Does music reduce anxiety and discomfort during flexible sigmoidoscopy? A systematic review and meta-analysis
| Autor: | Robert I Swift, Nicholas Farkas, Said Mohamed, Kiran Sran, Muhammad Rafay Sameem Siddiqui, Al Mutaz Abulafi, Arun Shanmuganandan, Rhys Thomas |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Flexible sigmoidoscopy
medicine.medical_specialty medicine.diagnostic_test business.industry Alternative medicine Sigmoidoscopy Anxiety behavioral disciplines and activities humanities Surgery 03 medical and health sciences 0302 clinical medicine Meta-analysis Screening medicine Physical therapy 030211 gastroenterology & hepatology 030212 general & internal medicine medicine.symptom business human activities Music Discomfort Meta-Analysis |
| Zdroj: | World Journal of Gastrointestinal Endoscopy |
| ISSN: | 1948-5190 |
| DOI: | 10.4253/wjge.v9.i5.228 |
| Popis: | 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. MeSH 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 OpenMetaAnalyst. 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 [Random effects; 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|