{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T02:48:47Z","timestamp":1788922127570,"version":"build-2803163510"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"128","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To evaluate the effects of music therapy on perioperative anxiety, depression and postoperative satisfaction in elderly patients undergoing surgery for distal radius fractures.\n                    <jats:bold>Methods:<\/jats:bold>\n                    A retrospective cohort study of 186 patients (\u226565 years) was conducted from January 2022 to December 2024. The participants were divided based on the treatment period: standard care (January 2022\u2013June 2023,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200992) or music therapy plus standard care (July 2023\u2013December 2024,\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200994). Outcomes measured included anxiety and depression [Hospital Anxiety and Depression Scale (HADS)]; anxiety levels (Visual Analog Scale for Anxiety [VAS-A]); sleep quality (Pittsburgh Sleep Quality Index [PSQ]); satisfaction; pain; length of hospital stay and functional recovery at preoperative, postoperative 24 hours, discharge and 2-week and 6-week follow-up timepoints.\n                    <jats:bold>Results:<\/jats:bold>\n                    The music-therapy group demonstrated progressive improvements across all timepoints. At 6 weeks, the music therapy group maintained superior outcomes compared with standard care: HADS-Anxiety (6.05\u2009\u00b1\u20091.98 vs. 7.34\u2009\u00b1\u20092.24,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001), HADS-Depression (5.86\u2009\u00b1\u20092.07 vs. 6.69\u2009\u00b1\u20092.53,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u20090.015), VAS-A (28.83\u2009\u00b1\u200912.94 vs. 33.47\u2009\u00b1\u200915.19\u2009mm,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u20090.026) and Pittsburgh Sleep Quality Index (6.15\u2009\u00b1\u20091.94 vs. 7.33\u2009\u00b1\u20092.18,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). Patient satisfaction scores were significantly higher (8.46\u2009\u00b1\u20090.94 vs. 7.93\u2009\u00b1\u20091.29,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). Hospital stay was reduced (3.21\u2009\u00b1\u20090.89 vs. 4.12\u2009\u00b1\u20091.23 days,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001), opioid consumption decreased (23.59\u2009\u00b1\u200911.67 vs. 34.56\u2009\u00b1\u200913.89 oral morphine equivalents,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001) and functional recovery was superior (disability of the arm, shoulder and hand]: 28.01\u2009\u00b1\u200911.34 vs. 38.87\u2009\u00b1\u200913.78,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Music therapy considerably reduces anxiety and depression, enhances sleep quality and satisfaction and facilitates recovery of elderly patients undergoing distal radius fracture surgery.\n                  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