Patients report less pain during cannulation when listening to music

According to data published in , patients using hemodialysis report less pain when listening to music during cannulation procedures. Clinical Journal of the American Society of Nephrology.

However, there was no substantial evidence that music affects anxiety, blood pressure, or stress.

“Many studies have shown that listening to music reduces pain in a variety of ways, including pain associated with cancer, surgical procedures, lumbar punctures in children, and prostate biopsies.” Emi Inayama, medical doctor, From Mihama Narita Clinic, Japan, and written by a colleague. They concluded, “Therefore, music may be a useful analgesic for hemodialysis patients who experience frequent cannulation pain. is limited, and it remains unclear whether music reduces vascular access cannula pain.”

In a multicenter, single-blind, crossover, randomized trial, researchers examined 121 patients who had undergone hemodialysis for at least 6 months and reported pain during cannulation.

Investigators randomly assigned patients 1:1 to an early sequencing group (early group) or a late sequencing group (late group). Of the 4-week study, week 1 and her third were considered “silence” periods during which the patient wore silent headphones. In week 1, the early group listened to ‘Sonata in D major for 2 pianos, K.448’ while intubated, and the later group listened to white noise. This was reversed in her fourth week. Patients put on the headphones 8 minutes before the start of the cannulation procedure and kept them on during the puncture.

In an attempt to hide the study’s hypothesis from patients, the researchers said, “Both music and white noise may effectively reduce cannulation pain, and we want to verify which one is better.” rice field.

The investigators considered the patient’s independently rated cannulation pain VAS score as the primary outcome.

Analysis revealed a median baseline VAS pain score of 24.7 mm. The researchers observed a median change of -2.7 mm from “silence” to musical periods and -0.03 mm from “silence” to white noise periods. Therefore, patients reported less pain while listening to music compared to white noise.

However, patients reported no significant differences in anxiety, blood pressure, or stress.

“In conclusion, in this well-designed randomized controlled trial, listening to music relieved pain associated with cannulation in patients undergoing hemodialysis, whereas anxiety, vital signs, and stress markers No improvement was seen in the secondary outcome of assessing “Although music alone may not be clinically sufficient to control pain, music can be a safe and inexpensive adjunctive method of pain relief for patients who do not have adequate analgesia from other treatments. It might help.”