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Cakmak O et al, 2017: Listening to music during shock wave lithotripsy decreases anxiety, pain, and dissatisfaction: A randomized controlled study.

Cakmak O, Cimen S, Tarhan H, Ekin RG, Akarken I, Ulker V, Celik O, Yucel C, Kisa E, Ergani B, Cetin T, Kozacioglu Z.
Department of Urology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, NS, Canada.
Urology Department, Sitki Kocman University, Mugla, Turkey.
Urology Department, Tepecik Training and Research Hospital, Izmir, Turkey.
Urology Department, Kemalpasa State Hospital, Izmir, Turkey.

Abstract

BACKGROUND: We analyzed the effects of music on pain, anxiety, and overall satisfaction in patients undergoing a shock wave lithotripsy (SWL) procedure.
METHODS: A total of 200 patients scheduled to undergo SWL were included in this study. Group 1 consisted of 95 patients who listened to music during the SWL session while group 2 included 105 patients who did not listen music during the procedure. State-Trait Anxiety Inventory (STAI) was used to assess state and trait anxiety (STAI-S/T). A visual analog scale (VAS) was used at the end of the session in order to assess pain, willingness to repeat the procedure, and overall patient satisfaction. Hemodynamic parameters including systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were recorded before and after the session.
RESULTS: No statistically significant difference was found between the two groups in terms of stone characteristics, SWL parameters, pre-SWL STAI-T/S scores, and pre-SWL hemodynamic parameters. Post-SWL STAI-S scores were found to be lower in patients who listened to music (p = 0.006). At the end of the SWL, VAS scores of pain, satisfaction, and willingness to repeat procedure were significantly different in favor of the music group (p = 0.007, p = 0.001, p = 0.015, respectively). SBP, DBP, and HR were significantly higher in patients who did not listen to music (p = 0.002, p = 0.024, p = 0.001, respectively).
CONCLUSION: Music can be an ideal adjunctive treatment modality for patients undergoing SWL treatment. It has the potential to enhance patient compliance and treatment satisfaction by reducing the procedure-related anxiety and pain perception.

Wien Klin Wochenschr. 2017 May 17. doi: 10.1007/s00508-017-1212-0. [Epub ahead of print]

 

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Comentarios 1

Hans-Göran Tiselius en Lunes, 25 Septiembre 2017 09:41

Undoubtedly, successful SWL needs a comfortable patient who tolerates the pain and can comply with the treatment efforts. It is possible that music should be provided more commonly than usually is the case. One aspect of this step is that music in earphones also might reduce the sound of shockwaves.
Without any scientific proof, my own experience is that when patients were offered music during treatment with the Dornier HM3 lithotripter (used with analgesics + sedatives) many patients found that the treatment was not only less uncomfortable, but for some of them even enjoyable!

In the present comparison it is not mentioned if the patients in Group 2 had some ear protection or what kind of head-set that was used by patients in Group 1. It cannot be excluded that positive effects can be expected by only reducing the shockwave noise.

It is of course a shortcoming of the report that authors did not record the need of analgesics during the treatment.
Undoubtedly, successful SWL needs a comfortable patient who tolerates the pain and can comply with the treatment efforts. It is possible that music should be provided more commonly than usually is the case. One aspect of this step is that music in earphones also might reduce the sound of shockwaves.
Without any scientific proof, my own experience is that when patients were offered music during treatment with the Dornier HM3 lithotripter (used with analgesics + sedatives) many patients found that the treatment was not only less uncomfortable, but for some of them even enjoyable!

In the present comparison it is not mentioned if the patients in Group 2 had some ear protection or what kind of head-set that was used by patients in Group 1. It cannot be excluded that positive effects can be expected by only reducing the shockwave noise.

It is of course a shortcoming of the report that authors did not record the need of analgesics during the treatment.

Undoubtedly, successful SWL needs a comfortable patient who tolerates the pain and can comply with the treatment efforts. It is possible that music should be provided more commonly than usually is the case. One aspect of this step is that music in earphones also might reduce the sound of shockwaves. Without any scientific proof, my own experience is that when patients were offered music during treatment with the Dornier HM3 lithotripter (used with analgesics + sedatives) many patients found that the treatment was not only less uncomfortable, but for some of them even enjoyable! In the present comparison it is not mentioned if the patients in Group 2 had some ear protection or what kind of head-set that was used by patients in Group 1. It cannot be excluded that positive effects can be expected by only reducing the shockwave noise. It is of course a shortcoming of the report that authors did not record the need of analgesics during the treatment. Undoubtedly, successful SWL needs a comfortable patient who tolerates the pain and can comply with the treatment efforts. It is possible that music should be provided more commonly than usually is the case. One aspect of this step is that music in earphones also might reduce the sound of shockwaves. Without any scientific proof, my own experience is that when patients were offered music during treatment with the Dornier HM3 lithotripter (used with analgesics + sedatives) many patients found that the treatment was not only less uncomfortable, but for some of them even enjoyable! In the present comparison it is not mentioned if the patients in Group 2 had some ear protection or what kind of head-set that was used by patients in Group 1. It cannot be excluded that positive effects can be expected by only reducing the shockwave noise. It is of course a shortcoming of the report that authors did not record the need of analgesics during the treatment.
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