Anxiety, Colonoscopy, Fear, Music Therapy, the Elderly, White Noise
Conditions
Keywords
Colonoscopy;anxiety;fear;vital signs;musictherapy;whitenoise
Brief summary
The aim of the study was to examine the effect of two different interventions (music therapy and white noise listening) on anxiety, fear and vital signs in elderly patients undergoing colonoscopy. The study was a double-blind, pre-test and post-test
Detailed description
Colonoscopy patients experience high levels of fear and anxiety due to the procedure. Fear and anxiety can activate the patient's autonomic nervous system, leading to increased sweating, increased heart rate, blood pressure and respiratory rate, and procedure-related complications. Reducing fear and anxiety and relaxing the patient not only prevents potential harm to the patient due to the procedure, but also facilitates the work of the healthcare team performing the procedure and ensures accurate results. In this context, this study aimed to investigate the effects of music therapy and white noise listening on the fear, anxiety and vital signs of patients undergoing colonoscopy.
Interventions
OTHERlisten to hospital ambient sound
patients listen to recorded ambient sound for 20 minutes with headphones before colonoscopy.
OTHERMusic therapy
patients listen to music for 20 minutes with headphones before colonoscopy.
OTHERlisten to white noise
patients listen to white noise with headphones for 20 minutes before colonoscopy.
Sponsors
Muğla Sıtkı Koçman University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
results evaluator
Intervention model description
experimental study with three groups.
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. The one to be colonoscoped, 2. 65 years of age or older, 3. Participated in the research voluntarily 4. No vision, hearing and perception problems, 5. No communication problems (able to speak Turkish), 6. Those who are hemodynamically stable before colonoscopy, 7. No psychiatric diagnosis, no use of antidepressants, anxiolytics and sedative agents, 8. No analgesic or anesthetic medication 24 hours before the procedure.
Exclusion criteria
1. Developing complications during the procedure, 2. Removing the headset during the procedure, 3. Participants with visual and hearing impairment or a medical history of dementia, cognitive impairments or psychiatric disorders 4. The general condition deteriorated during the procedure or a different intervention was performed with anesthesia, 5. Who wants to leave the study on their own accord.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| respiratory rate | 20 minutes of music therapy, white noise and ambient sound before colonoscopy. | Measurements are made at the beginning and end of the music therapy, white noise and ambient sound listening intervention before colonoscopy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) | 20 minutes of music therapy, white noise and ambient sound before a colonoscopy. | Measurements are made at the beginning and end of the music therapy, white noise and ambient sound listening intervention before colonoscopy. |
| The State-Trait Anxiety Inventory (STAI-I) | 20 minutes of music therapy, white noise and ambient sound before colonoscopy. | The scale is administered before colonoscopy, at the beginning and at the end of the music therapy, white noise and ambient sound listening intervention. |
| diastolic blood pressure | 20 minutes of music therapy, white noise and ambient sound before colonoscopy. | Measurements are made at the beginning and end of the music therapy, white noise and ambient sound listening intervention before colonoscopy. |
| SpO2: peripheral oxygen saturation (%) | 20 minutes of music therapy, white noise and ambient sound before colonoscopy. | Measurements are made at the beginning and end of the music therapy, white noise and ambient sound listening intervention before colonoscopy. |
| systolic blood pressure | 20 minutes of music therapy, white noise and ambient sound before colonoscopy. | Measurements are made at the beginning and end of the music therapy, white noise and ambient sound listening intervention before colonoscopy. |
| heart rate | 20 minutes of music therapy, white noise and ambient sound before colonoscopy. | Measurements are made at the beginning and end of the music therapy, white noise and ambient sound listening intervention before colonoscopy. |
Countries
Turkey (Türkiye)
Outcome results
None listed