The effect of Turkish music and comedy film on pain, vital signs and cortisol levels in patients undergoing orthopedic surgery

Aim: The purpose of this study was to see how Turkish music and comedy films affected pain, vital signs, and cortisol levels in individuals who had orthopedic surgery. Material and Method The study was conducted in a randomized controlled manner with patients aged 18 years and older who underwent surgery in the Orthopedics and Traumatology Service of İnönü University Turgut Özal Medical Center between July 2020 and January 2022. The sample consisted of 137 patients, including 45 Turkish music groups, 46 comedy movie groups, and 46 control groups. Data were collected using the Patient Description Form, Numerical Evaluation Scale and Physiological Parameter Form. After determining the pain, vital signs and cortisol levels of the patients in the experimental group, a 30-minute application was made. Pain, vital signs and cortisol levels were detected again immediately after the application (30th minute) and 60th minute. In the analysis of data; number, percentile, mean, median, standard deviation, chi-square, one-way analysis of variance, Friedman and Kruskal-Wallis H tests were used. Results:. The differences between the pain levels of the Turkish music, comedy movie and control groups at 0, 30 and 60 minutes differences observe in within and between-groups comparisons were found to be statistically significant (p<0.05). The changes in vital signs and cortisol levels of the experimental and control groups at all measurement periods within and between groups were not found to be statistically significant (p>0.05) except for the diastolic blood pressure of the Turkish music group at the 0th minute (0.min 30.min). Conclusion: Turkish music and comedy movies were shown to be beneficial in reducing postoperative pain in orthopedic surgery patients while having no influence on vital indicators other than diastolic blood pressure and cortisol levels. Key Words: Pain, Nurse, Comedy movie, Cortisol ,Turkish music, Vital signs.