Music during interventional radiological procedures, effect on sedation, pain and anxiety: a randomised controlled trial

被引:35
作者
Kulkarni, S. [1 ]
Johnson, P. C. D. [2 ]
Kettles, S. [1 ]
Kasthuri, R. S. [1 ]
机构
[1] Gartnavel Royal Hosp, Dept Radiol, Glasgow G12 0YN, Lanark, Scotland
[2] Univ Glasgow, Coll Med Vet & Life Sci, Robertson Ctr Biostat, Glasgow, Lanark, Scotland
关键词
STATE ANXIETY; METAANALYSIS; ANALGESIA; ENDOSCOPY;
D O I
10.1259/bjr/71897605
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objective: To assess the effects of playing patient-selected music during interventional procedures on (1) the doses of sedation and analgesia and (2) anxiety levels. Methods: Patients undergoing interventional radiological procedures were randomised to either the intervention (music) or the control (no music) group. Patients in the intervention group had music of their choice played via headphones during the procedure. The primary outcomes were reductions in the doses of drugs for sedation (midazolam) and analgesia (fentanyl). Anxiety levels were assessed both before and after the procedure using the validated State Anxiety Inventory. Mean pulse rate and average of mean blood pressures were also recorded before and during the procedures as surrogate indicators of anxiety levels. Results: 100 patients were randomised in a 1: 1 ratio. There were 58 males and 42 females, with a mean age of 58 years. Sedation was required in 21 (42%) patients in the music group compared with 30 (60%) patients in the control group (p=0.046). The mean [standard deviation (SD)] midazolam dose was 2.1 mg (2.3 mg) in the control group and 1.3 mg (2.2 mg) in the music group (p=0.027). The mean (SD) fentanyl dose was 29 mg (40 mg) in the control group and 18 mg (34 mg) in the music group (p=0.055). There was no significant effect of music on the change from baseline in anxiety levels (p=0.74), pulse rate (p=0.56) or blood pressure (p=0.34). Conclusion: Sedation requirements are significantly reduced by playing self-selected music to the patient during interventional radiology procedures. By lowering sedation during interventional radiology, music makes the procedure safer. It also contributes favourably to the overall patient experience.
引用
收藏
页码:1059 / 1063
页数:5
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