An Observational study of music therapy on anxiety level in female patients undergoing surgery under spinal anaesthesia

Material and method:

2.1 Source of data

After obtaining the ethics committee’s approval, samples collected for a duration of 1 year, from April

2024 to April 2025, atleast 88 patients undergoing elective surgeries requiring spinal anaesthesia in

Shree Krishna hospital, Karamsad, Anand will be included in the study.

2.2 Methodology

 Inclusion criteria

• Females

• Age more than 20 years and less than 60 years

• American Society of Anesthesiologists – ASA grade 1-3

• Patients undergoing elective surgeries under spinal anesthesia

 Exclusion criteria

• Patients undergoing

• Patients with contra-indication to spinal anaesthesia

• Patients undergoing emergency surgeries

• Patients with psychological disorders

• Patients with hearing deficits

• Patients with cognitive dysfunction

Patients posted for surgeries under spinal anaesthesia will be included in this study.

Upon informed consent, patients will be assessed in the recovery room before shifting to the

operation theatre. In the recovery room pre operative vitals of the patient – temperature, pulse,

blood pressure, oxygen saturation, respiratory rate will be marked.

Patients will be asked to rate their anxiety using Visual Analogue Scale for Anxiety (VAS-A)

scale. This was considered as baseline-VAS-A.

For this study, we will provide our own headphones to all patients. The choice of music will

be based on patient’s own choice of music that she prefers. This will be started atleast 10

minutes before shifting to the operating table.

On the operative table, patient will be given sitting position, under all aseptic precaution local

anaesthesia will be given. After giving spinal anaesthesia, patient will be made to give supine

position. After assessment and confirmation of desired spinal anaesthesia effect, patient will be

again started on music via the given headphones till completion of surgery.

During Operation, patients will be assessed if there was any need for intra-operative sedation

requirement.

During operation patient’s VAS-A score will be monitored. If VAS-A score exceeds 4 AND

if the pulse rate exceeds more than 100/min, intra-operative sedation will be started.

The level of Sedation will be decided based on Ramsay Sedation score (21)

After completion of the surgery, patient will be shifted to post-operative care unit. Here, patient

will be asked to rate their anxiety again using VAS-A scale. This will be considered Post-Op

VAS-A.

Patient will be asked her satisfaction level based on Likert scale.

Surgeons will be asked their satisfaction of conducting surgery and will be asked to scale it

according to Likers scale

Baseline and Post-OP VAS-A scale will be compared and assessed if music relieves the anxiety

levels in these patients.