Effects of Videos and Therapeutic Music on Preoperative Anxiety and Postoperative Anxiety and Pain Levels in Boys Who Undergo Circumcision

Purpose: This purpose of this study was to investigate the effects of having boys aged 5 to 10 years who will undergo circumcision surgery watch informative videos and listen to therapeutic music on preoperative anxiety, and postoperative anxiety, pain, and nausea and vomiting.Design: This was a prospective and ranomized controlled study.Materials and Methods: The sample consisted of 90 boys aged 5 to 10 years who underwent circumcision surgery. The boys included in the study were randomly divided into 3 groups of 30 using a computer program. The first group (group V) watched the video; the second group (group M) listened to the music, and the third group (group C) was the control group with usual care. Boys and their parents were not blinded to the grouping.Findings: Heart rate values were found to be statistically significantly lower compared to the control group at the 1st minute after local anesthesia in group V (P = .029), at the 5th minute after local anesthesia in group M (P = .030), and at the 10th minute after local anesthesia and after the surgery in both group V and group M (P = .001 and P = .010, respectively). Wong-Baker Faces Pain Rating Scale scores of the control group measured at the 2nd postoperative hour were found to be significantly higher than those of group V (P = .018). Children's Fear Scale scores of group V measured at the time of admission to the postoperative service were found to be significantly higher than those of group M and group C (P < .001). There was no significant difference between the groups in terms of additional analgesic use, nausea and vomiting percentages, and time to discharge.Conclusions: The results of this study revealed that having boys aged 5 to 10 years who will undergo circumcision surgery watch informative videos and listen to therapeutic music did not have any significant effect on their postoperative pain, fear, and anxiety levels. Further large-scale studies, which will also include children who will not undergo circumcision surgery, are needed to generalize this study's results to larger populations.(c) 2023 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.