10 Patients’ anxiety regarding colonoscopy may result from the strangeness of the hospital environment, a lack of knowledge regarding the procedure, the uncertainty of the outcome, fear of pain and worry about the recovery process. Recent studies reported that 75% of pre-operative surgical patients are anxious 8, 9 and over 40% report moderate pain or severe pain during colonoscopy. 1, 2 However, the procedure is unpleasant and often causes patients anxiety and pain due to abdominal discomfort and a sensation of fullness. Nevertheless, most participants appreciated the songs provided in MP3 and found it helpful for relaxation during the procedure and would prefer it again ( p<0.001).Ĭonclusion: Easy music listening can enhance patients’ satisfaction in both procedure and pain management for adults undergoing a colonoscopy procedure.Ĭolonoscopy is an endoscopy examination of the large bowel and the distal part of the small bowel, which is the most common procedure and gold standard used in the diagnosis of cancer colon and in the treatment of diseases of the lower gastrointestinal tract such as removal of polys or removal suspected malignant lesions. No significant difference was found between groups on anxiety, pain, additional sedative and analgesic use, heart rate, and systolic and diastolic blood pressure ( p>0.05). Participants in the music group reported significantly higher levels in both procedure satisfaction ( p=0.043) and satisfaction with pain management ( p=0.045) than those in the control group. Results: Eighty participants (40 music vs 40 control) completed the study with no attrition.
Measures comprised of the State-Trait Anxiety Inventory, visual analog scales of pain level, procedure satisfaction and satisfaction with pain management, the use of sedative and analgesic drugs, heart rate, and blood pressure data were collected at baseline (T0), during (T1) and 30 mins after the procedure (T2). Standard care comprised of all nursing and medical care provided for patients undergoing colonoscopy.
#EASY LISTENING SONGS SERIES#
Eligible patients were randomly assigned either to a music group, which received standard care and additional easy listening music (a series of 15 popular non-rock Chinese songs) through earphones and MP3 for 20 mins before and during the procedure, or to a control group which received standard care only.
#EASY LISTENING SONGS TRIAL#
A randomized controlled trial was adopted. Patients and methods: Patients undergoing colonoscopy, aged 45 or older, able to communicate in Chinese, and hemodynamically stable were invited for the study. Purpose: The purpose of this study was to examine the effects of an easy listening music intervention on satisfaction, anxiety, pain, sedative and analgesic medication requirements, and physiological parameters in Chinese adult patients undergoing colonoscopy in Hong Kong.
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