Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics/Gynecology and Urology, Loyola University Chicago Stritch School of Medicine, Maywood.
Department of Obstetrics and Gynecology, Swedish Covenant Hospital, Chicago, IL.
Female Pelvic Med Reconstr Surg. 2021 Aug 1;27(8):469-473. doi: 10.1097/SPV.0000000000001070.
We aimed to investigate the effect of music listening on preoperative anxiety compared with usual care in patients undergoing pelvic reconstructive surgery.
Patients scheduled for pelvic reconstructive surgery were enrolled on the day of surgery. Participants were randomized to either the usual care (control group) or to music listening on headphones (music group) before their surgery. Participants completed the Spielberg State-Trait Anxiety Inventory form Y1 to measure baseline state anxiety levels before surgery and again after 30 minutes of usual care or music listening. The primary outcome was the change in state anxiety score as measured by the State-Trait Anxiety Inventory form Y1.
Sixty-nine women completed the study (35 assigned to the control group and 34 assigned to the music group). Analysis of the primary outcome included 66 participants (34 in the control group and 32 in the music group). Improvement in state anxiety was significantly better for patients assigned to music listening (-6.69; SD, 6.98) than for patients assigned to the control group (-1.32; SD, 8.03; P = 0.01). Six weeks postoperatively, patients in the music group (n = 29) reported higher overall satisfaction when compared with those in the control group (n = 31, P = 0.03).
Patients undergoing pelvic reconstructive surgery present with moderate anxiety on the day of surgery. Allowing patients to listen to their preferred music is a simple intervention that may lower preoperative anxiety and improve satisfaction in this patient population.
我们旨在研究与常规护理相比，音乐聆听对接受骨盆重建手术患者术前焦虑的影响。
在手术当天招募计划接受骨盆重建手术的患者。参与者被随机分配至常规护理（对照组）或耳机音乐聆听（音乐组），然后在手术前和 30 分钟后完成 Spielberg 状态-特质焦虑量表 Y1 以测量术前基线状态焦虑水平。主要结局是通过状态-特质焦虑量表 Y1 测量的状态焦虑评分变化。
69 名女性完成了研究（对照组 35 名，音乐组 34 名）。主要结局分析包括 66 名参与者（对照组 34 名，音乐组 32 名）。与对照组相比，接受音乐聆听的患者的状态焦虑改善明显更好（-6.69；SD，6.98），而对照组为-1.32；SD，8.03；P=0.01）。术后 6 周，与对照组（n=31）相比，音乐组（n=29）的患者报告总体满意度更高（P=0.03）。
接受骨盆重建手术的患者在手术当天表现出中度焦虑。允许患者听他们喜欢的音乐是一种简单的干预措施，可能会降低术前焦虑并改善该患者群体的满意度。
