The Use of Music in Reducing Pain During Outpatient Hysteroscopy

Pamela Youde Nethersole Eastern Hospital

Status: Completed

Conditions: Hysteroscopy

Treatments: Other: Music

Study type: Interventional

Funder types: Other

Identifiers

NCT04232930

HKECREC-2019-034

Details and patient eligibility

About

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.

Full 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.

Enrollment: 107 patients

Sex: Female

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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107 participants in 2 patient groups

Music group

Active Comparator group

Description:

In the music group, music that chosen by the participant will be played through a speaker by the nursing staff during outpatient hysteroscopy. Music will be played through a speaker instead of headphone in order to maintain a good communication and interaction between the participant and the doctor.

Treatment:

Other: Music

Non-music group

No Intervention group

Description:

Participants in the non-music group will undergo outpatient hysteroscopy in the same setting and standard procedure without listening to any music.