Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
The Effect of Nature-Based Sounds Applied Before Colonoscopy on Patients' Pain, Anxiety, and Embarrassment: A Randomized Controlled Study
Kolonoskopi Öncesi Uygulanan Doğa Temelli Seslerin Hastaların Ağrı, Anksiyete ve Utanma Duygusuna Etkisi: Randomize Kontrollü Bir Çalışma
Gülden KÜÇÜKAKÇA ÇELİKa, Dürdane PALABIYIK YILMAZb, Nadiye ÖZERc, Semra ERDAĞI ORALd
aDeparment of Nursing, Division of Surgical Disease Nursing, Nevşehir Hacı Bektaş Veli University Semra and Vefa Küçük Faculty of Health Sciences, Nevşehir, Türkiye
bGönen Public Hospital, Balıkesir, Türkiye
cDepartment of Surgical Diseases Nursing, Atatürk University Faculty of Nursing, Erzurum, Türkiye
dDeparment of Nursing, Division of Surgical Disease Nursing, Kafkas University Faculty of Health Sciences, Kars, Türkiye
J Tradit Complem Med. 2022;5(3):245-54
doi: 10.5336/jtracom.2022-91518
Article Language: EN
Full Text
ABSTRACT
 Objective: The study aimed to determine the effect of nature-based sounds before colonoscopy on pain, anxiety, and embarrassment. Material and Methods: This randomized-controlled experimental study was conducted with 80 patients in the colonoscopy unit of a university hospital. All patients underwent standard care and intestinal preparation before the colonoscopy. The patients were randomized into 2 groups. The randomization of the study was carried out through the closed envelope method. In addition to routine maintenance before the colonoscopy, 20-minute nature-based sound was applied to the intervention group (n=40). And the control group (n=40) did not receive any intervention other than routine nursing care. The naturebased sounds, which are used in practice and prepared in line with the literature by taking expert opinion in preparation, consist of 4 different sounds. The data were collected using the Descriptive Information Form, Visual Analog Scale, Spielberger State Anxiety Inventory, Colonoscopy Embarrassment Scale, and Physiological Parameters Assessment Form. Results: In the in-group and between-group evaluations, the reduction in anxiety, embarrassment and pain severity was statistically significant in the group that listened to nature-based sound (p=0.001). There were statistically significant differences in favor of the nature-based sound group in the between-group and ingroup evaluations of physiological parameters (p<0.05). Conclusion: This research provides results supporting the use of nature-based sounds before colonoscopy. It is recommended that nature-based sound be included in nursing activities intended for patients undergoing colonoscopy and studies be continued in this field to increase the evidence level of the present study's results.

Keywords: Nature-based sound; anxiety; pain; embarrassment; nursing; colonoscopy
ÖZET
 Amaç: Kolonoskopi öncesi uygulanan doğa temelli seslerin ağrı, anksiyete ve utanma duygusu üzerine etkisini belirlemekti. Gereç ve Yöntemler: Bu randomize kontrollü deneysel çalışma, bir üniversite hastanesinin kolonoskopi ünitesinde 80 hasta ile yürütüldü. Tüm hastalara kolonoskopi öncesi standart bakım ve bağırsak hazırlığı yapıldı. Hastalar randomize olarak 2 gruba ayrıldı. Çalışmanın randomizasyonu kapalı zarf yöntemi ile gerçekleştirildi. Rutin bakıma ek olarak, müdahale grubuna (n=40) kolonoskopi öncesi 20 dk'lık doğa temelli sesler uygulandı. Kontrol grubuna (n=40) ise rutin hemşirelik bakımı dışında herhangi bir müdahale yapılmadı. Uygulamada kullanılan ve hazırlanmasında uzman görüşü alınarak literatüre uygun olarak hazırlanan doğa kaynaklı sesler 4 farklı sesten oluşmaktadır. Veriler Tanımlayıcı Bilgi Formu, Görsel Analog Ölçeği, Spielberger Durumluk Anksiyete Envanteri, Kolonoskopi Utanç Ölçeği ve Fizyolojik Parametreler Değerlendirme Formu kullanılarak toplandı. Bulgular: Grup içi ve gruplar arası değerlendirmelerde, doğa temelli ses dinletilen grupta anksiyete, utanma ve ağrı şiddetinde azalma istatistiksel olarak anlamlıydı (p=0,001). Fizyolojik parametrelerin gruplar arası ve grup içi değerlendirmelerinde, doğa temelli ses grubu lehine istatistiksel olarak anlamlı farklılıklar vardı (p<0,05). Sonuç: Bu araştırma, doğa temelli seslerin kolonoskopi işlemi öncesi kullanımını destekleyen sonuçlar sunmaktadır. Kolonoskopi yapılan hastalara yönelik hemşirelik etkinliklerinde doğa temelli seslere yer verilmesi ve bu çalışmanın sonuçlarının kanıt düzeyinin artırılması için bu alanda çalışmaların sürdürülmesi önerilmektedir.

Anahtar Kelimeler: Doğa temelli ses; anksiyete; ağrı; utanma; hemşirelik; kolonoskopi
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