Abstract:
ABS TRACT 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.