Shim Ji Sung, Chae Ji Yun, Kang Sung Gu, Park Jae Young, Bae Jae Hyun, Kang Seok Ho, Park Hong Seok, Moon Du Geon, Cheon Jun, Lee Jeong Gu, Kim Je Jong, Oh Mi Mi
Department of Urology, Korea University College of Medicine, Seoul, Republic of Korea.
Department of Urology, Korea University College of Medicine, Seoul, Republic of Korea.
Urology. 2017 Jun;104:59-63. doi: 10.1016/j.urology.2017.02.035. Epub 2017 Feb 28.
To evaluate the effect of listening to music on pain, anxiety, or stress during a urodynamic study (UDS).
A total of 74 female and 74 male patients who underwent UDS between March 2013 and October 2013 were prospectively randomized. The patients were divided into 2 groups according to gender (female, n = 74 vs male, n = 74) and into 2 subgroups according to whether they listened to music or not. Music group subjects played their preferred music during UDS. Before and after UDS, all subjects completed the State-Trait Anxiety Inventory (STAI) form and their degree of pain, anxiety, and satisfaction during examination were assessed by the visual analog scale (VAS, 0-10). Basic vital signs were also checked before and after the procedure.
In the analysis of anxiety, pain, and stress scores, the mean shame, discomfort, and satisfaction scores (VAS) were significantly higher in female patients, whereas the mean score of willingness to retry the procedure was higher in male patients whether listening to music or not (P < .001). In the analysis of differences of STAI total, state anxiety, and trait anxiety, there were no statistical significances between the music group and the no-music group in either gender.
In our study, music during UDS did not reduce anxiety, pain, and stress in either gender. In the analysis focusing on gender difference, female patients showed statistically higher levels of pain, anxiety, and stress scores than male patients whether listening to music or not.
评估在尿动力学检查（UDS）过程中听音乐对疼痛、焦虑或压力的影响。
前瞻性随机选取了2013年3月至2013年10月期间接受UDS检查的74名女性患者和74名男性患者。根据性别将患者分为两组（女性，n = 74 vs男性，n = 74），并根据是否听音乐将每组再分为两个亚组。音乐组的受试者在UDS检查期间播放他们喜欢的音乐。在UDS检查前后，所有受试者均完成状态-特质焦虑量表（STAI）表格，并通过视觉模拟量表（VAS，0-10）评估他们在检查期间的疼痛程度、焦虑程度和满意度。在检查前后还检查了基本生命体征。
在焦虑、疼痛和压力评分分析中，女性患者的平均羞耻感、不适感和满意度评分（VAS）显著更高，而无论是否听音乐，男性患者再次接受该检查的意愿平均得分更高（P <.001）。在STAI总分、状态焦虑和特质焦虑的差异分析中，音乐组和非音乐组在任何性别中均无统计学意义。
在我们的研究中，UDS检查期间听音乐并未减轻任何性别的焦虑、疼痛和压力。在关注性别差异的分析中，无论是否听音乐，女性患者的疼痛、焦虑和压力评分在统计学上均高于男性患者。
