Ambulatory Surgery Clinical Trial
— HarmonieOfficial title:
Information and Music Therapy as a Means of Reducing Preoperative Anxiety in Outpatient Surgery. Outpatient Surgery: a Before-and-after Study
This is a monocentric, prospective, before-and-after, open-label controlled study, two groups of 99 patients each: "control" group - usual care - versus "intervention" group "Intervention" group - patient information via an explanatory video followed by a 15-minute music therapy session of the patient's choice in the operating waiting room.
Status | Recruiting |
Enrollment | 198 |
Est. completion date | January 15, 2025 |
Est. primary completion date | August 3, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: - Any patient over the age of 18 undergoing scheduled outpatient surgery in the central - under general anesthesia. The surgeries surgeries concerned are versatile: Digestive (inguinal hernias, proctology, cholecystectomy, etc.), thoracic endoscopy (biopsy examination under GA), gynecological (hysteroscopy, diagnostic laparoscopy diagnostic laparoscopy, cerclage...), ENT (endoscopies, septoplasty, meatotomy...), Urology (JJ catheter insertionTOT/TVT, botulinum toxin injection...), vascular (stripping) - Patient with oral non-opposition prior to any study procedure - Not to have objected to inclusion in the research - Patient affiliated to a health insurance scheme Exclusion Criteria: - Patients undergoing emergency surgery, considered full stomach - Patient not respecting the central block route (interventional radiology in this case) - First patients in the program because they present the risk of less than than 15 minutes - Patients who do not understand French - Patient deprived of liberty or under guardianship - Pregnant or breast-feeding women |
Country | Name | City | State |
---|---|---|---|
France | DRCI FOCH Hospital | Suresnes | |
France | FOCH Hospital | Suresnes |
Lead Sponsor | Collaborator |
---|---|
Hopital Foch |
France,
Celik F, Edipoglu IS. Evaluation of preoperative anxiety and fear of anesthesia using APAIS score. Eur J Med Res. 2018 Sep 11;23(1):41. doi: 10.1186/s40001-018-0339-4. — View Citation
Eberhart L, Aust H, Schuster M, Sturm T, Gehling M, Euteneuer F, Rusch D. Preoperative anxiety in adults - a cross-sectional study on specific fears and risk factors. BMC Psychiatry. 2020 Mar 30;20(1):140. doi: 10.1186/s12888-020-02552-w. — View Citation
Eijlers R, Dierckx B, Staals LM, Berghmans JM, van der Schroeff MP, Strabbing EM, Wijnen RMH, Hillegers MHJ, Legerstee JS, Utens EMWJ. Virtual reality exposure before elective day care surgery to reduce anxiety and pain in children: A randomised controlle — View Citation
Friedrich S, Reis S, Meybohm P, Kranke P. Preoperative anxiety. Curr Opin Anaesthesiol. 2022 Dec 1;35(6):674-678. doi: 10.1097/ACO.0000000000001186. Epub 2022 Sep 21. — View Citation
Gurler H, Yilmaz M, Turk KE. Preoperative Anxiety Levels in Surgical Patients: A Comparison of Three Different Scale Scores. J Perianesth Nurs. 2022 Feb;37(1):69-74. doi: 10.1016/j.jopan.2021.05.013. Epub 2021 Nov 19. — View Citation
Hedayati J, Bagheri-Nesami M, Elyasi F, Hosseinnataj A. The Effect of Music Therapy on the Pain and Anxiety Levels of Patients Experiencing Wound Healing by Suturing in the Emergency Wards. Anesth Pain Med. 2023 Feb 25;13(1):e132943. doi: 10.5812/aapm-132 — View Citation
Maurice-Szamburski A, Auquier P, Viarre-Oreal V, Cuvillon P, Carles M, Ripart J, Honore S, Triglia T, Loundou A, Leone M, Bruder N; PremedX Study Investigators. Effect of sedative premedication on patient experience after general anesthesia: a randomized — View Citation
Maurice-Szamburski A, Loundou A, Capdevila X, Bruder N, Auquier P. Validation of the French version of the Amsterdam preoperative anxiety and information scale (APAIS). Health Qual Life Outcomes. 2013 Oct 7;11:166. doi: 10.1186/1477-7525-11-166. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Compare the proportion of patients with high anxiety (Visual Analog Score (VAS) for pain greater than or equal to 40/100) in operating waiting room between the two groups (before and after implementation of the actions). | The primary endpoint was the presence or absence of high anxiety in operating waiting room (T2), measured by an VAS score > 40/100. A range of scores from 0-100. A higher score indicates greater pain intensity. | up to 24 hours | |
Secondary | Compare anxiety levels in preoperative reception unit (T1) and in post anesthesia care unit room (T3) between the two groups: Amsterdam Preoperative Anxiety and Information Scale (APAIS) and VAS score | VAS score and APAIS in preoperative reception unit (T1) and in post anesthesia care unit room (T3). A range of scores from 0-100. A higher score indicates greater pain intensity. The APAIS scale is a six-item questionnaire graded on a five-point Likert scale from 1=not at all to 5=extremely | up to 24 hours | |
Secondary | Compare anxiety levels in operating waiting room (T2) | VAS score in operating room waiting room (T2). A range of scores from 0-100. A higher score indicates greater pain intensity. | up to 24 hours | |
Secondary | Compare the time to loss of consciousness measured in the operating room between both groups | Time to loss of consciousness measured in the operating room (time between injection of hypnotic agent (propofol) and a sleep depth measurement less than 60) | up to 24 hours | |
Secondary | Compare the amount of propofol (mg/kg) at induction required to achieve loss of consciousness between the two groups. | Amount of propofol (mg/kg) at induction required to achieve loss of consciousness | up to 24 hours | |
Secondary | Evaluate the level of satisfaction of each action implemented using a specific questionnaire at the end of the program. | Level of satisfaction using a specific questionnaire at the end of the Licker scale | up to 24 hours | |
Secondary | Evaluate the proportion of dropouts for each action, i.e. the proportion of patients who did not viewed the video until the end, or did not complete the entire music therapy session. | Action completed in full or partially yes or no | up to 24 hours |
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