The Effect of Music Listening on Anxiety Levels in Post-Subarachnoid Block Anaesthesia Patients

  • Muhammad Yogi Prandani Faculty of Medicine, Public Health, and Nursing, Gadjah Mada University, Yogyakarta
  • Juni Kurniawaty Faculty of Medicine, Public Health, and Nursing, Gadjah Mada University, Yogyakarta
  • Ratih Kumala Fajar Apsari Faculty of Medicine, Public Health, and Nursing, Gadjah Mada University, Yogyakarta
Keywords: Subarachnoid block, post operative anxiety, Listening to music

Abstract

Background: The patients’ perioperative conditions can affect post-operative anxiety. Subarachnoid block anaesthesia can increase the incidence of post-operative anxiety. Methods to reduce post-operative anxiety are divided into pharmacological, with the administration of sedative drugs, and non-pharmacological, with holistic education, acupuncture, listening to music during surgery, and others
Objective: This study aims to observe the effect of listening to music on the anxiety level of surgical patients undergoing subarachnoid block anesthesia.
Methods: This study was a Randomized Controlled Trial (RCT), with an intervention group (n=50) listening to music after subarachnoid block during surgery and a control group (n=50) receiving standard routine anesthetic care. Anxiety assessment using the STAI score and vital signs were performed at 3 different times in both groups.
Results: There were no differences in patient characteristics between the two groups. Anxiety measurement in the reception room (X1) showed 37 patients (74%) and 31 patients (62%) with moderate anxiety in the intervention and control groups, respectively (p>0.05). There was no difference in patient anxiety levels between the two groups (p>0.05) in the operating room (X2). Post-operative anxiety measurement in the recovery room (X3) showed 43 patients (86%) with low anxiety in the intervention group, compared to 32 patients (64%) in the control group. Patients who listened to music during surgery had a lower level of post-operative anxiety compared to the control group (p=0.011). 
Conclusion: Listening to music can reduce post-operative anxiety in patients undergoing surgery with subarachnoid block, compared to patients receiving standard routine care

References

Bradt J, Dileo C, Shim M. Music interventions for preoperative anxiety. Cochrane Database Syst Rev. 2013;2013(6): 1-78. Doi: 10.1002/14651858.CD006908.pub2

Lee WP, Wu PY, Lee MY, Ho LH, Shih WM. Music listening alleviates anxiety and physiological responses in patients receiving spinal anesthesia. Complement Ther Med. 2017;31:8–13. Doi: 10.1016/j.ctim.2016.12.006

Caumo W, Schmidt AP, Schneider CN, Bergmann J, Iwamoto CW, Bandeira D, et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand. 2001;45(3):298-307. Doi: 10.1034/j.1399-6576.2001.045003298.x.

Wright KD, Stewart SH, Finley GA, Buffett-Jerrott SE. Prevention and Intervention Strategies to Alleviate Preoperative Anxiety in Children: A Critical Review. Behav Modif. 2007; 31(1): 52–79. Doi:10.1177/0145445506295055

Lepage C, Drole P, Girard M, Grenier Y, DeGagne R. Music decreases Sedative Requirement During Spinal Anesthesia. Anesth Analg. 2001;93(4): 912-16.

oomba RS, Arora R, Shah PH, Chandrasekar S, Molnar J. Effects of music on systolic blood pressure, diastolic blood pressure, and heart rate: A meta-analysis. Indian Heart J. 2012;64(3):309–13. Doi: 10.1016/S0019-4832(12)60094-7

Yilmaz E, Ozcan S, Basar M, Basar H, Batislam E, Ferhat M. Music decreases anxiety and provides sedation in extracorporeal shock wave lithotripsy. Urology. 2003;61(2):282–6. Doi: 10.1016/s0090-4295(02)02375-0

Pittman S, Kridli S. Music intervention and preoperative anxiety: an integrative review. Int Nurs Rev. 2011; 58(2): 157–63. Doi: 10.1111/j.1466-7657.2011.00888.x.

Bringman H, Giesecke K, Thorne A, Bringman S. Relaxing music as pre-medication before surgery: A randomised controlled trial. Acta Anaesthesiol Scand. 2009;53(6):759–64. Doi: 10.1111/j.1399-6576.2009.01969.x

Eberhart L, Aust H, Schuster M, Sturm T, Gehling M, Euteneuer F, et al. Preoperative anxiety in adults - A cross-sectional study on specific fears and risk factors. BMC Psychiatry. 2020; 20(1): 1-14. Doi: 10.1186/s12888-020-02552-w

Nigussie S, Belachew T, Wolancho W. Predictors of preoperative anxiety among surgical patients in Jimma University Specialized Teaching Hospital, South Western Ethiopia. BMC Surg. 2014; 14:1-10. Doi: 10.1186/1471-2482-14-67

Published
2026-02-19
How to Cite
Prandani, M. Y., Kurniawaty, J., & Apsari, R. K. F. (2026). The Effect of Music Listening on Anxiety Levels in Post-Subarachnoid Block Anaesthesia Patients . Jurnal Komplikasi Anestesi, 13(1), 14-23. https://doi.org/10.22146/jka.v13i1.18170
Section
Articles

Most read articles by the same author(s)