Akelma Fatma Kavak, Altınsoy Savaş, Nalbant Burak, Özkan Derya, Ergil Jülide
Department of Anesthesiology and Reanimation, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Turkey.
Department of Anesthesiology and Reanimation, Ankara Bilkent City Hospital, Ankara, Turkey.
Perioper Med (Lond). 2024 Aug 14;13(1):89. doi: 10.1186/s13741-024-00434-3.
We aimed to evaluate the effects of preoperative listening to patient-preferred music and classical music on postoperative anxiety and recovery.
A prospective, randomized controlled, single-blind study included 255 patients who were scheduled for elective inguinal hernia operation under general anesthesia. Spielberger state State-Trait Anxiety Inventory form 1,2 (STAI-I, STAI-II), Quality of Recovery Score-40 (QoR-40) were applied in the preoperatively. In the preoperative period, the preferential music group (group P) patients listened to their favorite music, while patients in the classical music group (group C) listened to classical music, music was not played in the control group (group N). STAI-I, QoR-40 questionnaire, pain status, and patient satisfaction in the postoperative period were recorded by a blinded investigator.
A total of 217 patients participated in the study analysis. Postoperative STAI-1 score was lower in group P than in group N (p = 0.025) and was similar among other groups. The postoperative QoR-40 score was significantly higher in group P than in group N (p = 0.003), and it was similar between the other groups. While SBP, DBP and HR premusic and post-music changes were significant, there was no difference in other groups. There was no difference between the groups in the NRS score. The patient satisfaction score was significantly higher in group P.
Preoperative patient-preferred music application reduces postoperative anxiety and improves recovery quality compared to classical music. In addition, regulation of hemodynamic data and patient satisfaction increase in a preferential music application, but pain scores do not change.
NCT04277559| https://www.
gov/.
我们旨在评估术前聆听患者偏好的音乐和古典音乐对术后焦虑及恢复的影响。
一项前瞻性、随机对照、单盲研究纳入了255例计划在全身麻醉下接受择期腹股沟疝手术的患者。术前应用斯皮尔伯格状态-特质焦虑量表第1、2版（STAI-I、STAI-II）、恢复质量评分-40（QoR-40）。在术前阶段，偏好音乐组（P组）患者聆听他们喜欢的音乐，而古典音乐组（C组）患者聆听古典音乐，对照组（N组）不播放音乐。由一名盲法研究者记录术后的STAI-I、QoR-40问卷、疼痛状况及患者满意度。
共有217例患者参与研究分析。P组术后STAI-1评分低于N组（p = 0.025），其他组之间相似。P组术后QoR-40评分显著高于N组（p = 0.003），其他组之间相似。虽然音乐播放前后收缩压、舒张压和心率变化显著，但其他组之间无差异。NRS评分在各组之间无差异。P组患者满意度评分显著更高。
与古典音乐相比，术前应用患者偏好的音乐可降低术后焦虑并提高恢复质量。此外，偏好音乐应用可调节血流动力学数据并提高患者满意度，但疼痛评分不变。
NCT04277559| https://www.
gov/ 。
