The Effectiveness of Binaural Beats Music Therapy in Reducing Anxiety Levels in Pre Urological Surgery Patients
DOI:
https://doi.org/10.37287/ijghr.v8i4.2009Keywords:
anxiety, APAIS, binaural beats, music theraphy, preoperativeAbstract
Preoperative anxiety is a psychological response often experienced by patients before undergoing surgical intervention and can lead to increased physiological responses such as heart rate, blood pressure, and stress hormones. This condition can disrupt patient stability and slow recovery. Therefore, an effective, safe intervention that minimizes side effects is needed to reduce this anxiety. One non-pharmacological intervention is binaural beats music therapy, which stimulates alpha and theta brain waves to increase relaxation and reduce sympathetic nervous system activity. This study aims to determine the effectiveness of binaural beats music therapy in reducing anxiety levels in preoperative urology patients at Ir. Soekarno Sukoharjo Regional General Hospital. The method used was an intervention in preoperative patients who received binaural beats music therapy for 30 minutes via a headset. Then, anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) before and after the intervention, with its validity and reliability confirmed through preliminary testing. The sample consisted of five patients selected through purposive sampling who met the following inclusion criteria: experiencing moderate to severe anxiety, being conscious and cooperative, having no hearing impairment, and being willing to participate in the intervention. The results showed that all patients experienced a decrease in anxiety scores after therapy. Three patients experienced a decrease in anxiety levels from moderate (14-18) to mild (9-12), while two patients experienced a decrease in anxiety levels from severe (23-21) to moderate (15-16). These findings suggest that binaural beats therapy is effective in helping reduce anxiety in preoperative patients, particularly those undergoing urological surgery.
References
Apriliano, R. R., & Suryani, R. L. (2024). Pengaruh pemberian terapi musik terhadap penurunan cemas pasien pra anestesi umum. Jurnal Penelitian Perawat Profesional, 6(5474), 1333–1336.
Barus, M., Sigalingging, V. Y. S., & Sembiring, R. A. (2024). Gambaran kecemasan pasien bedah pre operasi di Rumah Sakit Santa Elisabeth Medan tahun 2022. Innovative: Journal of Social Science Research, 4(1), 3201–3210.
Daengruan, P., Chairat, R., Jenraumjit, R., et al. (2021). Effectiveness of receptive music therapy with imbedded 10 Hz binaural beats compared with standard care for patients with major depressive disorder: A randomized controlled trial. Complementary Therapies in Medicine, 61, 102765.
Demirci, S. (2024). Effect of binaural beats on anxiety and tolerance in patients undergoing endoscopy: A randomized controlled trial. Complementary Therapies in Clinical Practice. https://pmc.ncbi.nlm.nih.gov/articles/PMC11659431/
Deynilisa, D., Wibowo, T. H., & Sukmaningtyas, W. (2023). Hubungan kecemasan dengan hemodinamik pasien pre anestesi di RSUD Cilacap. Jurnal Kesehatan Tambusai, 4(4).
Fisabili, P., Siwi, A. S., & Khasanah, S. (2025). Gambaran tingkat kecemasan pasien di instalasi gawat darurat Rumah Sakit Tentara Wijayakusuma Purwokerto. Jurnal Keperawatan Muhammadiyah Bengkulu, 13(1), 24–35. https://doi.org/10.36085/jkmb.v13i1.7862
Hudia, P. C., Anggraini, R. B., & Permatasari, I. (2023). Faktor-faktor yang berhubungan dengan tingkat kecemasan pasien pre operasi elektif di ruang rawat inap bedah. Indonesian Journal of Nursing and Health Sciences, 4(2).
Ingendoh, R. M., Posny, E. S., & Heine, A. (2023). Binaural beats to entrain the brain? A systematic review of the effects of binaural beat stimulation on brain oscillatory activity, and the implications for psychological research and intervention. PLOS ONE, 18(5), e0286023. https://doi.org/10.1371/journal.pone.02860
Kasanova, J., Susito, & Barlia, G. (2021). Hubungan intensitas nyeri dengan kualitas tidur pada pasien post operasi laparotomi. Scientific Journal of Nursing Research, 3(1), 11–14.
Korkmaz, E., Hacıdursunoğlu Erbaş, D., & İlbey Koç, B. (2024). Investigation of the impact of pre-operative anxiety levels on post-operative sleep quality in surgical patients. BAU Health and Innovation, 2(2), 54–58.
Lami, M., Negash, A., Dereje, J., Hiko, A., Mesfin, S., Gebreyesus, A., Belama, N., Ahmed Omer, N., Balis, B., & Jibro, U. (2025). Prevalence of preoperative anxiety and associated factors among surgical patients: Systematic review and meta-analysis in Ethiopia. Health Services Insights, 18. https://doi.org/10.1177/11786329251316748
Lee, H., et al. (2024). Effect of binaural beats on sleep quality. Journal of Sleep Research, 29(4), 123–135.
Lusia, A., Octavia, I., & Juliyanti. (2023). Pengaruh musik instrumental terhadap tingkat kecemasan pada pasien pre operasi. Jurnal Ilmiah Kesehatan Masyarakat dan Sosial, 1–8.
Madhumitha, T. K., et al. (2025). Effectiveness of binaural beats in alleviating anxiety during periodontal surgery. Journal of Clinical and Diagnostic Research. https://pmc.ncbi.nlm.nih.gov/articles/PMC12736686/
Ölçücü, M. T., Yılmaz, K., Karamık, K., Okuducu, Y., Özsoy, Ç., Aktaş, Y., Çakır, S., & Ateş, M. (2021). Effects of listening to binaural beats on anxiety levels and pain scores in male patients undergoing cystoscopy and ureteral stent remosval: A randomized placebo-controlled trial. Journal of Endourology, 35, 54–61.
Perdana, A., Firdaus, M. F., Kapuangan, C., & Khamelia. (2020). Uji validasi konstruksi dan reliabilitas instrumen The Amsterdam Preoperative Anxiety and Information Scale (APAIS) versi Indonesia. Majalah Anestesia & Critical Care, 33(1), 279–286.
Shamsi, F., Azadinia, F., & Shaygan, M. (2024). Does brain entrainment using binaural auditory beats affect pain perception in acute and chronic pain? A systematic review. BMC Complementary Medicine and Therapies, 24(1), 34.
Shebl, M. A., Toraih, E., Shebl, M., Tolba, A. M., Ahmed, P., Banga, H. S., Orz, M., Tammam, M., Saadalla, K., Elsayed, M., Kamal, M., Abdulla, M., Eldessouky, A. I., Moustafa, Y. T., Mohamed, O. A., & Aiash, H. (2025). Preoperative anxiety and its impact on surgical outcomes: A systematic review and meta-analysis. Journal of Clinical and Translational Science, 9, e33. https://doi.org/10.1017/cts.2025.6
Venkatesan, T., et al. (2025). Exploring the impact of binaural beats on cognitive performance and anxiety. Frontiers in Psychology, 16, 1–12.
Wahyuni, Khasanah, I. U., & Suratih, K. (2020). Musik binaural beats terhadap penurunan stres dalam menyusun skripsi pada mahasiswa sarjana keperawatan Surakarta. GASTER, 18(2), 215–226.
Widiawati, W., & Cusmarih, C. (2023). Pengaruh terapi musik terhadap tingkat kecemasan pada pasien pre operasi di RSUD Kabupaten Bekasi. Malahayati Nursing Journal, 5(9), 3125–3133. https://doi.org/10.33024/mnj.v5i9.10943
Yang, S. Y., Lin, P. H., Wang, J. Y., & Fu, S. H. (2024). Effectiveness of binaural beat music combined with rhythmical photic stimulation on older people with depressive symptoms in long-term care institution: A quasi-experimental pilot study. Aging Clinical and Experimental Research, 36(1), 86.
Yang, S. Y., Wang, J. Y., Liu, C., & Lin, P. H. (2025). Effects of binaural beat therapy with different frequencies on autonomic nervous system regulation among college students. BMC Complementary Medicine and Therapies, 25(1), 1–10.
Zhang, Y., Ke, Z., Luo, J., et al. (2025). Effects of binaural beat music and esketamine for ECT in the treatment of major depressive disorder: A randomized controlled trial protocol. Neuropsychiatric Disease and Treatment, 21, 1249–1260.
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