Effect of music on level of anxiety in patients undergoing colonoscopy without sedation.

Author: Ko CH1, Chen YY2, Wu KT2, Wang SC3, Yang JF2, Lin YY4, Lin CI4, Kuo HJ2, Dai CY5, Hsieh MH6
Affiliation:
1Department of Music, College of Liberal Arts, National Sun Yat-sen University, Kaohsiung, Taiwan, ROC.
2Health Management Center, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, ROC.
3Hepatitis Center and Hepatobiliary Division, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, ROC.
4Health Management Center, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, ROC; Department of Occupational and Environmental Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, ROC.
5Health Management Center, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, ROC; Hepatitis Center and Hepatobiliary Division, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, ROC; Department of Occupational and Environmental Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, ROC; Faculty of Internal Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC.
6Health Management Center, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, ROC; Department of Occupational and Environmental Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan, ROC; Faculty of Internal Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC. Electronic address: hsmonyan@gmail.com.
Conference/Journal: J Chin Med Assoc.
Date published: 2016 Nov 23
Other: Pages: S1726-4901(16)30194-0 , Special Notes: doi: 10.1016/j.jcma.2016.08.010. [Epub ahead of print] , Word Count: 228

BACKGROUND: Listening to music can be a noninvasive method for reducing the anxiety level without any adverse effects. The aim of this study was to explore whether music can reduce anxiety and to compare two different styles of music, informal classical music and light music, to ascertain the more effective style of music in reducing anxiety in patients undergoing colonoscopy without sedation.

METHODS: This study enrolled 138 patients who underwent colonoscopy without sedation during a general health examination from February 2009 to January 2015. The patients were randomly assigned to a group that did not listen to music, a group that listened to music by David Tolley, or a group that listened to music by Kevin Kern. The State-Trait Anxiety Inventory was used to evaluate the status of anxiety.

RESULTS: A trend test for mild anxiety was performed on the patients in the three groups, and a significant trend was noted (p=0.017 for all patients; p=0.014 for analysis by sex). Multivariate analysis for mild anxiety on the patients in each group was also performed in this study, and music by Kevin Kern was found to have the lowest odds ratio (Odds ratio=0.34, p=0.045).

CONCLUSION: Listening to music, especially music by Kevin Kern, reduced the level of anxiety in patients undergoing colonoscopy examination without sedation.

Copyright © 2016. Published by Elsevier Taiwan LLC.

KEYWORDS: Kevin Kern; anxiety; colonoscopy; light music

PMID: 27889459 DOI: 10.1016/j.jcma.2016.08.010

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