The Effect of Listening to Music Before Surgery on the Anxiety of Individuals Scheduled for Urological Surgery

The anxiety felt at a high level in many patients in the pre-operative period can be caused by many reasons such as general anesthesia, anxiety about not being able to wake up from the operation, fear of being disabled, fear of pain after the operation, fear of losing control over the body, fear of sexual loss and worries about not being able to work after the operation can develop. Anxiety experienced at a high level in the preoperative period; While it causes physical problems such as dizziness, nausea and headache, it also affects the anxiety to be experienced after the surgery. Looking at the effects of preoperative anxiety in the postoperative period, it increases the intensity of postoperative pain and analgesia requirement, affects anesthesia requirements, and increases hospitalization time in some types of surgery, and as a result, increases postoperative morbidity and mortality. Anxiety levels of patients; may be affected by a wide variety of factors such as previous experiences, the way they came to the hospital, their gender, age, and the type of surgery they will undergo. In contrast, effective control of preoperative anxiety provides better management of postoperative pain and faster recovery.

The positive and curative effect of music has been the subject of constant interest from past to present and it has been used more and more among non-pharmacological techniques. Listening to music, intensive care, surgery, psychiatry, obstetrics, pediatrics, oncology services, in the process of radiotherapy and chemotherapy in patients with other diagnostic and treatment from the symptoms that arise in the process, especially in the management of pain and anxiety is often applied. In addition, it has been determined that it has important positive effects on the activation of the immune system, increasing the quality of life, reducing the amount of drugs used in the treatment of pain, shortening the hospital stay and spirituality.

In many studies in the literature examining the effect of music on anxiety associated with surgical intervention; it has been found that music reduces the level of anxiety. However, a study has also found that music does not affect the anxiety experienced by an individual. Although there are no studies evaluating the effect of music on the anxiety level of individuals scheduled for urological surgery, in a meta-analysis study evaluating the effect of music on individuals undergoing urological procedures in outpatients, it was found that music reduces anxiety.

In the nursing profession, which focuses on providing holistic care in the biopsychosocial sense, it is important to increase the quality of care by addressing the emotional experiences of the individual during physical health problems.Addressing anxiety as an emotional experience before surgical intervention within the scope of nursing interventions may contribute to increasing the quality of life of the individual.In the light of this information, this study aims to evaluate the effect of listening to music before surgery on the anxiety level of individuals who are planned for urological surgery as an independent therapeutic nursing intervention and to improve nursing care with the findings obtained from the study.

Inclusion criteria

• To be literate
• Being undergoing urological surgery for the first time
• Be over 18 years old
• Having agreed to participate in the study

Exclusion criteria

• To be hard of hearing
• Inability to communicate verbally
• Having a disease that prevents data collection
• Having difficulty wearing headphones