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Effects of music on anxiety and physiological responses in patients before gastroscopy

1 School of Nursing, National Defense Medical Center, Chang Gung University, Taoyuan Hsien, Taoyuan, Taiwan
2 School of Nursing, College of Medicine, Chang Gung University; Division of Medical Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan Hsien; Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan
3 Department of Teaching and Research, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan
4 School of Nursing, Yuanpei University of Medical Technology, Hsinchu, Taiwan

Correspondence Address:
Yu-Ju Chen,
No. 161, Sec. 6, Minquan E RD, Neihu Dist. Taipei City, 11490
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_190_20

Background: Preprocedural anxiety is a common problem in patients undergoing surgery or an invasive examination. This study investigated listening to self-selected music on anxiety and physiological responses in patients before gastroscopy. Methods: A pretest–posttest control group design was conducted, in which patients scheduled for gastroscopy in a medical center located in Taipei, Taiwan, were enrolled. The participants were randomly assigned to the music group (n = 100) or the control group (n = 100) by drawing lots. The music group listened to self-selected music with earphones for 15 min before the procedure. In contrast, the control group rested for 15 min. Blood pressure (BP), heart rate, respiratory rate, and anxiety level were measured immediately before and after the music intervention. Results: After adjusting for covariates, anxiety (P = 0.003) and respiratory rate (P = 0.01) significantly decreased in the music group than in the control group. However, no statistical difference in BP and heart rate changes was observed between the two groups. Listening to music could effectively reduce anxiety in patients who believed in the relaxing effects of music. Conclusions: Listening to self-selected music could effectively reduce the patients' anxiety and respiratory rate before gastroscopy, which could be recommended as a routine practice to alleviate patients' anxiety and physiological arousal before gastroscopy.


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