Bashiri Mehrnoosh, Akçalı Didem, Coşkun Demet, Cindoruk Mehmet, Dikmen Asiye, Çifdalöz Burçin Uçaner
Department of Anesthesiology and Reanimation, Gazi University School of Medicine, Ankara, Turkey.
Department of Gastroenterology, Gazi University School of Medicine, Ankara, Turkey.
Turk J Gastroenterol. 2018 Sep;29(5):574-579. doi: 10.5152/tjg.2018.18200.
BACKGROUND/AIMS: Endoscopy and colonoscopy are frequently performed procedures to evaluate the gastrointestinal system. These procedures are sometimes disturbing and painful for the patient. In gastrointestinal suits, endoscopy and colonoscopy may be performed on awake or sedated patients. Music therapy is a common and non-pharmacological treatment for various medical conditions, pain, and anxiety. The aim of the present study was to add music therapy to sedation administered during endoscopy and colonoscopy. The effect of music treatment on drug consumption, anxiety, and pain was investigated.
American Anesthesiologist Association I-III adult patients scheduled for endo/colonoscopy were randomized to music treatment and no music treatment groups. Patients with endoscopic ultrasound and endoscopic retrograde colangiopancreaticography were excluded from the study. Anxiety score and pain severity were evaluated before and after the procedure. Heart rate, mean arterial pressure, and oxygen saturation were recorded before, during, and after the procedure. Total drug consumption was recorded. Patient satisfaction and desire for the same protocol for recurrent procedures were investigated.
Music therapy added to deep sedation administered by anesthesiologists provided decreased anxiety score and propofol consumption. Patient satisfaction was increased, and patients reported a desire for the same protocol for recurrent procedures.
The present study may serve as the beginning of using music therapy for pain treatment in gastroenterology procedures in our hospital with/without sedation. Music and other non-pharmacological treatment methods must be remembered to increase patient comfort during enco/colonoscopies and other painful procedures.
背景/目的：内镜检查和结肠镜检查是评估胃肠道系统时常用的操作。这些操作有时会让患者感到不适和疼痛。在胃肠检查中，内镜检查和结肠镜检查可在清醒或镇静的患者身上进行。音乐疗法是一种针对各种医疗状况、疼痛和焦虑的常见非药物治疗方法。本研究的目的是在内镜检查和结肠镜检查期间给予的镇静治疗中加入音乐疗法。研究音乐治疗对药物消耗、焦虑和疼痛的影响。
将计划进行内镜/结肠镜检查的美国麻醉医师协会I-III级成年患者随机分为音乐治疗组和非音乐治疗组。接受内镜超声检查和内镜逆行胰胆管造影检查的患者被排除在研究之外。在操作前后评估焦虑评分和疼痛严重程度。记录操作前、操作期间和操作后的心率、平均动脉压和血氧饱和度。记录药物总消耗量。调查患者满意度以及对重复操作采用相同方案的意愿。
在麻醉医生给予的深度镇静治疗中加入音乐疗法可降低焦虑评分和丙泊酚消耗量。患者满意度提高，患者表示希望在重复操作时采用相同方案。
本研究可能是我院在有/无镇静的胃肠病学操作中使用音乐疗法进行疼痛治疗的开端。必须记住音乐和其他非药物治疗方法，以提高内镜/结肠镜检查及其他疼痛操作期间患者的舒适度。
