Does music reduce anxiety and discomfort during flexible sigmoidoscopy?A systematic review and meta-analysis

• 作者: Al Mutaz Abulafi Arun P Shanmuganandan Kiran Sran Muhammad R Sameem Siddiqui Nicholas Farkas Rhys Thomas Robert I Swift Said Mohamed
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: 音乐 灵活 sigmoidoscopy 焦虑 不快 屏蔽
• 年，卷（期）: 2017,（5）
• 页码范围: 228-237
• 页数: 10页
• 分类号: R574

摘要

AIM To investigate the role of music in reducing anxiety and discomfort during flexible sigmoidoscopy. METHODS A systematic review of all comparative studies up to November 2016, without language restriction that were identified from MEDLINE and the Cochrane Controlled Trials Register(1960-2016), and EMBASE(1991-2016). Further searches were performed using the bibliographies of articles and abstracts from major conferences such as the ESCP, NCRI, ASGBI and ASCRS. Me SH and text word terms used included 'sigmoidoscopy', 'music' and 'endoscopy' and 'anxiety'. All comparative studies reporting on the effect of music on anxiety or pain during flexible sigmoidoscopy, in adults, were included. Outcome data was extracted by 2 authors independently using outcome measures defined a priori. Quality assessment was performed.RESULTS A total of 4 articles published between 1994 and 2010, fulfilled the selection criteria. Data were extracted and analysed using OpenM etaA nalyst. Patients who listened to music during their flexible sigmoidoscopy had less anxiety compared to control groups (Random effects; SMD: 0.851(0.467, 1.235), S.E = 0.196, P < 0.001)There was no statistically significant heterogeneity(Q = 0.085, df = 1, P = 0.77, I2 = 0). Patients who listened to music during their flexible sigmoidoscopy had less pain compared to those who did not, but this difference did not reach statistical significance (Randomeffects; SMD: 0.345(-0.014, 0.705), S.E = 0.183, P = 0.06)Patients who listened to music during their flexible sigmoidoscopy felt it was a useful intervention, compared to those who did not(P < 0.001). There was no statistically significant heterogeneity(P = 0.528, I2 = 0). CONCLUSION Music appeared to benefit patients undergoing flexible sigmoidoscopies in relation to anxiety and was deemed a helpful intervention. Pain may also be reduced however further investigation is required to ascertain this.