Chan Y M, Lee Peter W H, Ng T Y, Ngan Hextan Y S, Wong L C
Department of Obstetrics and Gynecology, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong, SAR, China.
Gynecol Oncol. 2003 Oct;91(1):213-7. doi: 10.1016/s0090-8258(03)00412-8.
The goal of this work was to investigate the impact of music on women's anxiety and perceived pain during colposcopy examination.
This was a prospective randomized study. Two hundred and twenty women referred for colposcopy for the first time were recruited. They were randomized to either the music or no-music group. Before colposcopy examination, each subject completed a Chinese version of the state anxiety questionnaire (STAI) and assessed the anticipated pain for colposcopy with a visual analog scale (VAS). Slow-rhythm music was played during colposcopy examination in the music group. Subjects in the no-music group were examined in the same setting without music. After colposcopy, each subject completed the STAI form again and assessed their pain during examination by the VAS.
Women in the music group experienced significantly less pain (mean VAS 3.32 [95% CI 2.86-3.78] vs 5.03 [4.54-5.52], P<0.001) and lower anxiety (mean STAI 39.36 [95% CI 37.33-41.39] vs 44.16 [41.82-46.49], P = 0.002) during colposcopy examination than women in the no-music group. On linear regression analysis, the factors significantly affecting anxiety during colposcopy were anxiety score at enrollment, pain score during colposcopy, and whether or not the women had listened to music during the colposcopy examination. The factors significantly affecting the pain scores were whether the women had listened to music during the procedure and the final anxiety scores.
Music is a simple, inexpensive, and easily used strategy to minimize anxiety and pain during colposcopy examination.
本研究旨在探讨音乐对阴道镜检查期间女性焦虑及疼痛感受的影响。
这是一项前瞻性随机研究。招募了220名首次接受阴道镜检查的女性。她们被随机分为音乐组或无音乐组。在阴道镜检查前，每位受试者完成中文版状态焦虑问卷（STAI），并用视觉模拟量表（VAS）评估阴道镜检查预期疼痛程度。音乐组在阴道镜检查期间播放慢节奏音乐。无音乐组在相同环境下进行检查，不播放音乐。阴道镜检查后，每位受试者再次完成STAI表格，并用VAS评估检查期间的疼痛程度。
音乐组女性在阴道镜检查期间经历的疼痛显著减轻（平均VAS 3.32[95%CI 2.86 - 3.78]对比5.03[4.54 - 5.52]，P<0.001），焦虑程度也更低（平均STAI 39.36[95%CI 37.33 - 41.39]对比44.16[41.82 - 46.49]，P = 0.002）。线性回归分析显示，阴道镜检查期间显著影响焦虑的因素包括入组时的焦虑评分、阴道镜检查期间的疼痛评分以及女性在阴道镜检查期间是否听音乐。显著影响疼痛评分的因素包括女性在检查过程中是否听音乐以及最终焦虑评分。
音乐是一种简单、廉价且易于实施的策略，可将阴道镜检查期间的焦虑和疼痛降至最低。
