Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Faculty of Pharmacy, Fayoum University, Fayoum, Egypt.
BMC Womens Health. 2023 Jul 5;23(1):360. doi: 10.1186/s12905-023-02489-8.
Hysteroscopy is a common outpatient procedure but procedural pain limits its use. Music could be used as a pain-relieving intervention. We performed a systematic review and meta-analysis to investigate the effect of music on pain and anxiety during outpatient hysteroscopy.
Four electronic databases were searched: PubMed, Scopus, Web of Science, and Cochrane Library, from inception to September 2022. We included only the Randomized Controlled Trials (RCTs) that investigated the effect of music on women who underwent outpatient hysteroscopy in reducing pain and anxiety levels compared to no music. We assessed the quality of included RCTs using the risk of bias tool 1 reported in the Cochrane Handbook of Systematic Reviews of Interventions. Data were pooled as the Mean Differences (MDs) with a 95% Confidence Interval (CI) in a random-effects model, using Review Manager 5.3 software. Also, we assessed the evidence of the results using the Grading of Recommendations Assessment, Development and Evaluation (GRADE).
Three RCTs (540 women) were included. Music significantly reduced visual analogue scale (VAS) pain scores as well as State-Trait Anxiety Inventory (STAI) scores compared to controls (MD = -1.28; 95% CI [-2.19, -0.36]; P = 0.007) and (MD = -3.91; 95% CI [-6.98, -0.85]; P = 0.01) respectively. Also, the decrease in VAS score for pain was significantly greater in the music group (MD = 1.44; 95% CI [0.44, 2.45]; P = 0.005). However, the change in STAI showed no significant difference between the two groups. The GRADE ratings for all outcomes were very low.
Music is a potentially promising method for controlling pain for patients undergoing outpatient hysteroscopy; however, its effect in controlling anxiety is controversial.
宫腔镜检查是一种常见的门诊程序，但程序疼痛限制了其使用。音乐可以作为一种缓解疼痛的干预措施。我们进行了系统评价和荟萃分析，以调查音乐对门诊宫腔镜检查患者疼痛和焦虑的影响。
我们在四个电子数据库中进行了搜索：PubMed、Scopus、Web of Science 和 Cochrane Library，从创建到 2022 年 9 月。我们仅纳入了随机对照试验（RCT），这些试验调查了与没有音乐相比，音乐对接受门诊宫腔镜检查的女性在降低疼痛和焦虑水平方面的影响。我们使用 Cochrane 系统评价干预手册中报告的风险偏倚工具 1 来评估纳入 RCT 的质量。使用 Review Manager 5.3 软件，数据以随机效应模型的均数差（MD）和 95%置信区间（CI）进行汇总。我们还使用推荐评估、制定和评估（GRADE）评估结果的证据等级。
纳入了三项 RCT（540 名女性）。与对照组相比，音乐显著降低了视觉模拟评分（VAS）疼痛评分以及状态-特质焦虑量表（STAI）评分（MD=-1.28；95%CI[-2.19，-0.36]；P=0.007）和（MD=-3.91；95%CI[-6.98，-0.85]；P=0.01）。此外，音乐组 VAS 疼痛评分的下降幅度明显更大（MD=1.44；95%CI[0.44，2.45]；P=0.005）。然而，两组之间的 STAI 变化没有显著差异。所有结局的 GRADE 评价均为极低质量。
音乐是一种控制门诊宫腔镜检查患者疼痛的有潜力的方法，但它在控制焦虑方面的效果存在争议。
