ผลของการให้ข้อมูลแบบรูปธรรม-ปรนัยร่วมกับการฟังดนตรีที่ชอบต่อความวิตกกังวล ในระยะผ่าตัดของผู้ป่วยสูงอายุข้อเข่าเสื่อมที่ได้รับการผ่าตัดเปลี่ยนข้อเข่าเทียมภายใต้การระงับความรู้สึกด้วยยาชาผ่านช่องไขสันหลัง

Kanokwan Chaisabai; Boontiva Soowit

Authors

Kanokwan Chaisabai Kuakarun Faculty of Nursing, Navamindradhiraj University
Boontiva Soowit Kuakarun Faculty of Nursing, Navamindradhiraj University

Keywords:

older adult, knee osteoarthritis, total knee arthroplasty, anxiety, information, music

Abstract

This study was a randomized controlled research aiming to explore the effects of concrete-objective information and preferred music listening on perioperative anxiety during total knee arthroplasty under spinal anesthesia in elderly patients at the Faculty of Medicine, Vajira Hospital, Navamindradhiraj University. The sample consisted of 56 patients. Blocked randomization was used to categorize the patients into experimental (n = 28) and control (n = 28) groups. The experimental group received concrete-objective information and preferred music listening on perioperative anxiety during surgery. The control group received regular nursing care. The research tools were a personal data questionnaire and a self-report measure of anxiety (Spielberger, 1983) with a reliability of 0.80. The data were analyzed by using frequency, percentage, mean, standard deviation, and a t-test.

The results revealed that the anxiety level among the experimental group was statistically lower than before receiving the concrete-objective information and preferable music listening on perioperative anxiety (Preoperative; M = 52.46, SD = 5.27, Intraoperative; M = 47.46, SD = 7.49, t = 4.43, p = .000) and lower than the control group who received regular nursing care with p < .05. (The experimental group; M = 47.46, SD = 7.49, The control group; M = 51.36, SD = 7.5, t = 1.94, p = .03)

Therefore, concrete-objective information and preferred music listening can be implemented to reduce anxiety during total knee arthroplasty in older adults under spinal anesthesia.

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