Department of Clinical and Experimental Medicine, University 'Magna Graecia', Catanzaro, Italy.
School of Nursing, University 'Magna Graecia', Catanzaro, Italy.
J Adv Nurs. 2020 Nov;76(11):2993-3002. doi: 10.1111/jan.14516. Epub 2020 Sep 9.
To explore whether music can reduce anxiety and pain in patients who underwent diagnostic endoscopic examinations in conscious and deep sedation and to assess degree of satisfaction and willingness to repeat the procedure.
Prospective study led by nursing.
Between March 2019-June 2019, consecutive outpatients undergoing endoscopic examinations were simple matched into four groups: Group 1: conscious sedation with music; Group 2: conscious sedation without music; Group 3: deep sedation with music and Group 4: deep sedation without music. Ten minutes before the procedure, two trainee nurses applied music. State-Trait Anxiety Inventory was used to evaluate anxiety.
Before and at the end of the procedure, patients who listened to music had a lower level anxiety than those who did not listen and, also, reported lower pain intensity during procedure. Only within Group 1 median anxiety, measured after the procedure, is lower than that measured before. In the bivariate logistic regression model, pain and listening to music were independent factors for satisfaction and willingness to repeat procedure.
music in digestive endoscopy reduce pain and anxiety in conscious sedation, thus could be used to reduce anxiety in support to conscious sedation leading to lower usage of deep sedation and consequently reduction of costs and adverse events.
Anxiety in digestive endoscopy limits patients' satisfaction. Music in digestive endoscopy as a specific nursing intervention could reduce anxiety of patients. This nursing intervention study confirms positive effect of music in digestive endoscopy. As part of nursing management, the addition of music to daily care practice in digestive endoscopy may reduce anxiety and increase the patient's degree of satisfaction. Use of music could limit deep sedation use in digestive endoscopy with consequent reduction of risks for patients, execution times, and costs of procedures.
探讨音乐是否可以减轻清醒镇静和深度镇静下行诊断性内镜检查患者的焦虑和疼痛，并评估患者的满意度和再次接受该程序的意愿。
由护理人员主导的前瞻性研究。
2019 年 3 月至 6 月期间，连续接受内镜检查的门诊患者被简单地分为四组：组 1：音乐辅助清醒镇静；组 2：无音乐辅助清醒镇静；组 3：音乐辅助深度镇静；组 4：无音乐辅助深度镇静。在手术前 10 分钟，两名实习护士播放音乐。采用状态-特质焦虑量表评估焦虑。
在手术前和手术结束时，听音乐的患者焦虑程度低于未听音乐的患者，并且在手术过程中报告的疼痛强度也较低。只有在组 1 中，术后测量的焦虑中位数低于术前测量的焦虑中位数。在双变量逻辑回归模型中，疼痛和听音乐是满意度和再次接受手术意愿的独立因素。
在消化内镜检查中使用音乐可以减轻清醒镇静下的疼痛和焦虑，从而可以减少对深度镇静的需求，并降低成本和不良反应的风险。
消化内镜检查中的焦虑会限制患者的满意度。消化内镜中的音乐作为一种特定的护理干预措施，可以减轻患者的焦虑。这项护理干预研究证实了音乐在消化内镜中的积极作用。作为护理管理的一部分，在消化内镜日常护理实践中添加音乐可能会减轻焦虑并提高患者的满意度。在消化内镜中使用音乐可以限制深度镇静的使用，从而降低患者的风险、执行时间和手术成本。
