Clinical trial NCT06905899: Effect of Audio Book Applıcatıon on Patıents Blood Pressure, Pulse Rate and Anxıety Levels Before Total Knee Replacement Surgery
Official title: Effect of Audio Book Applıcatıon on Patıents Blood Pressure, Pulse Rate and Anxıety Levels Before Total Knee Replacement Surgery
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Stress
Keywords: anxiety
blood pressure
before surgery
total knee prosthesis
audio book
Lead sponsor: Ahi Evran University Education and Research Hospital
Sponsor class: OTHER
First posted: 2025-04-02
Enrollment: 70
Sex: ALL
Minimum age (years): 40
Maximum age (years): 80
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SEQUENTIAL
Intervention model description: The study will be conducted for 2 groups as experimental and control groups.
Primary purpose: SUPPORTIVE_CARE

Brief summary: Before the TDP surgery, the anxiety levels of the patients in the experimental group will be measured by listening to an audio book.

Detailed description: Before Total Knee Prosthesis surgery, patients will have their blood pressure, pulse and anxiety levels measured before the surgery. Patients in the experimental group will listen to an audiobook for 20 minutes. The selected book will be played via wireless headphones. The researcher will check the battery level of the headphones and charge it when necessary. In this way, the headphones will be ready for the next patient. A smartphone with Spotify mobile application installed, which the researcher is a member of, will be used for the audiobook application. The connection between the headphones and the audiobook will be provided via Bluetooth. The patient will be present from the moment they start listening to the audiobook section, and if they experience any hearing problems or if there is an attempt to stop listening, immediate intervention will be made. Necessary interventions will be made for patients who experience interruptions during listening to listen again. After each application, the headphones will be cleaned with an antiseptic solution containing chlorhexidine 2%. The patient will be asked to rest for 10 minutes after the audiobook application. At the end of 10 minutes, the patient will be filled with an AÖKÖ and the patient's blood pressure and pulse will be measured and recorded. When measuring patients' blood pressure, the same blood pressure monitor with calibrated cuff, manometer, and stethoscope will be used, and when measuring pulse, the saturation device data will be used and recorded.

Eligibility criteria: Inclusion Criteria:

* Must be between 40-80 years of age,
* Patients must be conscious and able to communicate,
* Individuals who volunteer to participate in the study,
* No hearing problems,
* Individuals who will undergo TKA surgery,
* Can understand Turkish,
* Patients must have elective (planned) surgery (must have been hospitalized at least 2 hours before surgery).

Exclusion Criteria:

* Refusing to participate in the study,
* Any communication barrier,
* Cancellation of TKA surgery for any reason.

Primary outcomes:
measure: The Surgery Specific Anxiety Scale will be used for preoperative anxiety.
timeFrame: up to 12 months
measure: Patient Introduction Form
timeFrame: up to 12 months
measure: Patient Pulse Form,
timeFrame: up to 12 months
measure: patient blood pressure form
timeFrame: up to 12 months
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
References:
citation: Sahin G, Basak T. The Effects of Intraoperative Progressive Muscle Relaxation and Virtual Reality Application on Anxiety, Vital Signs, and Satisfaction: A Randomized Controlled Trial. J Perianesth Nurs. 2020 Jun;35(3):269-276. doi: 10.1016/j.jopan.2019.11.002. Epub 2020 Mar 4.