Hysteroscopy
Conditions
Brief summary
The aim of this study is to demonstrate the value of music in outpatient hysteroscopy on patients' level of pain and satisfaction. This may have a role in our daily practice in providing a better patient care in outpatient hysteroscopy.
Detailed description
Outpatient hysteroscopy is nowadays a commonly used procedure in Gynaecology in order to evaluate the uterine cavity and to diagnose different intrauterine diseases. It is a safe, convenient and cost-effective procedure in aiding the management of abnormal uterine bleeding. However, outpatient hysteroscopy can be associated with significant pain which would have impact on the woman's satisfaction and pain is one of the most common reasons for failure of the procedure. Listening to music could be an easy and non-invasive way to reduce pain. A meta-analysis conducted on the effects of music on pain revealed that music interventions had statistically significant effects in decreasing pain on 0-10 pain scales. Researches on this topic in gynaecological office procedures, however, showed variation in the results. Some showed no positive effect of music on patient's level of pain, anxiety or satisfaction of patient or doctor for office hysteroscopy and colposcopy. On the other hand, some studies showed a positive effect of the use of music with a reduction of pain and anxiety during office hysteroscopy.
Interventions
OTHERMusic
Four types of music will be provided, including pop, classical, jazz or spa music which are prepared by the study team. They contain instrumental songs only without vocal.
Sponsors
Pamela Youde Nethersole Eastern Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
This is not a blinded study as both the participant and the care provider will be able to listen to the music if the subject is assigned into the music group.
Intervention model description
Prospective randomized trial
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* indication for hysteroscopy (abnormal uterine bleeding, abnormal findings on ultrasound, and infertility) * signed informed consent * ability to read Chinese or English.
Exclusion criteria
* hearing impairment * known anatomical abnormalities which would make performing the procedure more difficult * use of premedication for cervical ripening
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intensity of pain | Anticipated pain before hysteroscopy | Pain measured using visual analog scale (VAS) on a 0-10 scale, with 0 indicating no pain and 10 indicating worst pain possible. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Systolic blood pressure | Systolic blood pressure before hysteroscopy | Systolic blood pressure |
| Diastolic blood pressure | Diastolic blood pressure before hysteroscopy | Diastolic blood pressure |
| Heart rate | Heart rate before hysteroscopy | Heart rate |
Countries
Hong Kong
Outcome results
None listed