The Effect of Intraoperative Sounds of Saw and Hammer on Psychological Condition in Patients with Total Knee Arthroplasty: Prospective Randomized Study

Purpose. Surgical procedures are likely to be stressful for patients and their families. Total knee arthroplasty (TKA) is a major surgical procedure used in the treatment of osteoarthritis. During this procedure the sounds of the saw and hammer may irritate the patient and adversely affect mood. The...

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Main Authors: Erkam Kömürcü, Hasan Ali Kiraz, Burak Kaymaz, Umut Hatay Gölge, Gürdal Nusran, Ferdi Göksel, Hasan Şahin, Dilek Ömür, Volkan Hancı
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2015/690569
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author Erkam Kömürcü
Hasan Ali Kiraz
Burak Kaymaz
Umut Hatay Gölge
Gürdal Nusran
Ferdi Göksel
Hasan Şahin
Dilek Ömür
Volkan Hancı
author_facet Erkam Kömürcü
Hasan Ali Kiraz
Burak Kaymaz
Umut Hatay Gölge
Gürdal Nusran
Ferdi Göksel
Hasan Şahin
Dilek Ömür
Volkan Hancı
author_sort Erkam Kömürcü
collection DOAJ
description Purpose. Surgical procedures are likely to be stressful for patients and their families. Total knee arthroplasty (TKA) is a major surgical procedure used in the treatment of osteoarthritis. During this procedure the sounds of the saw and hammer may irritate the patient and adversely affect mood. The present study examines the effect of these intraoperative sounds during TKA on postoperative mood and anxiety, by comparing two different anesthetic procedures. Methods. A total of 40 patients who underwent TKA for grade IV gonarthrosis participated in the study. Patients were randomly divided into two groups: 20 patients in the general anesthesia group and 20 patients in the spinal anesthesia group. Mood and anxiety changes were evaluated using the Profile of Mood States (POMS) and State-Trait Anxiety Inventory (STAI) instruments, respectively. Results. The postoperative POMS value in the spinal anesthesia group was definitively higher than the general anesthesia group, though the difference in preoperative and postoperative POMS and STAI scores between the two groups was not significant. Conclusion. It would seem that sounds of hammer and saw have no evident negative effect on patient’s mood. Regional anesthesia is advisable for TKA patients and appropriate sedation can be administered during the operation if needed.
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spelling doaj-art-b3a637bc7caa41a3b992201018bc49a42025-02-03T01:27:33ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/690569690569The Effect of Intraoperative Sounds of Saw and Hammer on Psychological Condition in Patients with Total Knee Arthroplasty: Prospective Randomized StudyErkam Kömürcü0Hasan Ali Kiraz1Burak Kaymaz2Umut Hatay Gölge3Gürdal Nusran4Ferdi Göksel5Hasan Şahin6Dilek Ömür7Volkan Hancı8Department of Orthopaedics and Traumatology, Çanakkale Onsekiz Mart University Faculty of Medicine, 17100 Çanakkale, TurkeyDepartment of Anesthesiology and Reanimation, Çanakkale Onsekiz Mart University Faculty of Medicine, 17100 Çanakkale, TurkeyDepartment of Orthopaedics and Traumatology, Çanakkale Onsekiz Mart University Faculty of Medicine, 17100 Çanakkale, TurkeyDepartment of Orthopaedics and Traumatology, Çanakkale Onsekiz Mart University Faculty of Medicine, 17100 Çanakkale, TurkeyDepartment of Orthopaedics and Traumatology, Çanakkale Onsekiz Mart University Faculty of Medicine, 17100 Çanakkale, TurkeyDepartment of Orthopaedics and Traumatology, Çanakkale Onsekiz Mart University Faculty of Medicine, 17100 Çanakkale, TurkeyDepartment of Anesthesiology and Reanimation, Çanakkale Onsekiz Mart University Faculty of Medicine, 17100 Çanakkale, TurkeyDepartment of Anesthesiology and Reanimation, Dokuz Eylül University Faculty of Medicine, 35340 İzmir, TurkeyDepartment of Anesthesiology and Reanimation, Dokuz Eylül University Faculty of Medicine, 35340 İzmir, TurkeyPurpose. Surgical procedures are likely to be stressful for patients and their families. Total knee arthroplasty (TKA) is a major surgical procedure used in the treatment of osteoarthritis. During this procedure the sounds of the saw and hammer may irritate the patient and adversely affect mood. The present study examines the effect of these intraoperative sounds during TKA on postoperative mood and anxiety, by comparing two different anesthetic procedures. Methods. A total of 40 patients who underwent TKA for grade IV gonarthrosis participated in the study. Patients were randomly divided into two groups: 20 patients in the general anesthesia group and 20 patients in the spinal anesthesia group. Mood and anxiety changes were evaluated using the Profile of Mood States (POMS) and State-Trait Anxiety Inventory (STAI) instruments, respectively. Results. The postoperative POMS value in the spinal anesthesia group was definitively higher than the general anesthesia group, though the difference in preoperative and postoperative POMS and STAI scores between the two groups was not significant. Conclusion. It would seem that sounds of hammer and saw have no evident negative effect on patient’s mood. Regional anesthesia is advisable for TKA patients and appropriate sedation can be administered during the operation if needed.http://dx.doi.org/10.1155/2015/690569
spellingShingle Erkam Kömürcü
Hasan Ali Kiraz
Burak Kaymaz
Umut Hatay Gölge
Gürdal Nusran
Ferdi Göksel
Hasan Şahin
Dilek Ömür
Volkan Hancı
The Effect of Intraoperative Sounds of Saw and Hammer on Psychological Condition in Patients with Total Knee Arthroplasty: Prospective Randomized Study
The Scientific World Journal
title The Effect of Intraoperative Sounds of Saw and Hammer on Psychological Condition in Patients with Total Knee Arthroplasty: Prospective Randomized Study
title_full The Effect of Intraoperative Sounds of Saw and Hammer on Psychological Condition in Patients with Total Knee Arthroplasty: Prospective Randomized Study
title_fullStr The Effect of Intraoperative Sounds of Saw and Hammer on Psychological Condition in Patients with Total Knee Arthroplasty: Prospective Randomized Study
title_full_unstemmed The Effect of Intraoperative Sounds of Saw and Hammer on Psychological Condition in Patients with Total Knee Arthroplasty: Prospective Randomized Study
title_short The Effect of Intraoperative Sounds of Saw and Hammer on Psychological Condition in Patients with Total Knee Arthroplasty: Prospective Randomized Study
title_sort effect of intraoperative sounds of saw and hammer on psychological condition in patients with total knee arthroplasty prospective randomized study
url http://dx.doi.org/10.1155/2015/690569
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