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Effect of Music on Patients Undergoing Colonoscopy: A Meta-Analysis of Randomized Controlled Trials

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Abstract

Purpose Music has been utilized as a therapeutic tool during colonoscopy, but various randomized controlled trials (RCTs) have been inconsistent. We conducted a meta-analysis to analyze the effect of music on patients undergoing colonoscopy. Patients and Methods Multiple medical databases were searched (12/06). Only RCTs on adult subjects that compared music versus no music during colonoscopy were included. Meta-analysis was analyzed for total procedure time, dose of sedative medications (midazolam and mepiridine), and patients’ pain scores, experience, and willingness to repeat the same procedure in the future. Results Eight studies (N = 712) met the inclusion criteria. Patients’ overall experience scores (P < 0.01) were significantly improved with music. No significant differences were noted for patients’ pain scores (P = 0.09), mean doses of midazolam (P = 0.10), mean doses of meperidine (P = 0.23), procedure times (P = 0.06), and willingness to repeat the same procedure in future (P = 0.10). Conclusions Music improves patients’ overall experience with colonoscopy.

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References

  1. Petravage J, Swedberg J (1988) Patient response to sigmoidoscopy—recommendations via mailed reminders. J Fam Pract 27:387–389

    PubMed  CAS  Google Scholar 

  2. Mahajan RJ, Johnson JC, Marshall JB (1997) Predictors of patient cooperation during gastrointestinal endoscopy. J Clin Gastroenterol 24:220–223. doi:10.1097/00004836-199706000-00007

    Article  PubMed  CAS  Google Scholar 

  3. Cook JD (1981) The therapeutic use of music: a literature review. Nurs Forum 20:252–266. doi:10.1111/j.1744-6198.1981.tb00754.x

    Article  PubMed  CAS  Google Scholar 

  4. Guzzetta CE (1989) Effects of relaxation and music therapy on patients in a coronary care unit with presumptive acute myocardial infarction. Heart Lung 18:609–616

    PubMed  CAS  Google Scholar 

  5. Slifer KJ, Penn-Jones K, Cataldo MF, Conner RT, Zerhouni EA (1991) Music enhances patients’ comfort during MR imaging [letter]. Am J Roentgenol 156:403

    CAS  Google Scholar 

  6. Dubois JM, Bartter T, Pratter MR (1995) Music improves patient comfort level during outpatient bronchoscopy. Chest 108:129–130. doi:10.1378/chest.108.1.129

    Article  PubMed  CAS  Google Scholar 

  7. Chlan L, Evans D, Greenleaf M, Walker J (2000) Effects of a single music therapy intervention on anxiety, discomfort, satisfaction, and compliance with screening guidelines in outpatients undergoing flexible sigmoidoscopy. Gastroenterol Nurs 23:148–156. doi:10.1097/00001610–200007000-00003

    Article  PubMed  CAS  Google Scholar 

  8. Palakanis KC, DeNobile JW, Sweeney WB, Blankenship CL (1994) Effect of music therapy on state anxiety in patients undergoing flexible sigmoidoscopy. Dis Colon Rectum 37:478–481. doi:10.1007/BF02076195

    Article  PubMed  CAS  Google Scholar 

  9. Bampton P, Draper B (1997) Effect of relaxation music on patient tolerance of gastrointestinal endoscopic procedures. J Clin Gastroenterol 25:343–345. doi:10.1097/00004836-199707000-00010

    Article  PubMed  CAS  Google Scholar 

  10. Lee DW, Chan KW, Poon CM, Ko CW, Chan KH, Sin KS, Sze TS, Chan ACW (2002) Relaxation music decreases the dose of patient-controlled sedation during colonoscopy: a prospective randomized controlled trial. Gastrointest Endosc 55:33–36. doi:10.1067/mge.2002.120387

    Article  PubMed  Google Scholar 

  11. Schiemann U, Gross M, Reuter R, Kellner H (2002) Improved procedure of colonoscopy under accompanying music therapy. Eur J Med Res 7:131–134

    PubMed  Google Scholar 

  12. Lopez-Cepero Andrada JM, Amaya Vidal A, Castro Aguilar-Tablada T, Garcia Reina I, Silva L, Ruiz Guinaldo A, De la Rosa JL, Herrero Cibaja I, Ferre Alamo A, Benitez Roldan A (2004) Anxiety during the performance of colonoscopies: modification using music therapy. Eur J Gastroenterol Hepatol 16:1381–1386. doi:10.1097/00042737-200412000-00024

    Article  PubMed  CAS  Google Scholar 

  13. Hayes A, Buffum M, Lanier E, Rodahl E, Sasso C (2003) A music intervention to reduce anxiety prior to gastrointestinal procedures. Gastroenterol Nurs 26:145–149. doi:10.1097/00001610-200307000-00002

    Article  PubMed  Google Scholar 

  14. Smolen D, Topp R, Singer L (2002) The effect of self-selected music during colonoscopy on anxiety, heart rate, and blood pressure. Appl Nurs Res 15:126–136. doi:10.1053/apnr.2002.34140

    Article  PubMed  Google Scholar 

  15. Binek J, Sagmeister M, Borovicka J, Knierim M, Magdeburg B, Meyenberger C (2003) Perception of gastrointestinal endoscopy by patients and examiners with and without background music. Digestion 68:5–8. doi:10.1159/000073219

    Article  PubMed  Google Scholar 

  16. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuay HJ (1996) Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 17:1–12. doi:10.1016/0197-2456(95)00134-4

    Article  PubMed  CAS  Google Scholar 

  17. Lembo T, Fitzgerald L, Matin K, Woo K, Mayer EA, Naliboff BD (1998) Audio and visual stimulation reduces patient discomfort during screening flexible sigmoidoscopy. Am J Gastroenterol 93:1113–1116. doi:10.1111/j.1572-0241.1998.00339.x

    Article  PubMed  CAS  Google Scholar 

  18. Harikumar R, Raj M, Paul A, Harish K, Kumar KS, Sandesh K, Asharaf S, Thomas V (2006) Listening to music decreases need for sedative medication during colonoscopy: a randomized, controlled trial. Indian J Gastroenterol 25:3–5

    PubMed  CAS  Google Scholar 

  19. Uedo N, Ishikawa H, Morimoto K, Ishihara R, Narahara H, Akedo I, Ioka T, Kaji I, Fukuda S (2004) Reduction in salivary cortisol level by music therapy during colonoscopic examination. Hepatogastroenterology 51:451–453

    PubMed  Google Scholar 

  20. Bechtold ML, Perez RA, Puli SR, Marshall JB (2006) Effect of music on patients undergoing outpatient colonoscopy. World J Gastroenterol 12:7309–7312

    PubMed  Google Scholar 

  21. Ovayolu N, Ucan O, Pehlivan S, Pehlivan Y, Buyukhatipoglu H, Savas MC, Gulsen MT (2006) Listening to Turkish classical music decreases patients’ anxiety, pain, dissatisfaction and the dose of sedative and analgesic drugs during colonoscopy: a prospective randomized controlled trial. World J Gastroenterol 12:7532–7536

    PubMed  Google Scholar 

  22. Salmore RG, Nelson JP (2000) The effect of preprocedure teaching, relaxation instruction, and music on anxiety as measured by blood pressures in an outpatient gastrointestinal endoscopy laboratory. Gastroenterol Nurs 23:102–110. doi:10.1097/00001610-200005000-00003

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Gastroenterology, University of Missouri School of Medicine, One Hospital Drive, Columbia, MO, 65212, USA

    Matthew L. Bechtold, Srinivas R. Puli, Christopher R. Bartalos, John B. Marshall & Praveen K. Roy

  2. Division of Gastroenterology, University of New Mexico School of Medicine, Albuquerque, NM, USA

    Mohamed O. Othman

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  1. Matthew L. Bechtold
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  2. Srinivas R. Puli
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  3. Mohamed O. Othman
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  4. Christopher R. Bartalos
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  5. John B. Marshall
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  6. Praveen K. Roy
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Correspondence to John B. Marshall.

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Bechtold, M.L., Puli, S.R., Othman, M.O. et al. Effect of Music on Patients Undergoing Colonoscopy: A Meta-Analysis of Randomized Controlled Trials. Dig Dis Sci 54, 19–24 (2009). https://doi.org/10.1007/s10620-008-0312-0

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  • DOI: https://doi.org/10.1007/s10620-008-0312-0

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