The Effects of Music, White Noise, and Ambient Noise on Sedation and Anxiety in Patients Under Spinal Anesthesia During Surgery

To compare effects of music, white noise, and ambient (background) noise on patient anxiety and sedation. Open, parallel, and randomized controlled trial. Seventy-five patients aged 18 to 60 years who were scheduled for surgical procedures under spinal anesthesia were randomly assigned to ambient no...

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Bibliographic Details
Published in:Journal of perianesthesia nursing 2014-10, Vol.29 (5), p.418-426
Main Authors: Ilkkaya, Nazan Koylu, Ustun, Faik Emre, Sener, Elif Bengi, Kaya, Cengiz, Ustun, Yasemin Burcu, Koksal, Ersin, Kocamanoglu, Ismail Serhat, Ozkan, Fatih
Format: Article
Language:English
Subjects:
Adolescent
Adult
ambient noise
Anesthesia, Spinal
Anxiety
Female
Humans
Hypnotics and Sedatives - administration & dosage
Male
Middle Aged
Music
Noise
Nursing
patient anxiety
white noise
Young Adult
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Summary:To compare effects of music, white noise, and ambient (background) noise on patient anxiety and sedation. Open, parallel, and randomized controlled trial. Seventy-five patients aged 18 to 60 years who were scheduled for surgical procedures under spinal anesthesia were randomly assigned to ambient noise (Group O), white noise (Group B), or music groups (Group M). We evaluated patients' anxiety and sedation levels via the Observer's Assessment of Alertness/Sedation (OAA/S) scale and the State-Trait Anxiety Inventory (STAI) questionnaire. At 5 minutes before surgery, the STAI-State Anxiety Inventory (SA) value was significantly lower in Group M than the other groups. At 30-minute recovery, Group M showed significantly lower STAI-SA values than the other groups. Patient satisfaction was highest in Group M. OAA/S values were not significantly different between groups during any period (P > .05). We suggest that patient-selected music reduces perioperative anxiety and contributes to patient satisfaction during the perioperative period.
ISSN:1089-9472
1532-8473
DOI:10.1016/j.jopan.2014.05.008