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DOI: 10.1055/s-2007-966362
© Georg Thieme Verlag KG Stuttgart · New York
Music in the endoscopy suite: a meta-analysis of randomized controlled studies
Publikationsverlauf
submitted 22 July 2006
accepted after revision 20 December 2006
Publikationsdatum:
06. Juni 2007 (online)
![](https://www.thieme-connect.de/media/endoscopy/200706/lookinside/thumbnails/10.1055-s-2007-966362-1.jpg)
Background and study aim: Prior studies have suggested that music therapy can provide stress relief and analgesia. In this meta-analysis we focused on the effects of music therapy on patients undergoing gastrointestinal endoscopic procedures.
Materials and methods: A literature search using the PubMed and Cochrane Library databases and a manual search led to the inclusion of six randomized controlled trials that examined the effects of music therapy on patients undergoing gastrointestinal endoscopic procedures. After data extraction, four separate meta-analyses were performed: in the three studies that did not use pharmacotherapy (group A), anxiety levels were used as a measure of efficacy; in the three studies in which pharmacotherapy was used (group B), sedation and analgesia requirements and procedure duration times were analyzed.
Results: A total of 641 patients were included in the analysis. In group A, patients receiving music therapy exhibited lower anxiety levels (8.6 % reduction, P = 0.004), compared with controls. In group B, patients receiving music therapy exhibited statistically significant reductions in analgesia requirements (29.7 % reduction, P = 0.001) and procedure times (21 % reduction, P = 0.002), and a reduction in sedation requirements that approached significance (15 % reduction, P = 0.055), in comparison with controls.
Conclusions: Music therapy is an effective tool for stress relief and analgesia in patients undergoing gastrointestinal endoscopic procedures.
References
- 1 Smith A F, Pittaway A J. Premedication for anxiety in adult day surgery. Cochrane Database Syst Rev. 2003; 1 CD002192
- 2 Mitchell M. Patient anxiety and modern elective surgery: a literature review. J Clin Nurs. 2003; 12 806-815
- 3 Mohta M, Sethi A K, Tyagi A. et al . Psychological care in trauma patients. Injury. 2003; 34 17-25
- 4 Watson A T, Visram A. Children’s preoperative anxiety and postoperative behaviour. Paediatr Anaesth. 2003; 13 188-204
- 5 Moline L R. Patient psychologic preparation for invasive procedures: an integrative review. J Vasc Nurs. 2000; 18 117-122
- 6 Pattison N. Psychological implications of admission to critical care. Br J Nurs. 2005; 14 708-714
- 7 Brans B, van den Eynde F, Audenaert K. et al . Depression and anxiety during isolation and radionuclide therapy. Nucl Med Commun. 2003; 24 881-886
- 8 Pellino T A, Gordon D B, Engelke Z K. et al . Use of nonpharmacologic interventions for pain and anxiety after total hip and total knee arthroplasty. Orthop Nurs. 2005; 24 182-190
- 9 Crone C C, Gabriel G M. Treatment of anxiety and depression in transplant patients: pharmacokinetic considerations. Clin Pharmacokinet. 2004; 43 361-394
- 10 Rietveld S, Creer T L. Psychiatric factors in asthma: implications for diagnosis and therapy. Am J Respir Med. 2003; 2 1-10
- 11 Brandt L J. Patients’ attitudes and apprehensions about endoscopy: how to calm troubled waters. Am J Gastroenterol. 2001; 96 280-284
- 12 Jones M P, Ebert C C, Sloan T. et al . Patient anxiety and elective gastrointestinal endoscopy. J Clin Gastroenterol. 2004; 38 35-40
- 13 Trevisani L, Sartori S, Putinati S. et al . Assessment of anxiety levels in patients during diagnostic endoscopy [in Italian, English abstract]. Recenti Prog Med. 2002; 93 240-244
- 14 Ringel Y, Dalton C B, Brandt L J. et al . Flexible sigmoidoscopy: the patients’ perception. Gastrointest Endosc. 2002; 55 315-320
- 15 Benninghoven D, Kaduk A, Wiegand U. et al . Influence of anxiety on the course of heart disease after acute myocardial infarction: risk factor or protective function?. Psychother Psychosom. 2006; 75 56-61
- 16 Kemper K J, Danhauer S C. Music as therapy. South Med J. 2005; 98 282-288
- 17 Lopez-Cepero Andrada J M, Amaya Vidal A, Castro Aguilar-Tablada T. et al . Anxiety during the performance of colonoscopies: modification using music therapy. Eur J Gastroenterol Hepatol. 2004; 16 1381-1386
- 18 Hayes A, Buffum M, Lanier E. et al . Music intervention to reduce anxiety prior to gastrointestinal procedures. Gastroenterol Nurs. 2003; 26 145-149
- 19 Chlan L, Evans D, Greenleaf M. et al . Effects of a single music therapy intervention on anxiety, discomfort, satisfaction, and compliance with screening guidelines in outpatients undergoing flexible sigmoidoscopy. Gastroenterol Nurs. 2000; 23 148-156
- 20 Speilberger C D, Gorsuch R L, Lushene R. et al .STAI manual for the state-trait anxiety inventory. Palo Alto CA; Consulting Psychologists Press 1970
- 21 Smolen D, Topp R, Singer L. The effect of self-selected music during colonoscopy on anxiety, heart rate, and blood pressure. Appl Nurs Res. 2002; 15 126-136
- 22 Lee D W, Chan K W, Poon C M. et al . Relaxation music decreases the dose of patient-controlled sedation during colonoscopy: a prospective randomized controlled trial. Gastrointest Endosc. 2002; 55 33-36
- 23 Schiemann U, Gross M, Reuter R. et al . Improved procedure of colonoscopy under accompanying music therapy. Eur J Med Res. 2002; 7 131-134
- 24 Salmore R G, Nelson J P. The effect of preprocedure teaching, relaxation instruction and music on anxiety as measured by blood pressures in an outpatient gastrointestinal endoscopy laboratory. Gastroenterol Nurs. 2000; 23 102-110
- 25 Ristikankare M, Julkunen R, Mattila M. et al . Conscious sedation and cardiorespiratory safety during colonoscopy. Gastrointest Endosc. 2000; 52 48-54
- 26 Deloach Walworth D. Procedural-support music therapy in the healthcare setting: a cost-effectiveness analysis. J Pediatr Nurs. 2005; 20 276-284
- 27 Stermer E, Levy N, Beny A. et al . Ambience in the endoscopy room has little effect on patients. J Clin Gastroenterol. 1998; 26 256-258
- 28 Palakanis K C, DeNobile J W, Sweeney W B. et al . Effect of music therapy on state anxiety in patients undergoing flexible sigmoidoscopy. Dis Colon Rectum. 1994; 37 478-481
- 29 Bampton P, Draper B. Effect of relaxation music on patient tolerance of gastrointestinal endoscopic procedures. J Clin Gastroenterol. 1997; 25 343-345
- 30 Escher J, Hohmann U, Wasem C. Music therapy and internal medicine [in German, English abstract]. Schweiz Rundsch Med Prax. 1993; 82 957-963
- 31 Kotwal M R, Rinchhen C Z, Ringe V V. Stress reduction through listening to Indian classical music during gastroscopy. Diagn Ther Endosc. 1998; 4 191-197
- 32 Binek J, Sagmeister M, Borovicka J. et al . Perception of gastrointestinal endoscopy by patients and examiners with and without background music. Digestion. 2003; 68 5-8
D. Rudin, MD
Department of Medicine
Staten Island University Hospital
475 Seaview Avenue
Staten Island
New York 10305
USA
Fax: +1-718-2266586
eMail: drudin@siuh.edu