Ko Chia-Hui, Chen Yi-Yu, Wu Kuan-Ta, Wang Shu-Chi, Yang Jeng-Fu, Lin Yu-Yin, Lin Chia-I, Kuo Hsiang-Ju, Dai Chia-Yen, Hsieh Meng-Hsuan
Department of Music, College of Liberal Arts, National Sun Yat-sen University, Kaohsiung, Taiwan, ROC.
Health Management Center, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, ROC.
J Chin Med Assoc. 2017 Mar;80(3):154-160. doi: 10.1016/j.jcma.2016.08.010. Epub 2016 Nov 23.
Listening to music can be a noninvasive method for reducing the anxiety level without any adverse effects. The aim of this study was to explore whether music can reduce anxiety and to compare two different styles of music, informal classical music and light music, to ascertain the more effective style of music in reducing anxiety in patients undergoing colonoscopy without sedation.
This study enrolled 138 patients who underwent colonoscopy without sedation during a general health examination from February 2009 to January 2015. The patients were randomly assigned to a group that did not listen to music, a group that listened to music by David Tolley, or a group that listened to music by Kevin Kern. The State-Trait Anxiety Inventory was used to evaluate the status of anxiety.
A trend test for mild anxiety was performed on the patients in the three groups, and a significant trend was noted (p=0.017 for all patients; p=0.014 for analysis by sex). Multivariate analysis for mild anxiety on the patients in each group was also performed in this study, and music by Kevin Kern was found to have the lowest odds ratio (Odds ratio=0.34, p=0.045).
Listening to music, especially music by Kevin Kern, reduced the level of anxiety in patients undergoing colonoscopy examination without sedation.
听音乐可能是一种无不良影响的降低焦虑水平的非侵入性方法。本研究的目的是探讨音乐是否能减轻焦虑，并比较两种不同风格的音乐，即非正式古典音乐和轻音乐，以确定哪种音乐风格在减轻未使用镇静剂的结肠镜检查患者的焦虑方面更有效。
本研究纳入了2009年2月至2015年1月期间在一次普通健康检查中接受未使用镇静剂的结肠镜检查的138名患者。这些患者被随机分配到一个不听音乐的组、一个听大卫·托利音乐的组或一个听凯文·科恩音乐的组。使用状态-特质焦虑量表来评估焦虑状态。
对三组患者进行了轻度焦虑的趋势检验，发现有显著趋势（所有患者p = 0.017；按性别分析p = 0.014）。本研究还对每组患者的轻度焦虑进行了多变量分析，发现凯文·科恩的音乐具有最低的优势比（优势比 = 0.34，p = 0.045）。
听音乐，尤其是凯文·科恩的音乐，可降低未使用镇静剂的结肠镜检查患者的焦虑水平。
