The Effect of Listening to Music on Postoperative Pain, Physiological Parameters, and Analgesic Consumption After Total Knee Arthroplasty Surgery: A Randomized Controlled Trial

J Perianesth Nurs. 2026 Feb 27:S1089-9472(25)00548-9. doi: 10.1016/j.jopan.2025.12.002. Online ahead of print.

ABSTRACT

PURPOSE: This study aims to evaluate the effects of listening to music after total knee arthroplasty on postoperative pain, physiological parameters, and analgesic consumption.

DESIGN: This randomized controlled trial was conducted at a single center.

METHODS: This study included 60 patients who underwent total knee arthroplasty. Data were collected between September 7, 2022, and April 30, 2023, in the orthopedic and traumatology department of a training and research hospital in northwestern Turkey. Patients were divided into the music group and the control group. Patients in the music group listened to Acemasiran makam classical Turkish music through headphones for 30 minutes per session, twice daily, on the day of surgery, the first postoperative day, and the second postoperative day. The control group received standard care for the same duration. Physiological parameters and pain levels were assessed before and after each music session. Data were collected using a patient information form, a numerical pain scale, and a patient follow-up form.

FINDINGS: Comparison of mean pain scores and vital signs revealed statistically significant differences in heart rate and pain levels (P < .05). The music group had significantly lower heart rates and opioid analgesic consumption than the control group. However, there was no statistically significant difference between the groups regarding blood pressure, respiratory rate, or oxygen saturation levels (P > .05).

CONCLUSIONS: Listening to Acemaşiran makam classical Turkish music following total knee arthroplasty reduced analgesic consumption and positively affected heart rate and pain levels in patients.

PMID:41762185 | DOI:10.1016/j.jopan.2025.12.002