Björkman Ida, Karlsson Frida, Lundberg Ann, Frisman Gunilla Hollman
Department of Surgery, University Hospital, Linköping, Sweden.
Gastroenterol Nurs. 2013 Jan-Feb;36(1):14-20. doi: 10.1097/SGA.0b013e31827c4c80.
Colonoscopy is a procedure often experienced as uncomfortable and worrying. Music has been reported to reduce discomfort during colonoscopy; however, no study in a Swedish setting has been found. The purpose of this randomized controlled trial was to analyze the effects of sedative music on patients' experience of anxiety, pain, relaxation, and well-being during colonoscopy. Prior to colonoscopy, adult patients (n = 120), aged 18-80 years, were randomly assigned to either an intervention group (n = 60) who listened to sedative instrumental music with 60-80 beats per minute during the colonoscopy or a control group. After the colonoscopy, both groups completed a questionnaire on anxiety, the State Trait Anxiety Inventory, and an anxiety Visual Analogue Scale. Pain, relaxation, and well-being were also measured with Visual Analogue Scales. Women in the intervention group had a lower level of anxiety during the colonoscopy than those in the control group (p = .007) and well-being was significantly higher in the intervention group, especially among men, than in the controls (p = .006 and p = .025, respectively). Men in the intervention group were more relaxed during the colonoscopy than those in the control group (p = .065). Listening to sedative music decreased anxiety among women and increased well-being among men during colonoscopy.
结肠镜检查常常会让患者感到不适和担忧。据报道，音乐可以减轻结肠镜检查过程中的不适感；然而，尚未发现有在瑞典进行的相关研究。这项随机对照试验的目的是分析镇静音乐对患者在结肠镜检查期间的焦虑、疼痛、放松和幸福感体验的影响。在结肠镜检查前，18至80岁的成年患者（n = 120）被随机分为干预组（n = 60）和对照组，干预组在结肠镜检查期间聆听每分钟60至80节拍的镇静器乐曲，对照组则无此操作。结肠镜检查后，两组患者均完成了一份关于焦虑的问卷、状态特质焦虑量表以及焦虑视觉模拟量表。疼痛、放松和幸福感也通过视觉模拟量表进行测量。干预组中的女性在结肠镜检查期间的焦虑水平低于对照组（p = .007），并且干预组的幸福感显著高于对照组，尤其是男性（分别为p = .006和p = .025）。干预组中的男性在结肠镜检查期间比对照组中的男性更加放松（p = .065）。在结肠镜检查期间，聆听镇静音乐可降低女性的焦虑水平，并提高男性的幸福感。
