Ligree Navin, Nanda Samridhi, Morwal Sanjay, Garg Komal
Department of Anaesthesiology, SMS Hospital and Attached Hospitals, Jaipur, Rajasthan, India.
Indian J Anaesth. 2023 Jul;67(7):590-594. doi: 10.4103/ija.ija_740_22. Epub 2023 Jul 14.
This study aimed to determine the effects of music and active noise cancellation on intraoperative anxiety in patients undergoing lower limb surgeries under spinal anaesthesia.
After obtaining ethical approval, this randomised controlled study was conducted in adult patients (18-50 years of age) of either gender. Patients were randomly allocated to binaural beat music (Group A), noise cancellation (Group B) or no headphones (Group C) group ( = 36 in each group). State-Trait Anxiety Inventory-6 (STAI-6) score and Visual Analogue Score for Satisfaction (VAS-S) were noted preoperatively and at the end of surgery. In addition, Ramsay sedation scores and Likert communication difficulty scores were noted at 30 min intraoperatively. Haemodynamic parameters were noted preoperatively and at different intervals intraoperatively till the end of the surgery.
There was a significant decrease in anxiety scores in Group A, Group B and Group C with postoperative STAI-6 scores (mean ± standard deviation) of 7.8 ± 1.7, 11.7 ± 4.2 and 14.7 ± 5.3, respectively. The difference was significant in Groups A and B compared to Group C ( < 0.001). Patient satisfaction scores in Groups A and B were better than in Group C (7.3 ± 1.7 and 6.2 ± 1.6 vs. 5.2 ± 1.3, respectively). Sedation scores and communication difficulty was significantly better in Groups A and B compared to Group C. Systolic blood pressure was significantly better intra- and postoperatively. There were no significant differences in other haemodynamic parameters on most occasions.
Music and noise-cancellation headphones can reduce anxiety and improve satisfaction and sedation scores in patients undergoing spinal anaesthesia.
本研究旨在确定音乐和主动降噪对脊髓麻醉下行下肢手术患者术中焦虑的影响。
在获得伦理批准后，对成年患者（18 - 50岁，不限性别）进行了这项随机对照研究。患者被随机分配到双耳节拍音乐组（A组）、降噪组（B组）或不戴耳机组（C组）（每组n = 36）。术前及手术结束时记录状态 - 特质焦虑量表 - 6（STAI - 6）评分和视觉模拟满意度评分（VAS - S）。此外，术中30分钟时记录拉姆齐镇静评分和李克特沟通困难评分。术前及术中不同时间间隔直至手术结束时记录血流动力学参数。
A组、B组和C组的焦虑评分均显著降低，术后STAI - 6评分（均值±标准差）分别为7.8±1.7、11.7±4.2和14.7±5.3。与C组相比，A组和B组差异有统计学意义（P < 0.001）。A组和B组的患者满意度评分优于C组（分别为7.3±1.7和6.2±1.6 vs. 5.2±1.3）。与C组相比，A组和B组的镇静评分和沟通困难情况明显更好。术中及术后收缩压明显更好。大多数情况下，其他血流动力学参数无显著差异。
音乐和降噪耳机可降低脊髓麻醉患者的焦虑，提高满意度和镇静评分。
