The effect of music therapy on anxiety and pain scores in patients undergoing retrograde intrarenal surgery (RIRS) under spinal anesthesia: a prospective, randomized controlled clinical trial.

IF 2 2区 医学 Q2 UROLOGY & NEPHROLOGY Urolithiasis Pub Date : 2024-10-14 DOI:10.1007/s00240-024-01636-6
Salih Bürlukkara, Demirhan Örsan Demir, Özer Baran
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Abstract

To prospectively investigate the effect of music therapy on patient's anxiety and pain level during retrograde intrarenal surgery under spinal anesthesia. 286 patients aged above 18 years, who underwent Retrograde Intrarenal Surgery (RIRS) under spinal anesthesia for renal or ureteral calculi were evaluated between January 2023 and June 2023 by a prospective, randomized, controlled clinical protocol. Patients were randomized into 2 groups. Group 1 included patients, who listened to music, and Group 2 was comprised of patients, who were not allowed to listen to music. Visual Analog Scale (VAS) results and pain sensation, anxiety level, together with the results of State-Trait Anxiety Inventory (STAI), a self-reported anxiety inventory, were captured. The number of patients, who were randomized to the music group (Group 1) and non-music group (Group 2) was 144 and 142, respectively. Mean heart rate in Group 1 and Group 2 was 60 ± 4.19 and 70 ± 8.36, respectively (p = 0.02), indicative of the fact that mean heart rate was significantly lower in the music group. Heart rate measured post-operatively within the first hour subsequent to the procedure was similar in both groups (p < 0.05). The VAS score was significantly lower in Group 1. STAI score in Group 1 and Group 2 was 45.51 ± 2.968 and 49.16 ± 1.88, respectively. Therefore, there was a statistically significant difference (p < 0.001). Music therapy during the RIRS procedure under spinal anesthesia was associated with a significantly decrease in pain and anxiety scores in patients.

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音乐疗法对脊髓麻醉下逆行肾内手术(RIRS)患者焦虑和疼痛评分的影响:一项前瞻性随机对照临床试验。
前瞻性研究音乐疗法对脊髓麻醉下逆行肾内手术期间患者焦虑和疼痛程度的影响。在2023年1月至2023年6月期间,通过一项前瞻性、随机对照临床方案,对286名因肾结石或输尿管结石而在脊髓麻醉下接受逆行肾内手术(RIRS)的18岁以上患者进行了评估。患者被随机分为两组。第一组包括听音乐的患者,第二组包括不允许听音乐的患者。研究人员采集了患者的视觉模拟量表(VAS)结果、疼痛感觉、焦虑程度以及焦虑自评量表(STAI)的结果。被随机分配到音乐组(第 1 组)和非音乐组(第 2 组)的患者人数分别为 144 人和 142 人。第 1 组和第 2 组的平均心率分别为 60 ± 4.19 和 70 ± 8.36(P = 0.02),表明音乐组的平均心率明显较低。术后一小时内测量的心率在两组中相似(p = 0.05)。
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来源期刊
Urolithiasis
Urolithiasis UROLOGY & NEPHROLOGY-
CiteScore
4.50
自引率
6.50%
发文量
74
期刊介绍: Official Journal of the International Urolithiasis Society The journal aims to publish original articles in the fields of clinical and experimental investigation only within the sphere of urolithiasis and its related areas of research. The journal covers all aspects of urolithiasis research including the diagnosis, epidemiology, pathogenesis, genetics, clinical biochemistry, open and non-invasive surgical intervention, nephrological investigation, chemistry and prophylaxis of the disorder. The Editor welcomes contributions on topics of interest to urologists, nephrologists, radiologists, clinical biochemists, epidemiologists, nutritionists, basic scientists and nurses working in that field. Contributions may be submitted as full-length articles or as rapid communications in the form of Letters to the Editor. Articles should be original and should contain important new findings from carefully conducted studies designed to produce statistically significant data. Please note that we no longer publish articles classified as Case Reports. Editorials and review articles may be published by invitation from the Editorial Board. All submissions are peer-reviewed. Through an electronic system for the submission and review of manuscripts, the Editor and Associate Editors aim to make publication accessible as quickly as possible to a large number of readers throughout the world.
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