Demirci Selim, Sezer Semih
Division of Gastroenterology, Department of Internal Medicine, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey.
J Integr Complement Med. 2024 Dec;30(12):1209-1216. doi: 10.1089/jicm.2023.0804. Epub 2024 Aug 1.
Binaural beats, or the perceptual auditory illusions created when simultaneously presenting two similar frequencies to each ear separately, have been used to reduce anxiety in various procedures. Unfortunately, no prior study involved preprocedure binaural music exposure among patients undergoing upper gastrointestinal endoscopy, and this study sought to investigate its effect on anxiety and tolerance among participants undergoing sedation-free upper gastrointestinal endoscopy. The prospective, controlled, randomized trial included the participation of 96 Turkish patients aged between 18 and 70 years who were scheduled for an upper gastrointestinal endoscopy, regardless of sex or illness, and were divided randomly into two different groups to undergo endoscopy, namely, the binaural beats group ( = 48) and a control group ( = 48). Patients in the binaural beat music group wore headphones, and music was given 15 mins before endoscopy; however, no particular treatment was given for either group. Anxiety levels were assessed by using the State Trait Anxiety Inventory questionnaire, in addition to changes before and after endoscopy to measure patient satisfaction based on the physician's recorded numbers of retches noted by doctors as tolerance was documented and compared among both groups. The results showed that following this procedure, in the music group, state scores remained significantly lower than before them ( = 0.016), compared with the control group ( > 0.05). There was no significant difference regarding changes in diastolic or systolic heart rate or blood pressure ( > 0.05). However, the procedure tolerance and satisfaction scores were significantly higher in the music group than those without music ( < 0.05). For patients undergoing upper gastrointestinal endoscopy, music with binaural beats was found to significantly reduce anxiety levels and increase patient tolerance, providing an alternative option to sedative medications as a potential sedative treatment option.Clinical trials registration number: NCT06114524.
双耳节拍，即分别向每只耳朵同时呈现两个相似频率时产生的听觉感知错觉，已被用于减轻各种医疗程序中的焦虑。不幸的是，之前没有研究涉及接受上消化道内镜检查的患者在检查前进行双耳节拍音乐干预，本研究旨在调查其对接受无镇静上消化道内镜检查的参与者的焦虑和耐受性的影响。这项前瞻性、对照、随机试验纳入了96名年龄在18至70岁之间、计划进行上消化道内镜检查的土耳其患者，无论性别或疾病如何，他们被随机分为两组进行内镜检查，即双耳节拍组（n = 48）和对照组（n = 48）。双耳节拍音乐组的患者佩戴耳机，在检查前15分钟播放音乐；然而，两组均未进行特殊治疗。除了使用状态-特质焦虑量表问卷评估焦虑水平外，还通过内镜检查前后的变化来衡量患者满意度，根据医生记录的干呕次数作为耐受性指标，并在两组之间进行比较。结果显示，在此程序之后，音乐组的状态得分仍显著低于检查前（P = 0.016），而对照组则无显著变化（P > 0.05）。舒张压或收缩压心率或血压的变化无显著差异（P > 0.05）。然而，音乐组的检查耐受性和满意度得分显著高于无音乐组（P < 0.05）。对于接受上消化道内镜检查的患者，发现双耳节拍音乐可显著降低焦虑水平并提高患者耐受性，为镇静药物提供了一种替代选择，作为一种潜在的镇静治疗方案。临床试验注册号：NCT06114524。
