# Effect of Comedy Movies Watched During Transurethral Resection of the Prostate (TUR‐P) on Vital Signs and Postoperative Pain: A Randomized Controlled Trial

## TL;DR

This study found that watching comedy movies during prostate surgery helped reduce postoperative pain and lower vital signs like pulse and blood pressure.

## Contribution

The novel contribution is demonstrating that comedy movies during surgery can significantly impact pain and vital signs in a clinical setting.

## Key findings

- Comedy group had the lowest pain scores at 24 and 48 hours post-surgery.
- Comedy group showed the most significant decrease in pulse rate and systolic blood pressure during surgery.
- Comedy films had a statistically significant effect on perioperative vital signs and pain management.

## Abstract

This study was conducted to determine how watching comedy movies affects vital signs and postoperative pain in patients during transurethral prostate resection.

A randomized controlled trial model study was conducted at a hospital in Turkey. Ninety patients were included in the study (comedy: 30, documentary: 30, control: 30). Pain was assessed using the Visual Analog Pain Scale, while patient monitors recorded vital signs.

At the first measurement, the mean pain score in the comedy group was 2.0. Although this value was numerically the lowest among the groups, it was not statistically significant (p > 0.05). Across the three groups, baseline VAS values demonstrated similar ranges (95% CI: 2.73–3.41). In the 24th and 48th hour measurements, the pain was again at the lowest level in the comedy group (VAS 24 h 95% CI: 2.12–2.84; VAS 48 h 95% CI: 0.94–1.52; p < 0.001). Although a decrease was observed in the pulse rate of vital signs in all three groups in the postoperative measurements, it was determined that the lowest value was in the comedy group (pulse at operation start 95% CI: 79.92–84.47, 15th minute 95% CI: 73.79–87.69, 30th minute 95% CI: 46.03–68.70, end of surgery 95% CI: 71.75–76.14; p < 0.001). While a decrease in systolic blood pressure was observed in all three groups during and after surgery compared to the preoperative period, it was determined that the most significant decrease was in the comedy group (15th minute 95% CI: 117.12–124.82, 30th minute 95% CI: 74.46–94.95, end of surgery 95% CI: 116.54–123.46; p < 0.05).

The study's results determined that comedy films significantly affected pain management and perioperative vital signs such as pulse and systolic blood pressure.