The effect of music in gynaecological office procedures on pain, anxiety and satisfaction: a randomized controlled trial

Gynecological Surgery - 2017
Nienke Mak1, Imke M A Reinders2,3, S. A. Slockers1, Esther H.M.N. Westen4, Jacques W.M. Maas1, Marlies Y. Bongers3,1
1Department of Obstetrics and Gynaecology, Máxima Medical Centre, Veldhoven, The Netherlands
2Department of Obstetrics and Gynaecology, VieCuri Medical Centre, Venlo, the Netherlands
3Department of Obstetrics and Gynaecology, GROW-School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, the Netherlands
4Department of Obstetrics and Gynaecology, Rode Kruis Hospital, Beverwijk, The Netherlands

Tóm tắt

Abstract Background Pain can interfere with office procedures in gynaecology. The aim of this study is to measure the positive effect of music in gynaecological office procedures. Methods A randomized controlled trial was performed between October 2014 and January 2016. Women scheduled for an office hysteroscopy or colposcopy were eligible for randomization in the music group or control group. Stratification for hysteroscopy and colposcopy took place. The primary outcome is patients’ level of pain during the procedure measured by the visual analogue scale (VAS). Secondary outcomes include patients’ level of pain after the procedure, anxiety and satisfaction of patient and doctor. Results No positive effect of music on patients’ perception of pain during the procedure was measured, neither for the hysteroscopy group (57 mm vs. 52 mm) nor for the colposcopy group (32 mm vs. 32 mm). Secondary outcomes were also similar for both groups. Conclusions This study showed no positive effect of music on patients’ level of pain, anxiety or satisfaction of patient or doctor for office hysteroscopy and colposcopy. We believe a multimodal approach has to be used to decrease patient distress in terms of pain and anxiety, with or without music. Trial registration Dutch Trial Register, NTR4924

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Gynecological Surgery

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