Login to Access Video or Poster Abstract: MP62-17
Sources of Funding: None

Introduction

We analyzed the effects of music on pain, anxiety and overall satisfaction in patients undergoing shock wave lithotripsy (SWL) procedure.

Methods

Two hundred patients scheduled for SWL were prospectively enrolled in this study. Group 1 consisted of 95 patients who listened music during the SWL procedure while 105 patients in group 2 did not listen music during the treatment. Anxiety of the patients were measured according to State-Trait Anxiety Inventory (STAI). STAI-T (Trait) was completed only before the procedure, whereas STAI-S (State) was completed both before and after SWL. Pain, patient satisfaction and willingness to repeat procedure were evaluated after SWL using a visual analog scale (VAS). Hemodynamic parameters including sistolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) were measured before and after procedure.

Results

Group 1 consisted of 95 (47.5%) patients while group 2 included 105 (52.5%) patients. No statistically significant difference was found between two groups in terms of stone characteristics, SWL parameters, STAI-T and STAI-S scores and hemodynamic parameters before SWL. Pre-SWL hemodynamic parameters, STAI-S and STAI-T scores of the study groups are displayed in Table 1. After SWL completed, STAI-S scores were found to be lower in patients who listened music (p=0.006). At the end of the SWL, VAS scores of pain, satisfaction and willingness to repeat procedure were significantly different in favour of music group (p=0.007, p=0.001, p=0.015, respectively). SBP, DBP and HR were found significantly higher in patients who did not listened music (p=0.002, p=0.024, p<0.001, respectively). Post-SWL hemodynamic parameters, STAI-S scores and VAS scores are shown in Table 2.

Conclusions

Music can be an ideal adjunctive treatment modality for patients undergoing SWL treatment. It has the potential to enhance patient compliance and treatment satisfaction by reducing the procedure-related anxiety and pain perception.

Funding

None