The effect of traditional Turkish military music on pain, anxiety and vital signs in endoscopic retrograde cholangiopancreatography patients

The aim of this study was to examine the effects of Traditional Turkish Military Music (Janissary Band) music listened to before the procedure on patients' post-procedure pain, anxiety and vital signs (systolic and diastolic blood pressure, heart rate, SpO2) undergoing Endoscopic Retrograde Cholangiopancreatography (ERCP). This randomized controlled trial was conducted in the ERCP unit of the General Surgery Clinic of Health Practice and Research Center at Afyonkarahisar Health Sciences University between March 1, 2021, and May 30, 2021. The study sample included 72 patients who underwent ERCP between the dates the study was conducted (36 in the intervention and 36 in the control groups). The data were collected with the "Demographic Information Form" and "Patient Follow-up Form". The Visual Analog Scale (VAS) and Visual Analog Scale (VAS-A) were used for the evaluation of the pain and anxiety levels of the patients, respectively. Number, percentile, mean, standard deviation and median (minimum-maximum), Kolmogorov-Smirnov test, Chi-square test, independent two-sample t-test, Friedman test, Wilcoxon Signed test, ANOVA and Mann-Whitney U test were used for the evaluation of the data. When the study findings were examined, a statistically significant difference was found between the anxiety scores of the intervention and control group patients after the ERCP (p=0.002). The pain scores of the intervention group patients in the 2nd hour after ERCP were determined to be significantly lower than those in the control group (p=0.033). No significant difference was found between the two groups in terms of vital signs (SBP, DBP, heart rate, and SpO2) (p>0.05). The findings obtained in the study revealed that listening to Traditional Turkish Military Music (Janissary Band) music before the procedure had positive effects in reducing the anxiety and pain levels of the patients who would undergo ERCP. Therefore, we recommend having patients listen to traditional Turkish military music before their ERCP. Keywords: ERCP, Traditional Turkish Military Music, Janissary Band, Pain, Anxiety, Vital Signs