Department of Urology, Seoul Park Hospital, College of Medicine, Inje University, Seoul, Republic of Korea.
J Endourol. 2013 Apr;27(4):459-62. doi: 10.1089/end.2012.0222. Epub 2012 Dec 5.
To determine whether listening to music during cystoscopy decreases anxiety, pain, and dissatisfaction among patients and results in a more comfortable and better-tolerated procedure.
Seventy male patients who underwent rigid cystoscopy between May 2011 and December 2011 were randomized into the following: no music (Group I, n=35) or classical music during procedure (Group II, n=35). Before cystoscopy, lidocaine gel was instilled in the urethra, and both groups viewed their procedures on a video monitor. Anxiety levels were quantified according to the State-Trait Anxiety Inventory. A visual analog scale (0-10) was used for a self-assessment of satisfaction, discomfort, and willingness among patients to repeat the cystoscopy.
Demographic characteristics, mean age, procedure duration, and procedure indications were statistically similar between the two groups. The mean anxiety level and mean pain score of Group II were significantly lower than those of Group I (p<0.001 for both). Group II also carried a significant greater mean satisfaction score compared with Group I (p<0.001). Statistically significant differences were detected between groups in the postprocedural pulse rate and the systolic blood pressure (p=0.012 and p=0.008, respectively), whereas preprocedure pulse rate and systolic blood pressure were similar.
Listening to music during rigid cystoscopy significantly reduces feelings of pain, discomfort, and dissatisfaction. Music can serve as a simple, inexpensive, and effective adjunct to sedation during cystoscopy. We recommend the application of music during rigid cystoscopy for clinical use.
确定在膀胱镜检查期间听音乐是否会降低患者的焦虑、疼痛和不满，并使操作过程更舒适、更易耐受。
2011 年 5 月至 12 月期间，70 例接受硬性膀胱镜检查的男性患者被随机分为两组：无音乐组（I 组，n=35）或术中听古典音乐组（II 组，n=35）。膀胱镜检查前，尿道内注入利多卡因凝胶，两组患者均在视频监视器上观看自己的操作过程。根据状态-特质焦虑量表评估焦虑水平。采用视觉模拟评分法（0-10 分）对患者的满意度、不适度和重复膀胱镜检查的意愿进行自我评估。
两组患者的人口统计学特征、平均年龄、操作时间和操作适应证均无统计学差异。II 组的平均焦虑水平和平均疼痛评分明显低于 I 组（均 p<0.001）。与 I 组相比，II 组的满意度评分也显著更高（p<0.001）。两组患者术后脉搏率和收缩压差异有统计学意义（分别为 p=0.012 和 p=0.008），而术前脉搏率和收缩压相似。
在硬性膀胱镜检查期间听音乐可显著减轻疼痛、不适和不满的感觉。音乐可以作为镇静期间的一种简单、廉价、有效的辅助手段。我们建议在硬性膀胱镜检查中应用音乐。
