The Therapeutic Effect of Weightless Music to Reduced the Anxiety of Preoperative Patient
Abstract
The purpose of this study was to determine the effect of tempo elements through the creation of new music played to patients preoperatively to reduce anxiety levels. Anxiety in preoperative patients can be a risk factor for increased postoperative anxiety if not previously given appropriate intervention. Anxiety can cause aggressive reactions and increase the patient's experience of distress and difficulty with pain management. Music creation with tempo manipulation and sedative concepts is used to reduce the anxiety level of preoperative patients because it has a character that can provide a relaxing sensation, especially slow tempo and simple melody (William, 2018). One-shot case study pre-experimental research method was used to determine the therapeutic effect of weightless music. Five participants consisted of randomly selected preoperative patients aged 18-40 years. Each participant listened to slow tempo music for 15 minutes as a form of non-pharmacological intervention to reduce anxiety and there was no placebo. The results show that there is a decrease in anxiety levels in preoperative patients and 80% of participants thought that tempo is the most influential musical element. Tempo with a speed between 50-60 bpm can cause a pleasant sensation for subjects who are treated to listening to music. Based on the experimental results, the effect of music on reducing the level of preoperative anxiety then created new musical works.
Efek Terapeutik Musik Weightless dalam Menurunkan Kecemasan
Pasien Praoperasi
Abstrak
Penelitian ini bertujuan untuk mengetahui pengaruh unsur tempo melalui penciptaan musik baru yang diperdengarkan kepada pasien praoperasi dalam menurunkan tingkat kecemasan. Kecemasan pada pasien praoperasi dapat menjadi faktor risiko meningkatnya kecemasan pascaoperasi apabila tidak diberikan intervensi yang tepat sejak awal. Kecemasan dapat memicu reaksi agresif serta meningkatkan pengalaman distres pasien dan kesulitan dalam pengelolaan nyeri. Penciptaan musik dengan manipulasi tempo dan konsep sedatif digunakan untuk menurunkan tingkat kecemasan pasien praoperasi karena memiliki karakter yang mampu memberikan sensasi relaksasi, terutama musik dengan tempo lambat dan melodi sederhana (William, 2018). Penelitian ini menggunakan metode praeksperimen dengan desain one-shot case study untuk mengetahui efek terapeutik musik weightless. Partisipan penelitian berjumlah lima orang pasien praoperasi berusia 18–40 tahun yang dipilih secara acak. Setiap partisipan mendengarkan musik bertempo lambat selama 15 menit sebagai bentuk intervensi nonfarmakologis untuk menurunkan kecemasan, tanpa pemberian plasebo. Hasil penelitian menunjukkan adanya penurunan tingkat kecemasan pada pasien praoperasi, dan sebanyak 80% partisipan menyatakan bahwa tempo merupakan unsur musik yang paling berpengaruh. Tempo dengan kecepatan antara 50–60 bpm mampu menimbulkan sensasi menyenangkan bagi subjek yang menerima perlakuan mendengarkan musik. Berdasarkan hasil eksperimen tersebut, disimpulkan bahwa musik berpengaruh dalam menurunkan tingkat kecemasan praoperasi, yang selanjutnya menjadi dasar penciptaan karya musik baru.
Keywords
Full Text:
PDFReferences
Adhikari, S. P. et al. (2023). Prevalence of pre-operative anxiety and associated risk factors among patients awaiting elective surgery in a tertiary care hospital. F1000Res 12, 1207.
Ardani, Y.M. & Awaludin, S. (2025). The effect of music therapy on anxiety levels in general surgery preoperative patients: A systematic review. Indonesian Journal of Global Health Research, 7(1).
Bachman, N., Palgi, Y., & Bodner, E. (2022). Emotion regulation through music and mindfulness are associated with positive solitude differently at the second half of life. Int. J. Behav. Dev, 46, 520–527.
Bradt, Dileo, Potvin N. (2013). Music for stress and anxiety reduction in coronary heart disease patients (review). The Cochrane Collaboration.
Bretherton, B. (2019). The effects of controlled tempo manipulations on cardiovascular autonomic function. Music & Science, 2, 1-14)
Bugos J. A. et al. (2007). Individualized piano instruction enhances executive functioning and working memory in older adults. Aging and Mental Health, 11(4), 464–471.
Chang, J., Lin, P., & Hoffman, E. (2020). Music major, affects, and positive music listening experience. Psychol. Music, 49, 841–854.
Chen, L., Yin, J., Zheng, Y., Zhao, C., Zhang, H., & Li, J. (2022). The effectiveness of music listening for critically ill patients: a systematic review. Nurs Crit Care.10.1111/nicc.12825.
Chen, Y.F., Chang, M.Y., Chow, L.H., & Ma, W.F. (2021). Effectiveness of music-based intervention in improving uncomfortable symptoms in ICU patients: An umbrella review. Int J Environ Res Publ Health, 18 (21), Article 11500. 10.3390/ijerph182111500
Chiu, P. L. et al. (2023). Virtual Reality–Based intervention to reduce preoperative anxiety in adults undergoing elective surgery: A randomized clinical trial. Jama Netw. Open. 6, e2340588.
Creswell, J. W.; Creswell, J. D. (2023). Research design: Qualitative, quantitative, and mixed methods approaches. 6. ed. Thousand Oaks: SAGE Publications.
Daly, I. (2023). Neural decoding of music from the EEG. Sci. Rep. 13, 624.
Di Nasso., et al. (2016). Influences of 432 Hz music on the perception of anxiety during endodontic treatment: A randomized controlled clinical trial. Clinical Research.
Ding, R., et al. (2023). Therapeutic effect of tempo in Mozart’s sonata for two pianos in patient with epilepsy: An electroencephalographic study. Epilepsy & Behavior, 145, 109323. https://doi.org/10. 016/ j.yebeh.10923.
Djohan. (2010). Respons emosi musikal. Bandung: CV. Lubuk Agung.
Eberhart, L. et al. (2020). Preoperative anxiety in adults—A cross-sectional study on specific fears and risk factors. BMC Psychiatry, 20, 140.
Elay, G. & Özkaya, M. (2023). The effect of music and massage on the pain scales and vital signs of ICU patients with hemodialysis catheter. Europ J Therap, 26(3), pp. 263-269, 10.5152/eurjther.2020.20075
Gomez, P. & Danuser, B. (2007). Relationship between musical structure and psychophysiological measures of emotion. The American Psychological Association.
Harney, C., Johnson, J., Bailes, F., & Havelka, J. (2023). Is music listening an effective intervention for reducing anxiety? A systematic review and meta-analysis of controlled studies. Musicae Scientiae, 27(2), 278–298.
Hsin-Ji Chen, Tsung-Ying Chen, Chiung-Yu Huang, Yuan-Mei Hsieh, Hui-Ling Lai. (2015). Effects of music on psychophysiological responses and opioid dosage in patients undergoing total knee replacement surgery. Japan Journal of Nursing Science.
Jespersen, K. V. et al. (2022). Listening to music for insomnia in adults. Cochrane Database Syst. Rev. 8, CD010459.
Kakar, E., Ottens, T., Stads, S., Wesselius, S., Gommers, D.A.M.P.J., Jeekel, J. (2023). Effect of a music intervention on anxiety in adult critically ill patients: A multicenter randomized clinical trial. J Intensive Care, 11(1), p. 36, 10.1186/s40560-023-00684-1
Kulinski, J. et al. (2022). Effects of music on the cardiovascular system. Trends Cardiovas Med. 32, 390–398.
Lalezari, R., Mehdipour-Rabori, R., T., Dehesh, E., & Nouhi. (2022). The effects of ceiling display and natural sounds on stress and anxiety among cardiac patients: A randomized controlled trial. Nurs Midwifery Stud, 11 (2), pp. 130-136, 10.4103/nms.nms_67_21.
Liu, Y., Lian, W., Zhao, X., Tang, Q., & Liu, G. (2021). Spatial connectivity and temporal dynamic functional network connectivity of musical emotions evoked by dynamically changing tempo. Front. Neurosci. 15.
Liu, Y., Zhao, X., Tang, Q., Li, W., & Liu, G. (2022). Dynamic functional network connectivity associated with musical emotions evoked by different tempo. Brain Connect. 12, 584–597.
Loureiro, C., van der Meulen, K., & del Barrio, C. (2024). Why I listen to music: Emotion regulation and identity construction through music in mid-adolescence. Empiria Rev. Metodol. Cienc. Soc., 60, 145–168.
Naser, D. S. & Saha, G. (2021). Influence of music liking on EEG based emotion recognition. Biomed. Signal. Process. Control 64, 102251.
Nimkulrat, N. (2007). The role of documentation in practice-led research. Journal of Research Practice, 3(1), article M6, AU Press, Canada.
Oh, J. et al. (2024). Assessment of preoperative anxiety and influencing factors in patients undergoing elective surgery: an observational Cross-Sectional study. Med. (Kaunas). 60, 403.
Park, A. & Suh, K.H. (2023). Hardiness and expectations for future life: The roles of perceived stress, music listening for negative emotion regulation, and life satisfaction. Behav. Sci. 13, 852.
Pittman, S. (2011). Music intervention and preoperative anxiety: An integrative review. International Nursing Review, 58(2), 157-163. Article2011EID: 2-s2.0-79955724180. DOI: 10.1111/j.1466-7657.2011.00888.
Randall, W., Baltazar, M., & Saarikallio, S. (2023). Success in reaching affect self-regulation goals through everyday music listening. Journal of New Music Research, 51(2–3), 243–258.
Randall, W.M., Rickard, N.S., & Vella-Brodrick, D.A. (2014). Emotional outcomes of regulation strategies used during personal music listening: A mobile experience sampling study. Music. Sci, 18, 275–291.
Reynaud, D., Bouscaren, N., Lenclume, V., & Boukerrou, M. (2021). Comparing the effects of self-selected music versus predetermined music on patient anxiety prior to gynaecological surgery: The MUANX randomized controlled trial. Trials, 22(1), 1–11. https://doi.org/10.1186/s13063-021-05511-2.
Rivera-Tello, S., Romo-Vázquez, R., González-Garrido, A. A., & Ramos-Loyo, J. (2023). Musical tempo affects EEG spectral dynamics during subsequent time estimation. Biol. Psychol. 178, 108517.
Rossi, C., Oasi, O., & Colombo, B. (2024). Personality characteristics, music-listening, and well-being: A systematic and scoping review. Research in Psychotherapy, 27(1), 742. https://doi.org/10.4081/ripppo.2024.742.
Sathe et al. (2023). Comparative evaluation of effect of piano music and Gayatri Mantra on presurgical vital parameters in patients undergoing major maxillofacial surgery under general anesthesia. Journal of the International Clinical Dental Research Organization, 15(1), 27-31| DOI: 10.4103/jicdro.jicdro_53_21.
Shukla, U., Yadav, U., Kannan, T. K. & Yadav, J. B. S. (2024). Effect of music therapy on anxiety, stress and sedative requirements in patients undergoing lower limb orthopedic surgery under spinal anesthesia: A randomized controlled study. Cureus 16, e73809.
Taipale, M. et al. (2024). Music listening for self-management of anxiety: A qualitative survey. Sage Journals. https://doi.org/10.1177/20592043241264424.
Tan, D.J.A, Polascik, B.A., Kee, H.M. et al. (2020). The effect of perioperative music listening on patient satisfaction, anxiety, and depression: a quasi-experimental study. Anesthesiol Res Pract:3761398.
Tan, X., Yowler, C. J., Super, D. M., & Fratianne, R. B. (2012). The interplay of preference, familiarity and psychophysical properties in defining relaxation music. Journal of Music Therapy, 49(2), 150-179.
Toyoshima, K., Fukui, H., & Kuda, K. (2011). Piano playing reduces stress more than other creative art activities. International Journal of Music Education. DOI: 10.1177/0255761411408505.
Wang, J. et al. (2024). Effect of music on hemodynamic fluctuations in women during induction of general anesthesia: A prospective randomized controlled multicenter trial. Clinics, 79 (April), 100462. https://doi.org/10.1016/j.clinsp. 100462
Watabene, K. Ooishi, Y., Mukai, H., Kawato, S., & Kashino, M. (2017). Increase in salivary oxytocin and decrease in salivary cortisol after listening to relaxing slow-tempo and exciting fast-tempo music.
White, E.L. & Rickard, N.S. (2016). Emotion response and regulation to “happy” and “sad” music stimuli: Partial synchronization of subjective and physiological responses. Music. Sci., 20, 11–25.
William Ms, Courtney. (2018). Music for health outcomes: How to compose and select music for perioperative surgical intervention. Queensland Conservation Griffith University Arts, Education and Law Group.
Xiao, X., Chen, W. & Zhang, X. (2023). The effect and mechanisms of music therapy on the autonomic nervous system and brain networks of patients of minimal conscious states: a randomized controlled trial. Front. Neurosci-switz. 17, 118218.
Yang, L. (2025). 35 piano melody combined with physical training intervention on students’ anxiety disorders. Current Opinion in Psychiatry, 38 (e-Supplement 1): p e10-e11.
Zhang, S. (2025). 17 long-term effects of piano music therapy on the mental health of adolescents with anxiety disorders. Schizophrenia Bulletin,51(1), S9–S10. https://doi.org/10.1093/schbul/sbaf007.017.
DOI: https://doi.org/10.24821/ijcas.v12i2.18279
Refbacks
- There are currently no refbacks.

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

