Öztürk Erdem, Hamidi Nurullah, Yikilmaz Taha N, Özcan Cihat, Başar Halil
Department of Urology, Dr Abdurrahman Yurtaslan Training and Research Hospital, Ankara, Turkey.
Deparment of Urology, Atatürk Training and Research Hospital, Ankara, Turkey.
Low Urin Tract Symptoms. 2019 Jan;11(1):39-42. doi: 10.1111/luts.12191. Epub 2017 Aug 23.
Urodynamic studies (UDS) include assessments of the physics and physiology of the lower urinary tract (LUT). It is an invasive test and patients can feel fear and anxiety, especially at the beginning of the test. The aim of this study was to determine whether listening to music during urodynamic study decreases patient anxiety and pain.
Sixty-two patients who underwent urodynamic study were randomized into the following groups: no music (group 1, n = 30) or classical music (group 2, n = 32) during the procedure. Patient anxiety levels were quantified using the State-Trait Anxiety Inventory (STAI) and Beck's Anxiety Inventory (BAI). A visual analog scale (VAS) was used for self-assessment of discomfort and willingness among patients to have a repeat urodynamic study.
Demographic characteristics, mean age, duration of procedure, systolic and diastolic blood pressure (SBP and DBP) and heart rate before procedure were statistically significantly similar between the two groups. Statistically significant differences were detected between the two groups in the mean pain score on VAS (4.1 ± 1.4 vs 2.6 ± 1.8), mean post-procedural STAI score (46 ± 5.8 vs 37.3 ± 5) and mean BAI score (14.2 ± 1.7 vs 3.5 ± 0.7). SBP and DBP and heart rate were similar between the groups.
Music is a cheap, safe and effective intervention that has gained increasing recognition as an effective tool to reduce pain and anxiety. Listening to music during urodynamic study reduced patient pain and anxiety.
尿动力学研究（UDS）包括对下尿路（LUT）的物理和生理评估。这是一项侵入性检查，患者可能会感到恐惧和焦虑，尤其是在检查开始时。本研究的目的是确定在尿动力学研究期间听音乐是否能减轻患者的焦虑和疼痛。
62例行尿动力学研究的患者被随机分为以下两组：检查过程中不听音乐组（第1组，n = 30）或听古典音乐组（第2组，n = 32）。使用状态-特质焦虑量表（STAI）和贝克焦虑量表（BAI）对患者的焦虑水平进行量化。采用视觉模拟量表（VAS）对患者的不适程度和再次进行尿动力学研究的意愿进行自我评估。
两组患者的人口统计学特征、平均年龄、检查持续时间、检查前收缩压和舒张压（SBP和DBP）以及心率在统计学上无显著差异。两组在VAS平均疼痛评分（4.1±1.4 vs 2.6±1.8）、检查后STAI平均评分（46±5.8 vs 37.3±5）和BAI平均评分（14.2±1.7 vs 3.5±0.7）方面存在统计学显著差异。两组间SBP、DBP和心率相似。
音乐是一种廉价、安全且有效的干预措施，作为减轻疼痛和焦虑的有效工具已得到越来越多认可。在尿动力学研究期间听音乐可减轻患者的疼痛和焦虑。
