Cho Hyun-Jin, Chung Ho Seok, Hwang Eu Chang, Jung Seung Il, Kwon Dongdeuk, Park Kwangsung, Patel Darshan P, Hsieh Tung-Chin
Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
Department of Urology, University of California San Diego, La Jolla, California, USA.
Urol Int. 2024;108(5):414-420. doi: 10.1159/000539312. Epub 2024 May 10.
Bladder cancer, with a greater incidence in males than in females, requires frequent cystoscopies. We aimed to evaluate the effect of music played through noise-canceling headphones on male bladder cancer patients during follow-up cystoscopy.
A total of 160 male bladder cancer patients undergoing follow-up flexible cystoscopy were randomly divided into the noise-canceling headphones without music group and the noise-canceling headphones with music group (groups 1 and 2, respectively; n = 80 per group). The patients' clinical characteristics were examined, and objective and subjective measurements were compared before and after cystoscopy. The primary outcomes that were evaluated included the visual analog scale (VAS, 0-10) and the state-trait anxiety inventory (STAI, 20-80). Other outcomes, including vital signs and scores for assessing satisfaction and the willingness to repeat the procedure, were also examined.
The characteristics of the patients in groups 1 and 2, and their pre-cystoscopy status, did not differ significantly. Although post-cystoscopy vital signs for the objective parameters and VAS pain scores were similar between the groups, subjective parameters were not. When compared with group 1, post-cystoscopy STAI-state scores were significantly lower in group 2, whereas patients' satisfaction scores and the willingness to repeat the procedure were significantly higher in group 2 (p = 0.002, 0.001, and 0.001, respectively). Additionally, in group 2, STAI-state scores changed significantly after the procedure when compared with before the procedure (p = 0.002).
Providing music to male bladder cancer patients through noise-canceling headphones was found to reduce anxiety during cystoscopy and to improve patient satisfaction and willingness to undergo repeat cystoscopy.
膀胱癌男性发病率高于女性，需要频繁进行膀胱镜检查。我们旨在评估在随访膀胱镜检查期间，通过降噪耳机播放音乐对男性膀胱癌患者的影响。
总共160名接受随访柔性膀胱镜检查的男性膀胱癌患者被随机分为不播放音乐的降噪耳机组和播放音乐的降噪耳机组（分别为第1组和第2组；每组n = 80）。检查患者的临床特征，并比较膀胱镜检查前后的客观和主观测量结果。评估的主要结局包括视觉模拟量表（VAS，0 - 10）和状态 - 特质焦虑量表（STAI，20 - 80）。还检查了其他结局，包括生命体征以及评估满意度和重复该检查意愿的评分。
第1组和第2组患者的特征及其膀胱镜检查前的状态无显著差异。虽然两组间膀胱镜检查后的客观参数生命体征和VAS疼痛评分相似，但主观参数不同。与第1组相比，第2组膀胱镜检查后的STAI - 状态评分显著更低，而第2组患者的满意度评分和重复该检查的意愿显著更高（分别为p = 0.002、0.001和0.001）。此外，在第2组中，与检查前相比，检查后STAI - 状态评分有显著变化（p = 0.002）。
研究发现，通过降噪耳机为男性膀胱癌患者提供音乐可减轻膀胱镜检查期间的焦虑，并提高患者满意度和接受重复膀胱镜检查的意愿。
