کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3265030 1207802 2010 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Music for colonoscopy: A single-blind randomized controlled trial
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
پیش نمایش صفحه اول مقاله
Music for colonoscopy: A single-blind randomized controlled trial
چکیده انگلیسی

BackgroundSeveral methods have been reported to minimize patient discomfort during colonoscopy, none are currently recommended by clinical practice guidelines. We performed a single-blind randomized controlled trial to assess the efficacy of music for colonoscopy.Methods109 patients were randomized to music-delivering or mute headphones before and during colonoscopy. Physicians were blinded to the trial. Sedation was given on demand. Primary outcome was pain measured on linear analogue scale from 0 to 10. Secondary endpoints were the difficulty of the procedure, need of sedation, overall patient satisfaction and willingness to repeat the procedure.ResultsMean pain score was 5.9 ± 2.2 in the control group vs. 3.8 ± 1.9 in the music group (p < 0.00001); correspondingly overall satisfaction and willingness to repeat the procedure were significantly improved by music and the difficulty perceived by physicians was significantly reduced. Total administered midazolam was 36 mg in the control group vs. 13 in the music group (p < 0.007), pethidine was 860 mg vs. 465 mg (p = 0.07) and patients requiring sedation were 22 vs. 9, respectively (p = 0.003). A multivariable analysis to adjust treatment effect for potential confounding factors confirmed the significant beneficial effect of music.ConclusionsMusic significantly reduces discomfort and should be routinely offered to patients undergoing colonoscopy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Digestive and Liver Disease - Volume 42, Issue 12, December 2010, Pages 871–876
نویسندگان
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