The effect of music in gynaecological office procedures on pain, anxiety and satisfaction: a randomized controlled trial.

Q2 Medicine Gynecological Surgery Pub Date : 2017-01-01 Epub Date: 2017-08-09 DOI:10.1186/s10397-017-1016-2

N Mak, I M A Reinders, S A Slockers, E H M N Westen, J W M Maas, M Y Bongers

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引用次数: 46

Abstract

Background: Pain can interfere with office procedures in gynaecology. The aim of this study is to measure the positive effect of music in gynaecological office procedures.

Methods: A randomized controlled trial was performed between October 2014 and January 2016. Women scheduled for an office hysteroscopy or colposcopy were eligible for randomization in the music group or control group. Stratification for hysteroscopy and colposcopy took place. The primary outcome is patients' level of pain during the procedure measured by the visual analogue scale (VAS). Secondary outcomes include patients' level of pain after the procedure, anxiety and satisfaction of patient and doctor.

Results: No positive effect of music on patients' perception of pain during the procedure was measured, neither for the hysteroscopy group (57 mm vs. 52 mm) nor for the colposcopy group (32 mm vs. 32 mm). Secondary outcomes were also similar for both groups.

Conclusions: This study showed no positive effect of music on patients' level of pain, anxiety or satisfaction of patient or doctor for office hysteroscopy and colposcopy. We believe a multimodal approach has to be used to decrease patient distress in terms of pain and anxiety, with or without music.

Trial registration: Dutch Trial Register, NTR4924.

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妇科手术中音乐对疼痛、焦虑和满意度的影响:一项随机对照试验。

背景:疼痛可以干扰妇科的办公程序。本研究的目的是衡量音乐在妇科手术中的积极作用。方法:于2014年10月至2016年1月进行随机对照试验。计划进行宫腔镜或阴道镜检查的妇女被随机分为音乐组或对照组。分层进行宫腔镜和阴道镜检查。主要结果是患者在手术过程中的疼痛程度，由视觉模拟量表(VAS)测量。次要结局包括患者术后疼痛程度、焦虑程度以及患者和医生的满意度。结果:在手术过程中没有测量到音乐对患者疼痛感知的积极影响，无论是宫腔镜组(57 mm对52 mm)还是阴道镜组(32 mm对32 mm)。两组的次要结果也相似。结论:本研究未发现音乐对患者疼痛程度、焦虑程度及患者或医生对宫腔镜、阴道镜检查的满意度有正面影响。我们认为，必须采用多模式的方法来减少病人的痛苦和焦虑，无论是否有音乐。试验登记:荷兰试验登记，NTR4924。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Gynecological Surgery SURGERY-

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期刊介绍： "Gynecological Surgery", founded in 2004, is the first and premier peer-reviewed scientific journal dedicated to all aspects of research, development, and training in gynecological surgery. This field is rapidly changing in response to new developments and innovations in endoscopy, robotics, imaging and other interventional procedures. Gynecological surgery is also expanding and now encompasses all surgical interventions pertaining to women health, including oncology, urogynecology and fetal surgery. The Journal publishes Original Research, Reviews, Evidence-based Viewpoints on clinical protocols and procedures, Editorials, Perspectives, Communications and Case Reports.