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双耳节拍可降低非镇静患者结肠镜检查过程中的疼痛和不适感:一项随机对照试验。

Binaural beats reduce feeling of pain and discomfort during colonoscopy procedure in not-sedated patients: A randomized control trial.

机构信息

Anesthesia and Intensive Care Unit, S. Maria Maddalena Hospital, AUSL Toscana Nordovest, Volterra, Pisa, Italy.

CNR, National Reseach Council of Italy, IRIB - Institute for Biomedical Research and Innovation, Via Torre Bianca c/o Istituto Marino, Mortelle, Messina, Italy.

出版信息

Complement Ther Clin Pract. 2022 Aug;48:101605. doi: 10.1016/j.ctcp.2022.101605. Epub 2022 May 21.

Abstract

BACKGROUND AND PURPOSE

This study aimed to determine the effect of Binaural Beats(BB)on feeling of pain, and patient comfort during colonoscopy without sedation.

MATERIALS AND METHODS

It is a randomized, controlled, double-blind procedural study of 115 patients that underwent colonoscopy without sedation. The patients were randomly assigned into the experimental group (n = 42) and the control group (n = 48) that were given BB starting 5 min before and continuing until the end of the colonoscopy procedure without any intervention other than routine nursing care. Measures of the state of anxiety (VAS-Anxiety scale) administered before the procedure, and measures of feeling of pain (Visual Analogue scale VAS-pain), Satisfactory and Willingness to repeat the procedure as Likert scales were also collected soon after the colonoscopy procedure.

RESULTS

Feeling of pain was lower and scores of the level of comfort were higher in the experimental group when compared to the control group (p < 0.05).

CONCLUSIONS

BB is an effective and safe method for reducing pain and improving patient comfort in cases undergoing colonoscopy without sedation. Since BB method is a non-pharmacological, non-invasive, inexpensive and simple method without any side effects, it may be used to reduce the feeling of pain and discomfort for non-sedated patients undergoing colonoscopy.

摘要

背景与目的

本研究旨在确定双耳节拍(BB)对非镇静状态下结肠镜检查患者疼痛感觉和舒适度的影响。

材料与方法

这是一项随机、对照、双盲的 115 例患者的程序研究,这些患者均接受非镇静状态下的结肠镜检查。患者被随机分为实验组(n=42)和对照组(n=48),实验组在结肠镜检查前 5 分钟开始接受 BB,持续到结肠镜检查结束,除了常规护理外没有任何干预措施。在检查前进行焦虑状态评估(VAS 焦虑量表),在结肠镜检查后立即进行疼痛感觉评估(视觉模拟量表 VAS 疼痛)和舒适度评估(Likert 量表)。

结果

与对照组相比,实验组患者的疼痛感觉较低,舒适度评分较高(p<0.05)。

结论

BB 是一种有效且安全的方法,可降低非镇静状态下结肠镜检查患者的疼痛程度,提高患者舒适度。由于 BB 方法是非药物、非侵入性、价格低廉且简单,没有任何副作用,因此可用于减轻非镇静状态下接受结肠镜检查患者的疼痛和不适感觉。

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