients with severe hearing impairment (defined as no or barely verbal communication possible).
  • The patient is expected to be transferred to another hospital postoperatively.
  • Participation in another study that may possibly intervene with the outcome measures. (e.g. in trial use of sleep medication, interventions regarding sleep quality or quantity or similar procedures)
  • Assessment of primary outcome is not possible.
  • Inability or unwillingness to receive the music intervention.
  • Inability to wear the actigraphy device, or inability to perform actigraphy measurement due to paralysis.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Music groupMusic-
Primary Outcome Measures
NameTimeMethod
Subjective sleep quality assessed using a questionnaireOn the morning of day 2, 3 and 4 at the surgical ward

Using the Patient-Reported Outcomes Measurement Information System (PROMIS) Sleep disturbance questionnaire, raw summary score

Secondary Outcome Measures
NameTimeMethod
Objective sleep assessmentDuring the (possible) intervention period, until day 5 postoperatively

Measured with an actigraphy device

AnxietyEvery morning during the (possible) intervention period, until day 5 postoperatively

Using the The State-Trait Anxiety Inventory-6 (STAI-6), 20-80, with a high score being a worse outcome

Subjective sleep quantityDuring the (possible) intervention period, until day 5 postoperatively

Using the adapted Consensus Sleeping Diary

Music listening during study periodDuring the (possible) intervention period, until day 5 postoperatively

Using a diary

Subclinical stess usingAt baseline and at the end of the (possible) intervention period, at day 5 postoperatively

Using the Subclinical Stress Symptoms Questionnaire (SSQ-25).

Postoperative quality of recovery using a questionnaireAt baseline, at the end of the (possible) intervention period (from start of study until day 5 postoperatively) and 30 days after discharge

Quality of Recovery-40 score (QOR-40)

Patient satisfaction using a self-made questionnaireAt the end of the study period, 30 days after discharge

A Likert scale will be used, 0 -10, with a higher score meaning a more satisfied feeling regarding the hospital admittance.

Music preference and importance in daily lifeAt baseline

Using a questionnaire with use of multiple chose questions and a Likert scale, 0 - 10, with a higher score resulting in a more positive attitude towards music

Delirium incidenceDuring the entire hospital stay surrounding the surgery, up to day 30 postoperatively.

Delirium Observation Scale per day and delirium diagnosis (defined as diagnosis by clinician)

Cost consequences and cost-effectiveness30 days after discharge

Using the Institute for Medical Technology Assessment (iMTA) productivity loss questionnaire

Quality of life scoreAt baseline, at the end of the (possible) intervention period (from start of study until day 5 postoperatively) and 30 days after discharge

Using the EuroQol-5dimension-5length (EQ-5D-5L), with a score of 0 - 100, where a higher score

Trial Locations

Locations (1)

Erasmus Medical Center

🇳🇱

Rotterdam, Zuid-Holland, Netherlands

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