The Effect of Binaural Beat Music on Reducing Anxiety and Pain and Increasing Satisfaction of Ophthalmic Patients

Abstract

Background: Preoperative anxiety can reduce the quality of anesthesia and increase the need for anesthetic medications, which can inadvertently increase the length of anesthesia and delay awakening, which results in more complications of anesthesia and surgery. Objectives: The purpose of this study is to investigate the effect of binaural beat music (BBM) on anxiety, pain and satisfaction of patients with eye surgery. Methods: This clinical trial enrolled sixty patients presenting to the surgical unit of Imam Khomeini Hospital in Kermanshah who were randomly assigned to two groups of binaural beat music group (n = 30) and control group (n = 30). Midazolam and propofol (if needed) were used in the conventional opioid group, while binaural beat music was played from 5 minutes before to the end of the surgery in addition to fentanyl (1 cc). Scores of state and trait anxiety (measured by STAI), pain score (measured by VAS), hemodynamic changes before and after surgery, patient satisfaction and surgeon satisfaction were recorded and compared between the two groups. Results: State anxiety after surgery was significantly lower in the BBM group than that in the control group (P < 0.05). There was no significant difference between the two groups regarding trait anxiety symptoms and postoperative pain (P > 0.05). The level of state anxiety, trait anxiety and pain decreased significantly in the BBM group after surgery (P < 0.05). Furthermore, state anxiety and trait anxiety decreased significantly in the control group after surgery (P < 0.05). However, no significant difference was observed between the amount of pain before and after surgery in the control group (P > 0.05). Diastolic blood pressure was significantly lower in the BBM group after surgery than that in the control group (P < 0.05). There was no significant difference between systolic blood pressure, heart rate, SPO2 after surgery in the two groups (P > 0.05). There was no significant difference between patient satisfaction and surgeon satisfaction in the two groups (P > 0.05). Conclusions: Binaural beat music is effective in reducing anxiety and pain, controlling hemodynamic changes, and increasing the satisfaction of patients undergoing eye surgery, and can be a suitable alternative for opioid and sedative medications in anesthetized patients undergoing eye surgery.

Comparison of Binaural Tone Music vs Patient Choice Music vs Midazolam on Perioperative Anxiety in Patients Posted for Surgery Under Spinal Anaesthesia: a Randomized Control Trial

“…Similarly, this study is concordant with studies by Padmanabhan et al [ 7 ] and Roshani et al [ 13 ], who proved that binaural tone music has significant potential to reduce preoperative anxiety and pain, thus maintaining hemodynamic parameters. On comparing intraoperative mean arterial pressure (MAP) and pulse rates between binaural tone music and the midazolam group, MAPs were significantly lower in binaural tone music at different time points.…”

The Effect of Binaural Beats on Preoperative Anxiety among Coronary Artery Bypass Grafting Patients

“…In current study, it was found that all participants (between 45-80) were with high pre-operative anxiety levels whereas, studies conducted in Pakistan [30], Thailand [31], Turkey [32] and Italy [33] showed most of their participants (between 35 to 80)were with moderate to high anxiety levels. In this study, it was found that most of the patients belong to age group between the 30 to 70 years, which is supported by a studies conducted in Thailand [31,34], and Iran [35]. In this study, both binaural beats and counseling techniques showed a statistically significant reduction in pre-operative anxiety levels among CABG patients but binaural beat music reduced more effectively then the counseling technique.…”

Case report: binaural beats music assessment experiment

“…Patients in the BB group showed significant reductions in blood pressure and anxiety. Roshani et al (2019) investigated the effect of BB with music on anxiety and pain of patients prior to eye surgery. Post-surgical anxiety and pain were significantly lower in the BB group than in the control group.…”