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Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2025; 17(9): 106301
Published online Sep 27, 2025. doi: 10.4240/wjgs.v17.i9.106301
Music therapy combined with anesthesia recovery care boosts anesthesia recovery in colorectal cancer patients undergoing laparoscopic radical resection
Yan Zheng, Hai-Fang Ni, Yan Shi, Dan-Qian Cui, Zhen-Zhu Wu, Yu-Feng Ling, Shui-Qing He, Xiao-Yun Qin
Yan Zheng, Hai-Fang Ni, Yan Shi, Dan-Qian Cui, Zhen-Zhu Wu, Yu-Feng Ling, Shui-Qing He, Anesthesia Recovery Room, Affiliated Hospital of Jiangnan University, Wuxi 214122, Jiangsu Province, China
Xiao-Yun Qin, Department of Anesthesiology and Surgery, Affiliated Hospital of Jiangnan University, Wuxi 214122, Jiangsu Province, China
Author contributions: Zheng Y and Qin XY designed the research, wrote the first manuscript, conducted the analysis, and provided guidance for the research; Zheng Y, Ni HF, Shi Y, Cui DQ, Wu ZZ, Ling YF and He SQ conceived the research and analyzed the data; and all authors reviewed and approved the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Affiliated Hospital of Jiangnan University.
Informed consent statement: Patients did not need to provide informed consent for the study, as anonymous clinical data were used for analysis.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data used in the above analysis are available upon reasonable request from the corresponding authors.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Yun Qin, Department of Anesthesiology and Surgery, Affiliated Hospital of Jiangnan University, No. 1000 Hefeng Road, Binhu District, Wuxi 214122, Jiangsu Province, China. qinxiaoyun0723@163.com
Received: April 15, 2025
Revised: May 30, 2025
Accepted: July 17, 2025
Published online: September 27, 2025
Processing time: 162 Days and 0.2 Hours
Abstract
BACKGROUND

Current standard nursing practices demonstrate limited effectiveness in perioperative colorectal cancer (CRC) management, highlighting the need to explore alternative care strategies that improve clinical outcomes.

AIM

To investigate the impact of music therapy and anesthesia recovery care on anesthesia recovery in patients with CRC undergoing laparoscopic radical resection.

METHODS

One hundred and twenty patients scheduled for elective laparoscopic CRC radical resection at Affiliated Hospital of Jiangnan University from January 2022 to May 2024 were enrolled. The patients were assigned to control (n = 60, receiving standard nursing care) and observation groups (n = 60, receiving music therapy, anesthesia recovery care, and standard nursing care). We comparatively analyzed the time to regain consciousness, extubation time, and length of stay in the postanesthesia care unit; heart rate, systolic blood pressure, and diastolic blood pressure before anesthesia and during recovery; cortisol, aldosterone, norepinephrine, and adrenaline levels before anesthesia and 24 hours postoperatively; Postoperative Quality of Recovery Scale scores; and complication rates between the groups.

RESULTS

The observation group exhibited a significantly shorter time to regain consciousness, extubation time, and postanesthesia care unit stay than the control group (P < 0.05). During the recovery period, heart rate, systolic blood pressure, and diastolic blood pressure significantly increased in both groups compared with preanesthesia levels, with the levels in the observation group being significantly lower than those in the control group (P < 0.05). At 24 hours postoperatively, cortisol, aldosterone, norepinephrine, and adrenaline levels were elevated in both groups compared with preanesthesia levels, with levels in the observation group being significantly lower than those in the control group (P < 0.05). The observation group achieved significantly higher Postoperative Quality of Recovery Scale scores than the control group (P < 0.05). Moreover, the complication rate in the observation group was significantly lower than that in the control group (10.00% vs 40.00%, P < 0.05).

CONCLUSION

Music therapy combined with anesthesia recovery care remarkably boosted the quality of anesthesia recovery in patients undergoing laparoscopic CRC radical resection, mitigated fluctuations in vital signs and stress responses, improved postoperative recovery quality, and reduced complication rates, demonstrating substantial clinical value.

Keywords: Music therapy; Anesthesia recovery care; Laparoscopic radical resection for colorectal cancer; Anesthesia recovery period

Core Tip: This research project examines the impact of music therapy in combination with anesthesia recovery care on colorectal cancer patients undergoing laparoscopic radical resection. A comparison was made between standard nursing care and music therapy plus anesthesia recovery care. Several key outcomes were assessed, including anesthesia recovery quality, vital signs, stress response, postoperative recovery quality, and complications. The combination therapy offered superior clinical benefits, contributing to higher recovery quality, minimized vital sign fluctuations, more effectively mitigated stress responses, better postoperative outcomes, and decreased complication rates in the study population.