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ALTERNATIVETHERAPIESjulaug2011VOL.17NO.423NatureSoundsandMusicAfterCardiacSurgeryresultscannotnecessarilybegeneraliLedtootherpopulations.Anunderstandingoftheroleoftreatmentmodalitiessuchasmusicandnaturesoundsinmanaginganxietyandpainisneededtohelpachieveabalancebetweenpainmedicationsandtheassortedsideeffects.1118Patientsareincreasinglyseeingintegrativetherapiesandnumerousfacilitiesareincorporatingthemintothecareprovided.Onestudysuggestedthatapproximately50ofpatientshaveincorporatedtheuseofintegrativetherapiesforpainmanagementbecauseconven-tionalpainmedicationswerenoteffectiveinrelievingpain.25Musicisconsideredasimplecost-effectivewaytoimproveapersonx19smoodanddecreaseanxietyandpainassociatedwithsurgeryorothermedicalprocedures.2126HospitaliLationandillnessarestress-fulandareoftenassociatedwithfearofpain.StressandpainduringhospitaliLationmayinterferewithsleepqualityappetitedigestionbehaviorandwoundhealingresultinginlongerhospitalstays.6927FuturestudieswouldbebeneNcialtoconNrmtheresultsofthepresentstudyandtoexploretheeffectofnaturalsoundsinproducingoutcomes.Thefrequencyandtimingofmusiclisteningneedstobeexploredespeciallyinabusyhospitalwithmanypossibleinterrup-tions.Althoughthismusicstudyhadstructuredmusictimesduringthedaypatientsmayprefermusicatothertimesduringtheday.Anotherconsiderationisthepreoperativeandintraoperativeroleofambientmusic.Patientpreferencesalsomaybeaeycomponentoftheeffectivenessofsuchtherapiesandcouldbeaddressedinfuturestudiesthatofferedawiderrangeofmusicandnaturesounds.Inconclusionthisstudyshowedthatrecordedmusicandnaturesoundscanbeintegratedintothepostoperativecareofcardio-vascularsurgerypatients.Forcardiovascularsurgerypatientsambi-entmusicmayprovideanadditionalmeansforaddressingcommonsymptomsofpainandanxietywhileprovidingameansofrelaxation.Theuseofanycomplementarymodalitiesthatcanprovidesomesymptomaticreliefandincreasepatientsatisfactionisawelcomeadditiontopatientcareandprovidespatientswithoptionstoconsid-ertoimprovethehospitalorsurgicalexperience.AcknowledgmentsWegratefullyacnowledgetheparticipationoftheHealingEnhancementteammembersinassistingandsupportingthisstudy.TheCDsusedinthisstudyweredonatedbyAmbienceMedical.WealsoacnowledgetheSaintMarysHospitalAuxiliaryforitsongoingsupportinprovidingthegiftofmusicandotherhealingresourcesforourpatients.FinallythisworwasfurthersupportedbyagenerousgiftfromRichardJ.andSharonM.Mroce.REFERENCES1.Noauthorslisted.Cardiacproceduresandsurgeries.AmericanHeartAssociation.httpamericanheart.orgpresenter.jhtmlidentiNer4674.AccessedNovember92010.2.BarnasonSzimmermanLNieveenJ.Theeffectsofmusicinterventionsonanxietyinthepatientaftercoronaryarterybypassgrafting.Heartx0Lung.1995242124-132.3.PuntillokWeissSJ.Painitsmediatorsandassociatedmorbidityincriticallyillcardio-vascularsurgicalpatients.Nursx0Res.199443131-36.4.VingerhoetsG.Perioperativeanxietyanddepressioninopen-heartsurgery.Psychosomatics.199839130-37.5.BergmannPHuberSMachlerHetal.Perioperativecourseofstressinpatientscon-frontingcardiacsurgery.Internetx0Jx0Thoracx0Cardiovascx0Surg.200032.www.ispub.comjournalthe_internet_journal_of_thoracic_and_cardiovascular_surgeryvolume_3_number_2_2articleperioperative_course_of_stress_in_patients_confronting_cardi-ac_surgery_1.html.AccessedMarch82010.6.kiecolt-GlaserJkPageGGMaruchaPTMacCallumRCGlaserR.PsychologicalinOu-encesonsurgicalrecovery.Perspectivesfrompsychoneuroimmunology.Amx0Psychol.199853111209-1218.7.LusBLashAA.ThestressresponsepsychoneuroimmunologyandstressamongICUpatients.Dimensx0Critx0Carex0Nurs.x0200524125-31.8.DekeyserF.Psychoneuroimmunologyincriticallyillpatients.AACNx0Clinx0Issues.x0200314125-32.9.kiecolt-GlaserJkMaruchaPTMalareyWBMercadoAMGlaserR.Slowingofwoundhealingbypsychologicalstress.Lancet.199534689841194-1196.10.McCaffreyRFrocTLGarguiloH.Understandingchronicpainandthemind-bodyconnection.Holistx0Nursx0Pract.2003176281-287.11.GoodM.Effectsofrelaxationandmusiconpostoperativepainareview.Jx0Advx0Nurs.1996245905-914.12.Noauthorslisted.Chapter37painmanagement.Subchapter37.4non-pharmacologicinterventionsforpostoperativeplan.December2005.InMakingx0Healthcarex0Saferx0Ax0Criticalx0Analysisx0ofx0Patientx0Safetyx0Practices.x0AgencyforHealthcareResearchandQuality.httpwww.ahrq.govclinicptsafetychap37b.htm37.4.AccessedMarch82010.13.BradtJDileoC.Musicforstressandanxietyreductionincoronaryheartdiseasepatients.Cochranex0Databasex0Systx0Rev.x02009Apr152CD006577.14.CarrDJacoxA.Acutepainmanagementoperativeormedicalproceduresandtraumaclinicalpracticeguideline.March2006.AgencyforHealthcareResearchandQuality.httpwww.ahrq.govclinicmedtepacute.htm.AccessedMarch82010.15.Young-MasonJ.Musictherapyahealingart.Clinx0Nursex0Spec.2002163153-154.16.WhippleBGlynnNJ.QuantiNcationoftheeffectsoflisteningtomusicasanoninva-sivemethodofpaincontrol.Schx0Inqx0Nursx0Pract.19926143-58.17.knightWERicardNS.Relaxingmusicpreventsstress-inducedincreasesinsubjectiveanxietysystolicbloodpressureandheartrateinhealthymalesandfemales.Jx0Musicx0Ther.2001384254-272.18.HanserSBMandelSE.Theeffectsofmusictherapy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