Afsheen A A Hirani, Faisal W Ismail, Faris Abdulaziz, Rubina Barolia, Dilshad Begum, Lubna Kamani
{"title":"The Effects of Music Therapy on Patients Undergoing Colonoscopy in a Tertiary Care Hospital at Karachi, Pakistan: A Comparative Study.","authors":"Afsheen A A Hirani, Faisal W Ismail, Faris Abdulaziz, Rubina Barolia, Dilshad Begum, Lubna Kamani","doi":"10.1080/15360288.2024.2357551","DOIUrl":null,"url":null,"abstract":"<p><p>A colonoscopy is a procedure commonly used for the diagnosis of colorectal diseases but may be associated with high levels of anxiety and discomfort, which can lead to complications during sedation and decreased patient comfort and cooperation. This study was conducted at a tertiary care hospital in Karachi to assess the effectiveness of music therapy on pre-procedural anxiety, sedation requirements, pain, and procedure duration among patients undergoing colonoscopies. This comparative study included 110 outpatients. The intervention arm received non-lyrical soft music through earphones before and during the colonoscopy procedure, while the control group did not receive any music. In the intervention arm, significant reductions were seen in pre-procedural anxiety scores (<i>p</i> < 0.001), physiological measures (<i>p</i> < 0.001), sedation doses (<i>p</i> < 0.001), and procedure durations (<i>p</i> < 0.05). Control arm showed an increase in heart rate and systolic blood pressure (<i>p</i> < 0.001). Pain scores were similar for both groups. Music therapy is an effective tool to reduce patient anxiety pre- procedure. It is a simple, safe, and noninvasive relaxing intervention that could be used as an adjunct to sedative medications before and during the colonoscopy procedure.</p>","PeriodicalId":16645,"journal":{"name":"Journal of Pain & Palliative Care Pharmacotherapy","volume":null,"pages":null},"PeriodicalIF":0.9000,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pain & Palliative Care Pharmacotherapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/15360288.2024.2357551","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
A colonoscopy is a procedure commonly used for the diagnosis of colorectal diseases but may be associated with high levels of anxiety and discomfort, which can lead to complications during sedation and decreased patient comfort and cooperation. This study was conducted at a tertiary care hospital in Karachi to assess the effectiveness of music therapy on pre-procedural anxiety, sedation requirements, pain, and procedure duration among patients undergoing colonoscopies. This comparative study included 110 outpatients. The intervention arm received non-lyrical soft music through earphones before and during the colonoscopy procedure, while the control group did not receive any music. In the intervention arm, significant reductions were seen in pre-procedural anxiety scores (p < 0.001), physiological measures (p < 0.001), sedation doses (p < 0.001), and procedure durations (p < 0.05). Control arm showed an increase in heart rate and systolic blood pressure (p < 0.001). Pain scores were similar for both groups. Music therapy is an effective tool to reduce patient anxiety pre- procedure. It is a simple, safe, and noninvasive relaxing intervention that could be used as an adjunct to sedative medications before and during the colonoscopy procedure.
结肠镜检查是诊断结肠直肠疾病的常用方法,但可能会引起高度焦虑和不适,从而导致镇静过程中的并发症,并降低患者的舒适度和合作性。本研究在卡拉奇的一家三甲医院进行,旨在评估音乐疗法对结肠镜检查患者术前焦虑、镇静要求、疼痛和手术持续时间的影响。这项比较研究包括 110 名门诊患者。干预组在结肠镜检查前和检查过程中通过耳机接收非抒情轻音乐,而对照组则不接收任何音乐。在干预组中,手术前的焦虑评分明显降低(P P P P P