Nurse-Led Binaural Beat Intervention for Anxiety Reduction in Pterygium Surgery: A Randomized Controlled Trial.

IF 2 Q1 NURSING

Nursing Reports Pub Date : 2025-07-31 DOI:10.3390/nursrep15080282

Punchiga Ratanalerdnawee, Mart Maiprasert, Jakkrit Klaphajone, Pongsiri Khunngam, Phawit Norchai

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Abstract

Background/Objectives: Anxiety before ophthalmic surgery under local anesthesia may hinder patient cooperation and surgical outcomes. Nurse-led auditory interventions offer a promising non-pharmacological approach to perioperative anxiety management. This study evaluated the effectiveness of superimposed binaural beats (SBBs)-classical music layered with frequency differentials-in reducing anxiety during pterygium surgery with conjunctival autografting. Methods: In this randomized controlled trial, 111 adult patients scheduled for elective pterygium excision with conjunctival autografting under local anesthesia were allocated to one of three groups: SBBs, plain music (PM), or silence (control). A trained perioperative nurse administered all auditory interventions. The patients' anxiety was assessed using the State-Trait Anxiety Inventory-State (STAI-S), and physiological parameters (blood pressure, heart rate, respiratory rate, and oxygen saturation) were recorded before and after surgery. Results: The SBB group showed significantly greater reductions in their STAI-S scores (p < 0.001), systolic blood pressure (p = 0.011), heart rate (p = 0.003), and respiratory rate (p = 0.009) compared to the PM and control groups. No adverse events occurred. Conclusions: SBBs are a safe, nurse-delivered auditory intervention that significantly reduces perioperative anxiety and supports physiological stability. Their integration into routine nursing care for minor ophthalmic surgeries is both feasible and beneficial. Trial Registration: This study was registered with the Thai Clinical Trials Registry (TCTR) under registration number TCTR20250125002 on 25 January 2025.

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护士引导双耳搏击干预减少翼状胬肉手术患者焦虑：一项随机对照试验。

背景/目的：局麻眼科手术前的焦虑可能会影响患者的配合和手术效果。护士主导的听觉干预为围手术期焦虑管理提供了一种很有前途的非药物方法。本研究评估了叠加双耳节奏(SBBs)-古典音乐分层频率差-在翼状胬肉自体结膜移植手术中减少焦虑的有效性。方法：在这项随机对照试验中，111名计划在局部麻醉下进行选择性翼状胬肉切除联合自体结膜移植的成年患者被分配到三组：sbb、纯音乐（PM）或沉默（对照组）。一名训练有素的围手术期护士负责所有听觉干预。采用状态-特质焦虑量表（State-Trait anxiety Inventory-State, STAI-S）评估患者的焦虑状态，并记录手术前后的生理参数（血压、心率、呼吸频率、血氧饱和度）。结果：与PM和对照组相比，SBB组在sti - s评分（p < 0.001）、收缩压（p = 0.011）、心率（p = 0.003）和呼吸频率（p = 0.009）方面均有显著降低。无不良事件发生。结论：sbb是一种安全的、由护士提供的听觉干预，可显著减少围手术期焦虑并支持生理稳定性。将其纳入眼科小手术的常规护理是可行且有益的。试验注册：本研究于2025年1月25日在泰国临床试验注册中心（TCTR）注册，注册号为TCTR20250125002。

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来源期刊

Nursing Reports NURSING-

CiteScore

2.50

自引率

4.20%

发文量

期刊介绍： Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.