Chan Jonathan Cheuk-Hung, Chan Lok Pong, Yeung Chi Pong, Tang Tin Wai, O Yip Mang, Lam Wai Ching
Department of Ophthalmology, LKS Faculty of Medicine, University of Hong Kong, Pok Fu Lam, Hong Kong.
LKS Faculty of Medicine, University of Hong Kong, Pok Fu Lam, Hong Kong.
J Ophthalmol. 2020 Jul 30;2020:9120235. doi: 10.1155/2020/9120235. eCollection 2020.
Many patients remain anxious during intravitreal injections, despite its increasing use. As music can alleviate anxiety for other procedures, we wanted to evaluate its effect during intravitreal injection.
Patients undergoing routine intravitreal injection were recruited for a randomized controlled trial. Subjects complete a State-Trait Anxiety Inventory (STAI-S) questionnaire before and after undergoing injection with or without background music. They were also assessed for subjective satisfaction, anxiety, pain, and future preferences after the injection.
There were 39 and 37 Chinese subjects in the music (age 68.08 ± 13.67) and control (age 73.24 ± 11.17) groups, respectively. The music group reported lower anxiety and pain, and a greater reduction in STAI-S score, but the differences were not statistically significant ( = 0.830, 0.655, 0.199, respectively). More subjects in the music group (92.3%, control group 64.9%) preferred music for future injections ( = 0.003). Age, but not the number of previous injections, was negatively correlated with reported anxiety ( = -0.27, = 0.021).
Most subjects preferred music during future injections. Although music reduced anxiety, the effect was not statistically significant and may be masked by the higher age of our control group, as increasing age was correlated with lower anxiety.
尽管玻璃体内注射的使用越来越广泛，但许多患者在注射过程中仍会感到焦虑。由于音乐可以缓解其他医疗程序中的焦虑情绪，我们想评估其在玻璃体内注射过程中的效果。
招募接受常规玻璃体内注射的患者进行一项随机对照试验。受试者在有或没有背景音乐的情况下接受注射前后，完成一份状态-特质焦虑量表（STAI-S）问卷。他们还在注射后接受主观满意度、焦虑、疼痛和未来偏好的评估。
音乐组（年龄68.08±13.67）和对照组（年龄73.24±11.17）分别有39名和37名中国受试者。音乐组报告的焦虑和疼痛程度较低，STAI-S评分下降幅度更大，但差异无统计学意义（分别为=0.830、0.655、0.199）。音乐组中更多的受试者（92.3%，对照组64.9%）希望在未来的注射中使用音乐（=0.003）。年龄与报告的焦虑呈负相关（=-0.27，=0.021），而既往注射次数与焦虑无关。
大多数受试者希望在未来的注射中使用音乐。虽然音乐减轻了焦虑，但效果无统计学意义，可能被我们对照组较高的年龄所掩盖，因为年龄增长与焦虑程度降低相关。
