The effect of music-based intervention on preoperative anxiety and postoperative pain in patients undergoing transurethral resection of prostate surgery

A BSTRACT Objectives: This study investigated the beneficial effect of music-based intervention (MBI) on preoperative anxiety and postoperative pain in patients undergoing transurethral resection of the prostate (TURP). Materials and Methods: Sixty-four patients with benign prostatic hyperplasia undergoing TURP were randomly assigned to an MBI group ( n = 32) or a control group ( n = 32). The MBI group received a 30-min MBI before surgery, whereas the control group received the usual care. The primary outcomes were pre–post differences in the Visual Analog Scale for anxiety (VAS-A) and stress-related physiological parameters, including systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and respiratory rate (RR) measured before surgery. Secondary outcomes were the Numeric Rating Scale Pain (NRS-P) and opioid use in the recovery room postsurgery. Results: The means of the pre–post differences in VAS-A ( P < 0.01) and SBP ( P < 0.01) in the MBI group were significantly greater than those in the control group; VAS-A and SBP were reduced after MBI. The means of the pre–post differences in DBP, HR, and RR in the MBI group did not differ from those in the control group. We found no significant differences in NRS-P and opioid use between the two study groups. Conclusion: MBI significantly alleviated preoperative VAS-A and SBP in patients undergoing TURP but had null effects on postsurgery pain and opioid use. This study provides evidence to support the clinical application of MBI in this patient population.