{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T18:08:57Z","timestamp":1793124537095,"version":"4.5.0"},"reference-count":36,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:00:00Z","timestamp":1776470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:00:00Z","timestamp":1776470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Nurs Res"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    Preoperative anxiety and pain can adversely affect recovery and satisfaction. Music is a safe, low-cost, non-pharmacological intervention that may enhance perioperative outcomes. This study evaluated the effects of patient-preferred music on anxiety, recovery, pain, satisfaction, and hemodynamics during unilateral knee arthroplasty under spinal anesthesia. In this prospective, randomized, controlled, single-blind trial, 80 patients were assigned to either a music group (Group M) or a control group (Group C). Group M listened to preferred music via headphones before and during surgery, while Group C received standard care. Anxiety (State-Trait Anxiety Inventory; state: STAI-S, trait: STAI-T), recovery (Quality of Recovery-15 [QoR-15]), pain (Numeric Rating Scale [NRS]), satisfaction, and hemodynamic parameters were measured. Minimal clinically important difference (MCID) analyses were used to assess clinical significance. Sixty-five patients (Group M: 32; Group C: 33) were analyzed. Postoperative STAI-S scores were significantly lower in Group M (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.001), with a 6.18-point difference exceeding the MCID by 283%. QoR-15 scores were higher in Group M (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.007), surpassing the MCID by 123%. Group M also showed lower systolic blood pressure at several perioperative points (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.05), lower NRS pain scores at the 12th postoperative hour (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.001), and reduced need for rescue analgesia (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.035). Satisfaction was significantly greater in Group M (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.001). No significant differences were found in heart rate (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&gt;\u2009.05). Patient-preferred music significantly improved anxiety, pain, recovery quality, hemodynamic stability, and satisfaction. MCID analysis confirmed clinical relevance. Music may serve as an effective and feasible adjunct in perioperative care.\n                  <\/jats:p>","DOI":"10.1177\/10547738261442747","type":"journal-article","created":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T07:25:12Z","timestamp":1776497112000},"page":"276-285","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Effects of Patient-Preferred Music on Anxiety, Pain, and Quality of Recovery After Knee Arthroplasty Under Spinal Anesthesia: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2582-6880","authenticated-orcid":false,"given":"Burak","family":"Nalbant","sequence":"first","affiliation":[{"name":"Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University, Turkiye"},{"name":"Ankara Bilkent City Hospital, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6642-2279","authenticated-orcid":false,"given":"Gokhan","family":"Erdem","sequence":"additional","affiliation":[{"name":"Ankara Bilkent City Hospital, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0475-9586","authenticated-orcid":false,"given":"Muhammed","family":"Kose","sequence":"additional","affiliation":[{"name":"Ankara Bilkent City Hospital, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0615-0685","authenticated-orcid":false,"given":"Enes","family":"Saglam","sequence":"additional","affiliation":[{"name":"Ankara Bilkent City Hospital, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1194-9217","authenticated-orcid":false,"given":"Abdulaziz","family":"Aysel","sequence":"additional","affiliation":[{"name":"Ankara Bilkent City Hospital, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3647-7516","authenticated-orcid":false,"given":"Fatma","family":"Kavak Akelma","sequence":"additional","affiliation":[{"name":"Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University, Turkiye"},{"name":"Ankara Bilkent City Hospital, Turkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,18]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Akelma F. 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