Kupeli Ilke, Gülnahar Yakup
Associate Professor, Anesthesiology and Reanimation Department, Erzincan Binali Yıldırım University, Erzincan, Turkey.
Assistant Professor, Oral and Maxillofacial Surgery Department, Erzincan Binali Yıldırım University, Erzincan, Turkey.
J Oral Maxillofac Surg. 2020 Apr;78(4):546.e1-546.e7. doi: 10.1016/j.joms.2019.11.029. Epub 2019 Dec 3.
The purpose of this study was to determine the music genre reducing anxiety best in patients whose third molars were extracted.
Eighty patients were included in this prospective, observational, randomized controlled trial. They were divided into 4 groups: group 1, Turkish music; group 2, classical music of a Western culture; group 3, soft rock music; and group 4, no music (control group). The preoperative blood pressure, heart rate (HR), and oxygen saturation of each patient were measured, and the Corah Dental Anxiety Scale (CDAS) questionnaire was applied, with the values being measured and recorded at 5-minute intervals. Descriptive and bivariate statistics were computed, and the P value was set at .05.
Of the 80 patients, 44 were women and 36 were men. The average age was 24.1 ± 5.9 years. No significant differences between the groups were found in terms of age; gender; or preoperative HR, mean arterial pressure, oxygen saturation (as measured by pulse oximetry), and CDAS values (P > .05). Although no significant correlations was found between anxiety levels and age (P = .330), HR (P = .694), or mean arterial pressure (P = .775), it was detected that anxiety was high in women (P < .05). Anxiety levels decreased at all times in all groups, but the postoperative CDAS values of the classical music group were significantly lower than those of the other groups (P = .024).
This study found that classical Western music that was started in the preoperative period and continued until the end of the operation significantly reduced the anxiety associated with third molar extraction in patients aged between 18 and 30 years.
本研究旨在确定哪种音乐类型能最有效地减轻拔除第三磨牙患者的焦虑情绪。
本前瞻性、观察性、随机对照试验纳入了80例患者。他们被分为4组:第1组,土耳其音乐;第2组,西方文化的古典音乐;第3组,轻摇滚音乐;第4组,无音乐(对照组)。测量每位患者术前的血压、心率(HR)和血氧饱和度,并应用科拉牙科焦虑量表(CDAS)问卷,每隔5分钟测量并记录一次数值。计算描述性和双变量统计量,P值设定为0.05。
80例患者中,女性44例,男性36例。平均年龄为24.1±5.9岁。在年龄、性别、术前HR、平均动脉压、血氧饱和度(通过脉搏血氧饱和度测量)和CDAS值方面,各组之间未发现显著差异(P>0.05)。虽然焦虑水平与年龄(P=0.330)、HR(P=0.694)或平均动脉压(P=0.775)之间未发现显著相关性,但检测发现女性的焦虑程度较高(P<0.05)。所有组在各个时间点的焦虑水平均下降,但古典音乐组术后的CDAS值显著低于其他组(P=0.024)。
本研究发现,术前开始并持续至手术结束的西方古典音乐能显著降低18至30岁患者拔除第三磨牙相关的焦虑情绪。