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Randomized Controlled Trial
. 2018 Sep;29(5):574-579.
doi: 10.5152/tjg.2018.18200.

Evaluation of pain and patient satisfaction by music therapy in patients with endoscopy/colonoscopy

Mehrnoosh Bashiri  1 , Didem Akçalı  1 , Demet Coşkun  1 , Mehmet Cindoruk  2 , Asiye Dikmen  3 , Burçin Uçaner Çifdalöz  4
Affiliations
Randomized Controlled Trial

Evaluation of pain and patient satisfaction by music therapy in patients with endoscopy/colonoscopy

Mehrnoosh Bashiri et al. Turk J Gastroenterol. 2018 Sep.

Abstract

Background/aims: Endoscopy and colonoscopy are frequently performed procedures to evaluate the gastrointestinal system. These procedures are sometimes disturbing and painful for the patient. In gastrointestinal suits, endoscopy and colonoscopy may be performed on awake or sedated patients. Music therapy is a common and non-pharmacological treatment for various medical conditions, pain, and anxiety. The aim of the present study was to add music therapy to sedation administered during endoscopy and colonoscopy. The effect of music treatment on drug consumption, anxiety, and pain was investigated.

Materials and methods: American Anesthesiologist Association I-III adult patients scheduled for endo/colonoscopy were randomized to music treatment and no music treatment groups. Patients with endoscopic ultrasound and endoscopic retrograde colangiopancreaticography were excluded from the study. Anxiety score and pain severity were evaluated before and after the procedure. Heart rate, mean arterial pressure, and oxygen saturation were recorded before, during, and after the procedure. Total drug consumption was recorded. Patient satisfaction and desire for the same protocol for recurrent procedures were investigated.

Results: Music therapy added to deep sedation administered by anesthesiologists provided decreased anxiety score and propofol consumption. Patient satisfaction was increased, and patients reported a desire for the same protocol for recurrent procedures.

Conclusion: The present study may serve as the beginning of using music therapy for pain treatment in gastroenterology procedures in our hospital with/without sedation. Music and other non-pharmacological treatment methods must be remembered to increase patient comfort during enco/colonoscopies and other painful procedures.

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Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Comparison of pain severity of patients in the groups before and after intervention Group 1: conscious sedation without music; Group 2: conscious sedation with music; Group 3: deep sedation without music; Group 4: deep sedation with music *p<0.05
See this image and copyright information in PMC

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