Li Lijun, Shu Wen, Li Zhen, Liu Quanyan, Wang Haitao, Feng Bilong, Ouyang Yan-Qiong
School of Health Sciences, Wuhan University, Wuhan, Hubei, China; Department of General Surgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Department of Public Health, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Pain Manag Nurs. 2019 Feb;20(1):39-46. doi: 10.1016/j.pmn.2018.04.005. Epub 2018 May 17.
The objective of this study was to compare the effects produced by yoga nidra and relaxation music for pain management in patients undergoing colonoscopy. A quasiexperimental design was used.
In total, 144 patients who were scheduled to undergo colonoscopy were assigned to three different treatment groups. Group 1 was a no treatment control group, group 2 was delivered relaxing music, and group 3 was delivered a yoga nidra recording. The primary outcome was pain score. Secondary treatment efficacy measures were an overall patient satisfaction score, a willingness to repeat the procedure score, and a perceived colonoscope insertion difficulty score. Secondary objective treatment effect measures were systolic and diastolic blood pressure and total procedure duration.
The patients' perceptions of pain and the endoscopist's perceived colonoscope insertion difficulty were significantly reduced by both the music and the yoga nidra recording (p < .05). Overall patient satisfaction was significantly improved by both the music and the yoga nidra recording (p < .05). Patients' willingness to repeat the procedure and the total procedure duration were significantly improved and reduced, respectively, by the yoga nidra recording (p < .05), but there were no significant differences compared to the music group. There were no statistically significant differences among the three groups in terms of blood pressure.
Both the yoga nidra recording and the relaxation music helped reduce the pain participants undergoing colonoscopy experienced. The yoga nidra recording was the most successful intervention among the three groups.
本研究的目的是比较瑜伽休息术和放松音乐对接受结肠镜检查患者疼痛管理的效果。采用了准实验设计。
总共144名计划接受结肠镜检查的患者被分配到三个不同的治疗组。第1组为无治疗对照组,第2组播放放松音乐,第3组播放瑜伽休息术录音。主要结局是疼痛评分。次要治疗效果指标包括患者总体满意度评分、愿意重复该检查的评分以及感知到的结肠镜插入难度评分。次要客观治疗效果指标是收缩压和舒张压以及总检查时长。
音乐和瑜伽休息术录音均显著降低了患者对疼痛的感知以及内镜医师感知到的结肠镜插入难度(p < 0.05)。音乐和瑜伽休息术录音均显著提高了患者总体满意度(p < 0.05)。瑜伽休息术录音显著提高了患者愿意重复该检查的意愿,并显著缩短了总检查时长(p < 0.05),但与音乐组相比无显著差异。三组在血压方面无统计学显著差异。
瑜伽休息术录音和放松音乐均有助于减轻接受结肠镜检查参与者所经历的疼痛。瑜伽休息术录音是三组中最成功的干预措施。