Chantawong Nopwaree, Charoenkwan Kittipat
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
J Low Genit Tract Dis. 2017 Oct;21(4):307-310. doi: 10.1097/LGT.0000000000000323.
The aim of the study was to compare pain, anxiety, and satisfaction between women, who listened to music, and those who did not during loop electrosurgical excision procedure (LEEP).
Participants were randomly assigned into two groups. In group 1 (music), the participants listened to relaxing instrumental music through the stereo headset from the time of arrival at the preoperative waiting room until the procedure completed. For group 2 (control), the participants underwent LEEP without music listening. The women rated pain, anxiety, and satisfaction according to 10-cm visual analog scales. Pain was assessed at the time of speculum insertion (baseline pain) and immediately after the LEEP completed (procedural pain). Anxiety and satisfaction were examined just before starting the LEEP and 10 minutes after the procedure completed.
One hundred fifty patients (74 in music group and 76 in control group) participated. Mean baseline pain scores after speculum insertion were comparable between the groups (3.7 in the music group vs. 3.5 in the control group, p = .55). Mean procedural pain scores were not different between the groups (4.7 in the music group vs. 5.2 in the control group, p = .32). The differences of the procedural pain scores from baseline were statistically comparable between the study groups (0.9 in the music group vs. 1.7 in the control group, p = .15). There were no significant differences in anxiety and satisfaction scores at any time points assessed between the groups.
The effects of music listening on reducing pain and anxiety during LEEP could not be demonstrated in this study.
本研究旨在比较在环形电切术（LEEP）过程中听音乐的女性与未听音乐的女性之间的疼痛、焦虑和满意度。
参与者被随机分为两组。在第1组（音乐组）中，参与者从到达术前候诊室开始直至手术结束，通过立体声耳机收听舒缓的器乐音乐。对于第2组（对照组），参与者在无音乐收听的情况下接受LEEP。女性根据10厘米视觉模拟量表对疼痛、焦虑和满意度进行评分。在放置窥器时（基线疼痛）和LEEP结束后立即（手术疼痛）评估疼痛。在开始LEEP前和手术结束后10分钟检查焦虑和满意度。
150名患者参与研究（音乐组74名，对照组76名）。两组放置窥器后的平均基线疼痛评分相当（音乐组为3.7，对照组为3.5，p = 0.55）。两组的平均手术疼痛评分无差异（音乐组为4.7，对照组为5.2，p = 0.32）。研究组之间手术疼痛评分相对于基线的差异在统计学上具有可比性（音乐组为0.9，对照组为1.7，p = 0.15）。在评估的任何时间点，两组之间的焦虑和满意度评分均无显著差异。
本研究未能证明听音乐对减轻LEEP过程中的疼痛和焦虑有效果。
