Ratanalerdnawee Punchiga, Maiprasert Mart, Klaphajone Jakkrit, Khunngam Pongsiri, Norchai Phawit
Department of Anti-Aging and Regenerative Medicine, College of Integrative Medicine, Dhurakij Pundit University, Bangkok 10210, Thailand.
Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Nurs Rep. 2025 Jul 31;15(8):282. doi: 10.3390/nursrep15080282.
: Anxiety before ophthalmic surgery under local anesthesia may hinder patient cooperation and surgical outcomes. Nurse-led auditory interventions offer a promising non-pharmacological approach to perioperative anxiety management. This study evaluated the effectiveness of superimposed binaural beats (SBBs)-classical music layered with frequency differentials-in reducing anxiety during pterygium surgery with conjunctival autografting. : In this randomized controlled trial, 111 adult patients scheduled for elective pterygium excision with conjunctival autografting under local anesthesia were allocated to one of three groups: SBBs, plain music (PM), or silence (control). A trained perioperative nurse administered all auditory interventions. The patients' anxiety was assessed using the State-Trait Anxiety Inventory-State (STAI-S), and physiological parameters (blood pressure, heart rate, respiratory rate, and oxygen saturation) were recorded before and after surgery. : The SBB group showed significantly greater reductions in their STAI-S scores ( < 0.001), systolic blood pressure ( = 0.011), heart rate ( = 0.003), and respiratory rate ( = 0.009) compared to the PM and control groups. No adverse events occurred. SBBs are a safe, nurse-delivered auditory intervention that significantly reduces perioperative anxiety and supports physiological stability. Their integration into routine nursing care for minor ophthalmic surgeries is both feasible and beneficial. Trial Registration: This study was registered with the Thai Clinical Trials Registry (TCTR) under registration number TCTR20250125002 on 25 January 2025.
局部麻醉下眼科手术前的焦虑可能会妨碍患者的配合以及手术效果。由护士主导的听觉干预为围手术期焦虑管理提供了一种有前景的非药物方法。本研究评估了叠加双耳节拍（SBBs）——即叠加有频率差异的古典音乐——在翼状胬肉切除联合结膜自体移植手术中减轻焦虑的效果。
在这项随机对照试验中，111名计划在局部麻醉下进行择期翼状胬肉切除联合结膜自体移植的成年患者被分为三组之一：SBBs组、纯音乐（PM）组或安静对照组。一名经过培训的围手术期护士实施所有听觉干预。使用状态-特质焦虑量表-状态版（STAI-S）评估患者的焦虑程度，并在手术前后记录生理参数（血压、心率、呼吸频率和血氧饱和度）。
与PM组和对照组相比，SBBs组的STAI-S评分（<0.001）、收缩压（=0.011）、心率（=0.003）和呼吸频率（=0.009）显著降低。未发生不良事件。SBBs是一种安全的、由护士实施的听觉干预措施，可显著减轻围手术期焦虑并维持生理稳定。将其纳入小型眼科手术的常规护理既可行又有益。试验注册：本研究于2025年1月25日在泰国临床试验注册中心（TCTR）注册，注册号为TCTR20250125002。
