EVALUATION OF THE EFFECTS OF INTRAOPERATIVE MUSIC THERAPY ON INTRAOPERATIVE ANALGESIC AND SEDATIVE CONSUMPTION

Year 2025, Volume: 26 Issue: 4, 365 - 370, 13.10.2025

Bilal Atilla Bezen , Kamil Taşkapılı , Elif Doğan Bakı , Elif Büyükerkmen

https://doi.org/10.18229/kocatepetip.1607160

Abstract

OBJECTIVE: The aim of this study was to investigate the effect of music therapy on patients' anxiety and pain levels during knee replacement surgery.
MATERIAL AND METHODS: This prospective, randomized, controlled study was performed at the Afyonkarahisar Sağlık Bilimleri University “Department of Anesthesiology and Reanimation After approval was obtained from the Afyonkarahisar Sağlık Bilimleri University Ethics Committee. Forty-two patients who underwent elective knee replacement surgery under spinal anesthesia were divided into two groups: music group (Group M, n=21) and control group (Group K, n=21). Group M listened to Turkish classical music during the operation, while Group K was exposed only to operating room ambient sounds. Anxiety levels of the patients were measured preoperatively and postoperatively with the Beck Anxiety Inventory (BAI) Intraoperative sedation was assessed with OAA/SS and pain was assessed with VAS scores, and intraoperative midazolam and fentanyl requirements were recorded.
RESULTS: Group M required less amount of additional sedative during the intraoperative period than Group K (p=0.002). Although the number of patients that required additional fentanyl was less in Group M, the amount of fentanyl use was similar between the groups (p=0.891). In the postoperative period, anxiety scores of Group M were significantly lower than Group K (p=0.003). Pulse rate values were lower in Group M during and after the operation.
CONCLUSIONS: Intraoperative music therapy is an effective method to reduce the number of patients using analgesics and the need for additional sedative agents during knee replacement surgery performed under spinal anesthesia.

Keywords

Anxiety , Music therapy , Spinal anesthesia , Knee prosthesis , Sedation , Analgesia.

Ethical Statement

This prospective randomized controlled trial was performed after approval from the Afyonkarahisar Health Science University Ethics Committee (date: 06.11.2020, decision no: 487).

İNTRAOPERATİF MÜZİK TERAPİSİNİN İNTRAOPERATİF ANALJEZİK VE SEDATİF TÜKETİMİNE ETKİLERİNİN DEĞERLENDİRİLMESİ

Abstract

AMAÇ: Bu çalışmanın amacı, diz protezi ameliyatı sırasında uygulanan müzik terapisinin hastaların anksiyete ve ağrı seviyelerine etkisini incelemektir.
GEREÇ VE YÖNTEM: Bu prospektif, randomize, kontrollü çalışma, Afyonkarahisar Sağlık Bilimleri Üniversitesi Etik Kurulu onayı sonrası, Afyonkarahisar Sağlık Bilimleri Üniversitesi anesteziyoloji ve reanimasyon bölümünde gerçekleştirildi. Spinal anestezi altında elektif diz protezi ameliyatı uygulanan 42 hasta, müzik grubu (Grup M, n=21) ve kontrol grubu (Grup K, n=21) olmak üzere iki gruba ayrıldı. Grup M, operasyon sırasında Türk klasik müziği dinlerken, Grup K yalnızca ameliyathane ortam seslerine maruz kaldı. Hastaların anksiyete seviyeleri Beck Anksiyete Ölçeği ile preoperatif ve postoperatif dönemde ölçüldü. İntraoperatif sedasyon, OAA/SS ile ağrı ise VAS skorları ile değerlendirildi ve intraoperatif midazolam ve fentanil gereksinimleri kaydedildi.
BULGULAR: Grup M, intraoperatif dönemde Grup K’ya göre daha az miktarda midazolam gereksinimi gösterdi (p=0,002). Grup M'de fentanil ihtiyacı olan hasta sayısı daha az olmasına rağmen, fentanil kullanım miktarı gruplar arasında benzer bulundu (p=0,891). Postoperatif dönemde Grup M'nin anksiyete skorları Grup K'ya göre anlamlı şekilde düşük bulundu (p=0,003). Grup M'de nabız değerleri operasyon sırasında ve sonrasında tekrarlayan ölçümlerde daha düşük seyretti (p<0,05).
SONUÇ: İntraoperatif müzik terapisi, spinal anestezi altında uygulanan diz protezi ameliyatlarında analjezik kullanılan hasta sayısını ile ek sedatif ajan ihtiyacını düşürmek için etkili bir yöntemdir.

Keywords

Anksiyete , Müzik terapi , Spinal anestezi , Diz protezi , Sedasyon , Analjezi.

Ethical Statement

Bu prospektif randomize kontrollü çalışma Afyonkarahisar Sağlık Bilimleri Üniversitesi Etik Kurulu'nun 06.11.2020 tarih ve 487 sayılı karar onayı alındıktan sonra gerçekleştirildi.

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