Effect of Music Listened During Knee Arthroplasty With Spinal Anesthesia on Anxiety, Pain and Cortisol Levels

Condition(s) studied

Investigational drug(s) / intervention(s)

Binaural beat music recital: Binaural beats music is therapeutic music that provides auditory stimuli at different frequencies to each ear. However, the maximum sound levels are 60 dB, which helps to relax and reduce stress.

Study summary

The aim of this study is to examine the effects of binaural beat music played during spinal anesthesia knee arthroplasty on anxiety, pain and cortisol levels. The study was planned as a randomized controlled experimental design study. The hypotheses of the study are as follows;

* Binaural beat music played during spinal anesthesia knee arthroplasty has no effect on anxiety.
* Binaural beat music played during spinal anesthesia knee arthroplasty has an effect on anxiety.
* Binaural beat music played during spinal anesthesia knee arthroplasty has no effect on pain levels.
* Binaural beat music played during spinal anesthesia knee arthroplasty has an effect on pain levels.
* Binaural beat music played during spinal anesthesia knee arthroplasty has no effect on cortisol levels.
* Binaural beat music played during spinal anesthesia knee arthroplasty has an effect on cortisol levels.

A sample group will be formed with 20 patients in the intervention group and 20 patients in the control group. Binaural beat music will be played in the intervention group during the surgical procedure, and routine interventions will be applied to the control group.

Data collection in the intervention group is as follows;

* Patients will be interviewed in the surgery clinic before surgery and the descriptive characteristics form and the State Anxiety Inventory Form will be filled out.
* The 1st measurement of hemodynamic data will be recorded immediately before the surgery
* A musical concert will be started as soon as the surgery begins
* The musical concert will end when the surgery ends
* The 2nd measurement will be recorded immediately after the surgery ends
* In the post-surgery collection unit, the State Anxiety Inventory Form and the Visual Comparison Scale will be used, and a blood sample will be taken to determine cortisol values.

The control group data collection methods are as follows;

* Patients will be interviewed in the surgical clinic before surgery and the descriptive characteristics form and the State Anxiety Inventory Form will be filled in
* The first measurement of hemodynamic data will be recorded immediately before the surgical procedure
* The second measurement will be recorded immediately after the surgical procedure is completed
* Blood samples will be taken in the post-surgical recovery unit to determine the State Anxiety Inventory Form, Visual Comparison Scale and cortisol values.

Eligibility

Primary outcome measure(s)

• State Anxiety Inventory — Through study completion, an average of 2 months
  It is the State Anxiety Inventory Form that will be used for the subjective evaluation of patients' anxietyThe State Anxiety Inventory Form is a highly sensitive tool for assessing sudden changes in emotional reactions.
• Visual Analog Scale — Through study completion, an average of 2 months
  The Visual Comparison Scale, which will be used to evaluate the level of pain and patient satisfaction with knee arthroplasty, consists of a 10 cm long horizontal line.
• Cortisol level — Through study completion, an average of 2 months
  Anxiety increases cortisol secretion via the autonomic nervous system, causing an increase in cortisol levels. In this study, blood cortisol levels will be evaluated as objective data of anxiety.Cortisol levels gradually decrease throughout the day, exhibiting a 24-hour circadian rhythm. Cortisol levels are highest in the morning and lowest at midnight. To avoid being affected by this circadian shift, the first cases of the day will be included in the study.

Trial sites (1)

More Nuh Naci Yazgan University trials in Turkey

Other trials for the same condition