Sabzevari Alireza, Kianifar Hamidreza, Jafari Seyed Ali, Saeidi Masumeh, Ahanchian Hamid, Kiani Mohammad Ali, Jarahi Lida
Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Electron Physician. 2017 Jul 25;9(7):4801-4805. doi: 10.19082/4801. eCollection 2017 Jul.
Gentle music has relaxing and pain reducing effects. In this study, the effect of music on patients' vital signs and pain was investigated before and after endoscopy.
This clinical trial study was conducted on 100 children from seven to fourteen years of age in Gha'em Hospital, Mashhad in 2015. Children were divided into two equal groups (case group=50 and control group=50). The control group received endoscopy according to the standards, without any other procedure. For the case group, a classic musical piece by Clayderman was played during endoscopy (from the time of entering the endoscopy room to the end of the process). After conducting endoscopy, FALCC scale and Baker-Wong pain scale were filled for both groups. In addition, children's vital signs including: heart rate (pulse), diastolic and systolic blood pressure were measured before and after endoscopy for both groups. Data analysis was conducted using SPSS16 with the help of Mann-Whitney and Chi-square tests.
No significant difference was found in age, gender distribution of case or control groups (p>0.05). Heart rate and diastolic blood pressure was significantly lower in the music (case) group compared to the control group before endoscopy (p=0.012). In addition, pain score in patients of the music group was lower than the control group (p<0.05).
Playing music for children during endoscopy can reduce pain and anxiety in patients before and after endoscopy.
轻柔的音乐具有放松和减轻疼痛的效果。在本研究中，调查了音乐在内镜检查前后对患者生命体征和疼痛的影响。
2015年在马什哈德的加姆医院对100名7至14岁的儿童进行了这项临床试验研究。儿童被分为两个相等的组（病例组=50，对照组=50）。对照组按照标准进行内镜检查，不进行任何其他操作。对于病例组，在内镜检查期间（从进入内镜检查室到检查过程结束）播放克莱德曼的一首经典乐曲。内镜检查后，两组均填写FALCC量表和贝克- Wong疼痛量表。此外，测量两组儿童在内镜检查前后的生命体征，包括：心率（脉搏）、舒张压和收缩压。使用SPSS16借助曼-惠特尼检验和卡方检验进行数据分析。
病例组和对照组在年龄、性别分布上无显著差异（p>0.05）。内镜检查前，音乐（病例）组的心率和舒张压显著低于对照组（p=0.012）。此外，音乐组患者的疼痛评分低于对照组（p<0.05）。
在内镜检查期间为儿童播放音乐可减轻患者内镜检查前后的疼痛和焦虑。
