Kongsawatvorakul Chompunoot, Charakorn Chuenkamon, Paiwattananupant Krissada, Lekskul Navamol, Rattanasiri Sasivimol, Lertkhachonsuk Arb-Aroon
Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand E-mail :
Asian Pac J Cancer Prev. 2016;17(6):2853-6.
Many studies have pointed to strategies to cope with patient anxiety in colposcopy. Evidence shows that patients experienced considerable distress with the large loop excision of transformation zone (LLETZ) procedure and suitable interventions should be introduced to reduce anxiety. This study aimed to investigate the effects of music therapy in patients undergoing LLETZ.
A randomized controlled trial was conducted with patients undergoing LLETZ performed under local anesthesia in an out patient setting at Ramathibodi Hospital, Bangkok, Thailand, from February 2015 to January 2016. After informed consent and demographic data were obtained, we assessed the anxiety level using State Anxiety Inventory pre and post procedures. Music group patients listened to classical songs through headphones, while the control group received the standard care. Pain score was evaluated with a visual analog scale (VAS). Statistical analysis was conducted using Pearson Chi-square, Fisher's Exact test and T-Test and p-values less than 0.05 were considered statistically significant.
A total of 73 patients were enrolled and randomized, resulting in 36 women in the music group and 37 women in the non-music control group. The preoperative mean anxiety score was higher in the music group (46.8 VS 45.8 points). The postoperative mean anxiety scores in the music and the non-music groups were 38.7 and 41.3 points, respectively. VAS was lower in music group (2.55 VS 3.33). The percent change of anxiety was greater in the music group, although there was no significant difference between two groups.
Music therapy did not significantly reduce anxiety in patients undergoing the LLETZ procedure. However, different interventions should be developed to ease the patients' apprehension during this procedure.
许多研究都指出了在阴道镜检查中应对患者焦虑的策略。有证据表明，患者在转化区大环形切除术（LLETZ）过程中经历了相当大的痛苦，应引入适当的干预措施以减轻焦虑。本研究旨在调查音乐疗法对接受LLETZ手术患者的影响。
2015年2月至2016年1月，在泰国曼谷拉玛蒂博迪医院的门诊环境中，对接受局部麻醉下LLETZ手术的患者进行了一项随机对照试验。在获得知情同意书和人口统计学数据后，我们在手术前后使用状态焦虑量表评估焦虑水平。音乐组患者通过耳机收听古典歌曲，而对照组接受标准护理。使用视觉模拟量表（VAS）评估疼痛评分。采用Pearson卡方检验、Fisher精确检验和T检验进行统计分析，p值小于0.05被认为具有统计学意义。
共纳入73例患者并进行随机分组，音乐组36例女性，非音乐对照组37例女性。音乐组术前平均焦虑评分较高（46.8分对45.8分）。音乐组和非音乐组术后平均焦虑评分分别为38.7分和41.3分。音乐组的VAS较低（2.55对3.33）。尽管两组之间没有显著差异，但音乐组焦虑的百分比变化更大。
音乐疗法并未显著降低接受LLETZ手术患者的焦虑。然而，应开发不同的干预措施以减轻患者在此过程中的担忧。
